Personality, personality disorders, and the process of change
| Autor: | Ueli Kramer |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male 050103 clinical psychology Psychotherapist Psychotherapeutic Processes Process (engineering) media_common.quotation_subject Context (language use) Emotional processing Personality Disorders law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Borderline Personality Disorder law Outcome Assessment Health Care medicine Humans Personality 0501 psychology and cognitive sciences Borderline personality disorder media_common Borderline Personality Disorder/therapy Female Outcome Assessment (Health Care) Personality/physiology Personality Disorders/therapy Process Assessment (Health Care) case studies mechanisms of change personality personality disorder process Process Assessment Health Care 05 social sciences Perspective (graphical) medicine.disease Personality disorders 3. Good health 030227 psychiatry Clinical Psychology sense organs Psychology Clinical psychology |
| Zdroj: | Psychotherapy research, vol. 29, no. 3, pp. 324-336 |
| ISSN: | 1468-4381 1050-3307 |
| DOI: | 10.1080/10503307.2017.1377358 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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