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Effectiveness of Psychodynamic Treatment in Patients with Borderline Personality Disorder

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Abstract

There is some evidence that the efficacy of four types of psychotherapeutic psychotherapy (mentalized-based treatment, transference-focused psychotherapy, psychoanalytic psychotherapy, and cognitive-analytic therapy), is superior to treatment-as-usual. More controlled and randomized studies are needed in order a) to confirm the results of the relatively few investigations that were available, b) to examine the therapeutic relevance and usefulness of correlates and predictors of improvement and remission in borderline patients, and c) to examine possible fruitful combinations with other types of treatment.

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References

  • American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th edn.). Text Revision (DSM-IV TR). Washington, DC: APA.

    Google Scholar 

  • Bateman, A. W. (2001). Psychoanalytic treatment of borderline personality disorder. Psychiatric Times, July, Vol. XVIII Issue 7.

  • Bateman, W. A. (2004). Psychodynamic psychotherapy for personality disorders. Psychiatric Times, July, Vol. XXI Issue 8.

  • Bateman, A. W. (1997). Borderline personality disorder and psychotherapeutic psychiatry: An integrative approach. British Journal of Psychotherapy, 13, 489–498.

    Article  Google Scholar 

  • Bateman, A. W., & Fonagy, P. (1999). The effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomised trial. American Journal of Psychiatry, 156(10), 1563–1569.

    PubMed  CAS  Google Scholar 

  • Bateman, A. W., & Fonagy, P. (2000). Effectiveness of psychotherapeutic treatment of personality disorder. British Journal of Psychiatry, 177, 138–143.

    Article  PubMed  CAS  Google Scholar 

  • Bateman, A. W., & Fonagy, P. (2001). Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: An 18-month follow-up. American Journal Psychiatry, 158(1), 36–42.

    Article  CAS  Google Scholar 

  • Bateman, A. W., & Fonagy, P. (2003). Health service utilization costs borderline personality disorder patients treated with psychoanalytically oriented partial hospitalization versus general psychiatric care. American Journal of Psychiatry, 160(1), 169–171.

    Article  PubMed  Google Scholar 

  • Bateman, A. W., & Fonagy, P. (2004). Psychotherapy for borderline personality disorder—mentalization-based treatment. Oxford, UK: Oxford University Press.

    Google Scholar 

  • Bateman, A. W., & Fonagy, P. (2004). Psychotherapy for severe personality disorders. Mentalized based treatment. Oxford: Oxford University Press.

    Google Scholar 

  • Clarkin, J. F. (2002). The New York borderline psychotherapy project: further developments. Presented at the 5th ISSPD European Congress on Personality Disorders. Munich, Germany; July 4–7.

  • Clarkin, J. F., Foelsch, P. A., Levy, K. N., Hull, J. W., Delaney, J. C., & Kernberg, O. F. (2001). The development of a psychodynamic treatment for patients with borderline personality disorder: A preliminary study of behavioral change. Journal of Personality Disorders, 15(6), 487–495.

    Article  PubMed  CAS  Google Scholar 

  • Clarkin, J. F., & Levy, K. N. (2003). A psychodynamic treatment for severe personality disorders: Issues in treatment development. Psychoanalytic Inquiry, 23(2), 248–267.

    Article  Google Scholar 

  • Clarkin, J. F., Yeomans, F. E., & Kernberg, O. F. (1998). Psychotherapy for borderline personality. New York: Wiley.

    Google Scholar 

  • Filippi, L. S. (1983). “Combined,” group and individual, psychoanalytical psychotherapy with borderline individuals: Results of 15 years of treatments/Psicoterapia psicoanalitica “Combinata,” di gruppo e individuale, con soggetti borderline. Archivio di Psicologia, Neurologia e Psichiatria, 44(3), 289–298.

    Google Scholar 

  • Kernberg, O. (1984). Severe personality disorders. New Haven: Yale University Press.

