Early clarification processes in clients presenting with borderline personality disorder: Relations with symptom level and change

Détails

Ressource 1Télécharger: 10.1080-14779757.2013.804647.pdf (389.39 [Ko])
Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_BD702928725A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Early clarification processes in clients presenting with borderline personality disorder: Relations with symptom level and change
Périodique
Person-Centered & Experiential Psychotherapies
Auteur⸱e⸱s
Kramer Ueli, Sachse Rainer
ISSN
1752-9182
ISSN-L
1477-9757
Statut éditorial
Publié
Date de publication
2013
Peer-reviewed
Oui
Volume
12
Numéro
2
Pages
157-175
Langue
anglais
Résumé
Clarification-Oriented Psychotherapy (COP), an integrative treatment form with a basis in process-experiential psychotherapy, is particularly relevant for clients with Personality Disorders (PDs). We argue here that two related core therapeutic COP principles, "dual action regulation" and "interactional games" have consequences for symptom severity and therapeutic outcome for clients with PDs. A high quality COP clarification process requires that client's interactional games may be quickly assessed and treated in all (preferably early) therapy sessions. These processes can be observed and measured using the observer-rated Bochum Process and Relationship Rating Scales (BPRRS) which measure both clients' and therapists' contributions to the quality of the clarification processes engaged in therapy. This measure has been successfully applied to COP-therapies, but not, as yet, to therapies other than experiential, nor to specific client populations such as borderline personality disorder. The present study is a first attempt to evaluate the application of COP processes to other therapies and populations. We measured action regulation and interactional games using the BPRRS during intake sessions of a 10-session psychodynamic treatment of borderline personality disorder for a total of N = 30 clients and N = 8 therapists. Significant relationships were found between the client's degree of interactional games and both pretherapy symptom level and symptom change across therapy. These results are discussed in the context of Clarification-Oriented Psychotherapy, and more generally Person-Centered and Process-Experiential Psychotherapies. The potential relevance of the findings for psychodynamic psychotherapists are explored as well as the potential usefulness of taking into account a detailed analysis of interactional games for the training of psychotherapists working with any model of therapy working with clients presenting with BPD.
Open Access
Oui
Création de la notice
06/08/2013 15:25
Dernière modification de la notice
20/08/2019 15:31
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