Personality, personality disorders, and the process of change.

Details

Ressource 1Download: 28946789.pdf (377.82 [Ko])
State: Public
Version: Author's accepted manuscript
License: Not specified
Serval ID
serval:BIB_DF13551991F5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Personality, personality disorders, and the process of change.
Journal
Psychotherapy research
Author(s)
Kramer U.
ISSN
1468-4381 (Electronic)
ISSN-L
1050-3307
Publication state
Published
Issued date
04/2019
Peer-reviewed
Oui
Volume
29
Number
3
Pages
324-336
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Abstract
The present paper elaborates a process perspective of change in psychotherapy for personality disorders (PDs). Firstly, the paper reviews the literature of mechanisms of change in treatments of PD, with the main focus on emotional processing and socio-cognitive processing. Secondly, it proposes an illustrative case-series analysis of eight cases, drawn from a mediation analysis conducted within the context of a randomized controlled trial for borderline personality disorder (BPD).
As such, cases with good and poor outcomes are compared, as are cases with poor and good intake features and cases with poor and good process markers across treatment.
The results illustrate possible pathways to healthy change over the course of four months of treatment, and possible pathways of the absence of change.
These results are discussed with regard to three main research perspectives: the combination of qualitative and quantitative methodology in psychotherapy research may be applied to case study research, a neurobehavioral perspective on change may incorporate the individualized experience in the laboratory and therapist responsiveness to patient characteristics may be a core feature of fostering change. Clinical or methodological significance of this article: The present paper illustrates individual pathways to change in personality disorders. It illustrates how coping capacities influence the process of psychotherapy and outcome in personality disorders. It demonstrates the relevance of individualizing treatments for personality disorders. It demonstrates several integrative features of psychotherapy research, in particular the use of neurobehavioral paradigms and the integration of single-case research within randomized controlled trials.
Keywords
Adult, Borderline Personality Disorder/therapy, Female, Humans, Male, Outcome Assessment (Health Care), Personality/physiology, Personality Disorders/therapy, Process Assessment (Health Care), Psychotherapeutic Processes, case studies, mechanisms of change, personality, personality disorder, process
Pubmed
Web of science
Create date
07/09/2017 10:48
Last modification date
20/08/2019 17:03
Usage data