    Google Scholar 

  • Kernberg, O. (1996). A psychoanalytic theory of personality disorders. In J. F. Clarkin & M. F. Lenzenweger (Eds.), Major theories of personality disorder (pp. 106–140). New York: The Guilford Press.

    Google Scholar 

  • Levy, K. N., Clarkin, J. F., Foelsh, P. A., & Kernberg, O. F. (2005). Transference Focused Psychotherapy for Patients Diagnosed with Borderline Personality Disorder: A comparison with a treatment-as-usual cohort 2005 (In Review).

  • Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet 2004, 364 (9432), [np].

    Google Scholar 

  • Livesley, W. J. (2004). Changing ideas about treatment of borderline personality disorder. Journal of Contemporary Psychotherapy, 34(3), 185–192.

    Article  Google Scholar 

  • Martens, W. H. J. (2002). Criminality and moral dysfunctions: Neurologic, biochemical and genetic dimensions. International Journal of Offender Therapy and Comparative Criminology, 46(2), 170–182.

    Article  PubMed  Google Scholar 

  • Martens, W. H. J. (2003a). A case study of an extremely violent serial rapist with borderline personality disorder in remission. Acta Psychiatrica Scandinavica, 107(6), 465–467.

    Article  PubMed  CAS  Google Scholar 

  • Martens, W. H. J. (2003b). Spiritual psychotherapy for antisocial and psychopathic personalities. Journal of Contemporary Psychotherapy, 33(3), 205–218.

    Article  Google Scholar 

  • Martens, W. H. J. (2005a). Efficacy of dialectical behavior therapy for patients with borderline personality disorder. Annals of the American Psychotherapy Association, 8(4), 5–13.

    Google Scholar 

  • Martens, W. H. J. (2005b). Therapeutic significant predictors and correlates of outcome and remission in borderline personality disorder. American Journal of Psychotherapy (Under Review).

  • Martens, W. H. J. (2005c). Multidimensional model of trauma and correlated antisocial personality disorder. Journal of Loss and Trauma, 10(2), 115–131.

    Google Scholar 

  • Meares, R., Stevenson, J., & Comerford, A. (1999). Psychotherapy with borderline patients: I. A comparison between treated and untreated cohorts. Australian and New Zealand Journal of Psychiatry, 33(4), 467–472.

    Article  PubMed  CAS  Google Scholar 

  • Paris, J. (1990). Empirical investigation of the role of development in the etiology and outcome of borderline personality disorder. Progress in psychiatry series. In P. S. Links (Ed.), Family environment and borderline personality disorder (pp. 123–130). Washington, DC, US: American Psychiatric Association.

    Google Scholar 

  • Ryle, A., & Golynkina, K. (2000). Effectiveness of time-limited cognitive analytic therapy of borderline personality disorder: Factors associated with outcome. British Journal of Medical Psychology, 73(Pt2), 197–210.

    Article  PubMed  Google Scholar 

  • Stevenson, J., & Meares, R. (1992). An outcome study of psychotherapy for patients with borderline personality disorder. American Journal of Psychiatry, 149(3), 358–362.

    PubMed  CAS  Google Scholar 

  • Wallerstein, R. S. (1986). Forty-two lives in treatment. A study of psychoanalysis and psychotherapy. New York: Guilford.

    Google Scholar 

  • Wildgoose, A., Clarke, S., & Waller, G. (2001). Treating personality fragmentation and dissociation in borderline personality disorder: A pilot study of the impact of cognitive analytic therapy. British Journal of Medical Psychology, 74(Pt1), 47–55.

    Article  CAS  Google Scholar 

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Correspondence to Willem H. J. Martens.

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Martens, W.H.J. Effectiveness of Psychodynamic Treatment in Patients with Borderline Personality Disorder. J Contemp Psychother 36, 167–173 (2006). https://doi.org/10.1007/s10879-006-9021-1

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