المؤلفون: Kivity, Yogev, Levy, Kenneth N., Kelly, Kristen M., Clarkin, John F.

المصدر: Journal of Consulting & Clinical Psychology; Sep2021, Vol. 89 Issue 9, p751-761, 11p

مصطلحات موضوعية: PSYCHODYNAMIC psychotherapy, BORDERLINE personality disorder, DIALECTICAL behavior therapy, PSYCHOTHERAPY, EMOTIONS, EMOTION regulation

مستخلص: Objective: The capacity for understanding mental states (reflective functioning; RF) is considered essential for self-growth, social learning, and emotion regulation. Impaired RF is thought to play a central role in borderline personality disorder (BPD). We examined whether asking patients to consider mental states in-session has a down-regulatory effect on emotional arousal in treatments for BPD. Method: Early-, middle- and late-phase videotaped sessions from a randomized-controlled trial of transference-focused psychotherapy (TFP; n = 30), dialectical behavior therapy (DBT; n = 29), and supportive psychodynamic therapy (SPT; n = 29) were segmented to therapist and patient talk-turns. Therapist talk-turns were rated as asking patients to consider mental state (bids for RF) or not. Patient talk-turns were rated for RF and acoustically encoded for arousal. Results: Bids were twice as common in TFP compared to DBT and SPT. Across treatments, therapist bids for RF predicted better RF, which, in turn, predicted lower emotional arousal. Conclusions: Asking patients to consider mental states has a down-regulatory effect on patients' arousal in psychotherapies for BPD. What is the public health significance of this article?: In psychotherapies for borderline personality disorder (BPD), therapist interventions that ask patients to consider mental states are associated with increased capacity for understanding mental states which, in turn, is associated with reduced emotional arousal. Thus, understanding mental states might have an emotion regulatory role in psychotherapies for BPD. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Consulting & Clinical Psychology is the property of American Psychological Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Levy, Kenneth N., Meehan, Kevin B., Kelly, Kristen M., Reynoso, Joseph S., Weber, Michal, Clarkin, John F., Kernberg, Otto F.

المصدر: Journal of Consulting & Clinical Psychology; Dec2006, Vol. 74 Issue 6, p1027-1040, 14p, 5 Charts

مصطلحات موضوعية: BORDERLINE personality disorder, PERSONALITY disorders, PATHOLOGICAL psychology, RANDOMIZED controlled trials, CLINICAL trials, ATTACHMENT behavior, PSYCHOTHERAPY, MENTAL health services, DIALECTICAL behavior therapy, BEHAVIOR therapy, NEUROSES

مستخلص: Changes in attachment organization and reflective function (RF) were assessed as putative mechanisms of change in 1 of 3 year-long psychotherapy treatments for patients with borderline personality disorder (BPD). Ninety patients reliably diagnosed with BPID were randomized to transference-focused psychotherapy (TFP), dialectical behavior therapy, or a modified psychodynamic supportive psychotherapy. Attachment organization was assessed with the Adult Attachment Interview and the RF coding scale. After 12 months of treatment, participants showed a significant increase in the number classified secure with respect to attachment state of mind for TFP but not for the other 2 treatments. Significant changes in narrative coherence and RF were found as a function of treatment, with TFP showing increases in both constructs during treatment. No changes in resolution of loss or trauma were observed across treatments. Findings suggest that 1 year of intensive TFP can increase patients' narrative coherence and RF. Future research should establish the relationship between these 2 constructs and relevant psychopathology, identify treatment components responsible for effecting these changes, and examine the long-term outcome of these changes. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Consulting & Clinical Psychology is the property of American Psychological Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)