A Psychodynamic Treatment for Severe Personality Disorders: Issues in Treatment Development
نویسنده
چکیده
We describe a psychodynamic treatment modified for patients with severe personality disorders identified as borderline personality disorder in DSM-IV, Axis II, and understood as borderline personality organization from a psychoanalytic perspective. This treatment is labeled transferencefocused psychotherapy (TFP) in order to highlight the centrality of working with these patients in the here-and-now treatment interaction. The empirical development of TFP is described, including the generation of a treatment manual, the utility of various methods to teach the treatment, and preliminary data on efficacy. The latest step in the development of this treatment is an ongoing randomized clinical trial comparing the efficacy of TFP to a cognitive-behavioral and a supportive treatment.
منابع مشابه
Psychodynamic psychotherapy for personality disorders.
In 1990, Gerald Klerman argued persuasively, and surely noncontroversially, that psychiatric patients have a right to effective treatment (1). Klerman referred to litigation in which a patient hospitalized for 7 months at Chestnut Lodge held the hospital negligent for providing only intensive psychotherapy without adding antidepressant medication in spite of a marked worsening of his depressive...
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This study examines the effectiveness of a modified psychodynamic treatment called Transference Focused Psychotherapy (TFP) designed specifically for patients, with borderline personality disorder (BPD). Twenty-three female patients diagnosed with DSM-IV BPD began twice-weekly TFP. Patients were assessed at baseline and at the end of 12 months of treatment with diagnostic instruments, measures ...
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تاریخ انتشار 2003