Self-Contempt, the Working Alliance and Outcome in Treatments for Borderline Personality Disorder: An Exploratory Study.

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Serval ID
serval:BIB_F59764734C27
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Self-Contempt, the Working Alliance and Outcome in Treatments for Borderline Personality Disorder: An Exploratory Study.
Journal
Psychotherapy research
Author(s)
Sallin L., Geissbüehler I., Grandjean L., Beuchat H., Martin-Soelch C., Pascual-Leone A., Kramer U.
ISSN
1468-4381 (Electronic)
ISSN-L
1050-3307
Publication state
In Press
Peer-reviewed
Oui
Pages
1-13
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Objective. We examined the role of expressed self-contempt in therapy for borderline personality disorder (BPD). Based on previous literature on BPD, we assumed an association between the self-contempt and the core symptoms of BPD. We also studied the progression of expressed self-contempt during the treatment and its effect on the alliance and the outcomes of treatment. Method. We rated the expressed self-contempt in 148 tape-recorded sessions with patients with BPD (N = 50), during a brief psychiatric treatment. We rated self-contempt at three time-points, using an observer-rate scale. Self-reported questionnaires were used to assess symptoms and the working alliance. Results. There are some associations between self-contempt and BPD symptoms. Expressed self-contempt did not change during the treatment. One measure of self-contempt was associated with a weaker alliance rated by the patients and with a stronger alliance rated by the therapists. The expression of high self-contempt was not predictive of outcomes when the initial level of problems was controlled for. Conclusions. The results highlight the importance to examine the complex effects of self-contempt in BPD undergoing treatment in a differentiated manner and suggest to clinicians and researchers to be attentive to this specific emotional state, and change therein, in psychotherapy. Keywords: Self-contempt; Borderline Personality Disorder; Brief Treatment; Therapeutic Alliance; Emotion Trial registration: ClinicalTrials.gov identifier: NCT01896024.
Keywords
Clinical Psychology
Pubmed
Web of science
Open Access
Yes
Create date
16/11/2020 15:30
Last modification date
30/12/2020 7:24
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