How Personality Disorders Change in Psychotherapy: a Concise Review of Process.

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Serval ID
serval:BIB_732D8AEEDC23
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
How Personality Disorders Change in Psychotherapy: a Concise Review of Process.
Journal
Current psychiatry reports
Author(s)
Kramer U., Beuchat H., Grandjean L., Pascual-Leone A.
ISSN
1535-1645 (Electronic)
ISSN-L
1523-3812
Publication state
Published
Issued date
09/06/2020
Peer-reviewed
Oui
Volume
22
Number
8
Pages
41
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
The present review summarizes the current state of the art in psychotherapy processes during treatments for clients with personality disorders. We outline some methodological challenges in the discipline of process research, give a brief historical account on process research, and then focus on specific processes studied from an empirical perspective.
The current review acknowledges the centrality of the therapeutic relationship, in particular the therapeutic alliance, therapist empathy, and responsiveness in explaining outcome across treatment modalities for personality disorders. The review describes evidence from three overall and overlapping lines of inquiry that have garnered scientific interest in the past years. For emotional change (regulation, awareness, and transformation), socio-cognitive change (mentalizing, meta-cognition, and interpersonal patterns), and increase in insight and change in defense mechanisms, evidence is moderate to strong for these processes to contribute to healthy change in treatments for personality disorders, in particular borderline personality disorder. Avenues of future studies are outlined.
Keywords
Borderline personality disorder, Methodology, Personality disorders, Process research, Psychotherapy integration
Pubmed
Web of science
Open Access
Yes
Create date
30/04/2020 8:56
Last modification date
23/11/2020 6:24
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