Effectiveness of Different Psychotherapy Approaches in the Treatment of Borderline Personality Disorder (original) (raw)
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PSYCHOTHERAPY OF BORDERLINE PERSONALITY DISORDER
Romanian Journal of Experimental Applied Psychology, 2014
Borderline personality disorder (BPD) is both a common and serious psychiatric disorder, associated with high level of psychiatric care and high levels of psychosocial impairment. The individuals with this disorder can have negative and distorted views of themselves, along with feelings of low self-worth; they might easily become argumentative, moody and impulsive. SSRI may be a good pharmacotherapy for BPT, but psychotherapy is considered the primary treatment for this personality disorder. The aim of this paper is to describe the basic treatment strategies used in DBT. There are two psychotherapeutic approaches that have been shown to have efficacy in randomized controlled trials: psychoanalytic/psychodynamic therapy and dialectical behavior therapy. Dialectical behavior therapy (DBT) is a cognitive-behavioral approach to treating borderline personality disorder, developed by Marsha Linehan.
European Journal of Interdisciplinary Studies, 2018
This literature review aims to evaluate the evidence in the extant literature of practical and evidence-based psychotherapy methods for overcoming personality disorders and to compare them with one another. For a systematic review, we used the following databases: ScienceDirect, ResearchGate, Cochrane, PsyNet, CrossRef, PubMed. As a result, 33 articles were selected. Dialectic Behavioral Therapy (DBT), Mentalization-based Therapy (MBT) and Schema-focused Therapy (SFT) have better evidence-based efficacy in the context of therapeutic effects on reducing the severity of diagnostic criteria and comorbid states. In the context of application in an outpatient setting the highest positive effect and compliances are demonstrated by DBT and SFT. The majority of trials of DBT and TFP showed the effectiveness of psychotherapy with a treatment duration of at least 12 months. The longest term without recurrence of comorbid states and drop out (36 months) was observed with the use of Transfer-focused Psychotherapy (TFP) and SFT, which in the context of the long-term therapeutic effect may give people benefits along with other therapies. The present review shows initial evidence that long-term psychotherapy can be a useful and evidence-based intervention for people with borderline personality disorder. These results provide promising evidence to support people who suffer from a personality disorder. DBT, MBT, and SFT can be proposed as methods of the first line as a nonpharmacological intervention.
Standardized Approaches to Individual Psychotherapy of Patients With Borderline Personality Disorder
Psychiatric Services, 1991
Recent developments in individual psychotherapy for patients with borderline personality disorder indude psychodynamic, interpersonal, behavioral, and cognitive treatments. The author provides an overview ofstandardized treatment approaches-that is, modes of treatment that have a ckar theoretical rationak and specific strategies and techniques-for borderline personality disorder. Evaluations of the efficacy of these approaches are discussed. Although there is little empirically based knowledge about the effectiveness of these treatments, their adaptationfor the speafic treatment of borderline personality disorder represents an important step for treatment and research in this area. For patients with borderline personality disorder, individual psychotherapy is probably the most frequently used treatment modality. Early treatment approaches were primarily derivatives on modifications ofpsychoanalysis or psychoanalytically oriented psychotherapy. In recent years, alternative approaches, including behavioral and cognitive treatments, have been developed.
Clinical Social Work Journal
The therapeutic nihilism common in much of the early literature on borderline personality disorder (BPD) has given way to a growing research base with findings indicating the effectiveness of a number of psychological treatments. This article will review three major evidence-based treatments for BPD; dialectical behaviour therapy (DBT), schema-focused therapy (SFT) and mentalization-based treatment (MBT). While not a panacea, these treatments have provided, to differing degrees, a reasonable level of evidence indicating therapeutic effectiveness. The evidence base for each of these models is discussed as well as possible mechanisms of change. The article highlights similarities between the differing modalities as well as the features that distinguish the models. The article contends that increasing mentalization skills may be a common underlying factor in all treatments for individual with BPD. The authors conclude by discussing the difficulties and potential benefits of treatment integration.
An Integrative Perspective on Psychotherapeutic Treatments for Borderline Personality Disorder
Journal of Personality Disorders, 2008
Although there is an abundance of literature on the psychotherapeutic treatment of borderline pathology, little is known about differences and similarities between treatments of borderline personality disorder (BPD). Potential differences and similarities are especially important in the absence of evidence of the superiority of one treatment over the other (e.g., Livesley, 2004). This article offers an overview of the theory and practice of contemporary psychotherapeutic treatments of BPD, and delineates similarities and differences between the specific treatments. Results show that similarities concerning (1) the formal characteristics, and (2) the importance of therapeutic techniques in treatments for BPD, outnumber the differences. This article concludes by viewing the similarities and differences from an integrative perspective, and recommendations are given for future work in treating patients with and research on the effectiveness of treatments and treatment techniques for BPD. From Universiteit van Amsterdam. The authors would like to thank Dawn Bales,
Dialectical Behavior Therapy for the Treatment of Borderline Personality Disorder
Springer eBooks, 2021
By the end of this chapter, you should be able to: 1. develop an understanding of the prevalence, pathogenesis, symptomology, and course for borderline personality disorder (BPD); 2. identify the biological, psychological, and social factors that contribute to the development of BPD; 3. identify screening and assessment practices for the effective diagnosis of BPD; 4. understand the historical development, central theoretical constructs, structures, processes, evidence base, and limitations of dialectical behavior therapy (DBT); and 5. identify and effectively apply the specific practices and interventions of DBT.
Acta Psychiatrica Scandinavica, 2012
Outcome of mentalization-based and supportive psychotherapy in patients with borderline personality disorder: a randomized trial. Objective: This study presents data from a randomized outcome study comparing mentalization-based and supportive psychotherapy for patients with borderline personality disorder (BPD). Method: Eighty-five SCID-II diagnosed borderline patients were randomized to either i) 2 years of intensive (twice weekly) combined (individual and group), mentalization-based psychotherapy (MBT) or ii) 2 years of less-intensive (biweekly) supportive group therapy. Treatment outcome was assessed using a battery of self-report questionnaires, SCID-II interviews and therapist-rated global assessment of functioning (GAF). Results: Fifty-eight patients completed 2 years of treatment. Significant changes in both treatment groups were identified for several outcome measures, including self-reported measures of general functioning, depression, social functioning and number of diagnostic criteria met for BPD, as outlined by the SCID-II interview. General linear modelling was used to compare treatment outcome in the two groups. Only GAF showed a significantly higher outcome in the MBT group. A trend was found for a higher rate of recovery from BPD in the MBT group. Pre-post effect sizes were high (0.5-2.1) and for the most part highly significant in both groups. Conclusion: The study indicates that both MBT and supportive treatment are highly effective in treating BPD when conducted by a welltrained and experienced psychodynamic staff in a well-organized clinic.
Journal of Contemporary Psychotherapy, 2005
One hundred and twenty three practicing psychologists completed surveys regarding the therapeutic techniques they employ for patients with Borderline Personality Disorder (BPD). Participants identified their predominant orientation and rated the frequency with which they used a range of 27 specific strategies. Logistic regression analyses identified an expected relationship between specific techniques and the theoretical orientations to which they are most closely linked. These findings suggest a high level of concordance between self-described theoretical orientation and the specific treatment techniques utilized, but also that some theoretical orientations are comprised of smaller independent clusters of strategies. The implications of these findings are discussed.