Encyclopedia of Personality and Individual Differences

2020 Edition
| Editors: Virgil Zeigler-Hill, Todd K. Shackelford

Psychotherapy for Personality Disorders

Reference work entry
DOI: https://doi.org/10.1007/978-3-319-24612-3_925
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Synonyms

Definition

Psychotherapy for personality disorders – a group of disorders characterized by long-standing patterns of intra- and interpersonal difficulties – tends to be highly structured, integrative, and often long-term, with special attention made to the relationship between therapist and patient.

Introduction

Personality disorders (PDs) are a heterogeneous group of mental disorders that arise when an individual’s personality is considered impaired and maladaptive. Most definitions of personality disorders stress the chronic, long-standing nature of characteristics and patterns of responding to distress that often are limited in variability and rigidly applied regardless of appropriateness to context (Levy and Johnson 2016). In the latest editions of both the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and the International Classification of Diseases(ICD-10), PDs are described as a pattern of inner...

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References

  1. Barber, J. P., Muran, J. C., McCarthy, K. S., & Keefe, J. R. (2013). Research on dynamic therapies. In Bergin and Garfield’s handbook of psychotherapy and behavior change (pp. 443–494). New York: Wiley.Google Scholar
  2. Bartak, A., Andrea, H., Spreeuwenberg, M. D., Ziegler, U. M., Dekker, J., Rossum, B. V., … Emmelkamp, P. M. G. (2011). Effectiveness of outpatient, day hospital, and inpatient psychotherapeutic treatment for patients with cluster B personality disorders. Psychotherapy and Psychosomatics, 80(1), 28–38.  https://doi.org/10.1159/000321999.
  3. Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial. American Journal of Psychiatry, 156(10), 1563–1569.  https://doi.org/10.1176/ajp.156.10.1563.CrossRefPubMedGoogle Scholar
  4. Bateman, A., & Fonagy, P. (2006). Mentalization-based treatment for borderline personality disorder: A practical guide. Oxford: Oxford University Press.CrossRefGoogle Scholar
  5. Bateman, A., & Fonagy, P. (2008). Comorbid antisocial and borderline personality disorders: Mentalization-based treatment. Journal of Clinical Psychology, 64(2), 181–194.  https://doi.org/10.1002/jclp.20451.CrossRefPubMedGoogle Scholar
  6. Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. American Journal of Psychiatry.  https://doi.org/10.1176/appi.ajp.2009.09040539. Retrieved from http://ajp.psychiatryonline.org/.
  7. Budge, S. L., Moore, J. T., Del Re, A. C., Wampold, B. E., Baardseth, T. P., & Nienhuis, J. B. (2013). The effectiveness of evidence-based treatments for personality disorders when comparing treatment-as-usual and bona fide treatments. Clinical Psychology Review, 33(8), 1057–1066.  https://doi.org/10.1016/j.cpr.2013.08.003.CrossRefPubMedGoogle Scholar
  8. Clarkin, J. F., Yeomans, F. E., & Kernberg, O. F. (2006). Psychotherapy for borderline personality: Focusing on object relations (1st ed.). Arlington: American Psychiatric Publishing.Google Scholar
  9. Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F. (2007). Evaluating three treatments for borderline personality disorder: A multiwave study. American Journal of Psychiatry.  https://doi.org/10.1176/ajp.2007.164.6.922. Retrieved from http://ajp.psychiatryonline.org/.
  10. Cristea, I. A., Gentili, C., Cotet, C. D., Palomba, D., Barbui, C., & Cuijpers, P. (2017). Efficacy of psychotherapies for borderline personality disorder: A systematic review and meta-analysis. JAMA Psychiatry, 74(4), 319.  https://doi.org/10.1001/jamapsychiatry.2016.4287.CrossRefPubMedGoogle Scholar
  11. Davidson, K., Norrie, J., Tyrer, P., Gumley, A., Tata, P., Murray, H., & Palmer, S. (2006). The effectiveness of cognitive behavior therapy for borderline personality disorder: Results from the borderline personality disorder study of cognitive therapy (BOSCOT) trial. Journal of Personality Disorders, 20(5), 450–465.  https://doi.org/10.1521/pedi.2006.20.5.450.CrossRefPubMedCentralPubMedGoogle Scholar
  12. Doering, S., Horz, S., Rentrop, M., Fischer-Kern, M., Schuster, P., Benecke, C., … Buchheim, P. (2010). Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: Randomised controlled trial. The British Journal of Psychiatry, 196(5), 389–395.  https://doi.org/10.1192/bjp.bp.109.070177.
  13. Farrell, J. M., Shaw, I. A., & Webber, M. A. (2009). A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), 317–328.  https://doi.org/10.1016/j.jbtep.2009.01.002.CrossRefPubMedGoogle Scholar
  14. Gerstley, L., McLellan, A. T., Alterman, A. I., Woody, G. E., Luborsky, L., & Prout, M. (1989). Ability to form an alliance with the therapist: A possible marker of prognosis for patients with antisocial personality disorder. The American Journal of Psychiatry; Washington, 146(4), 508–512.CrossRefGoogle Scholar
  15. Giesen-Bloo, J., Van Dyck, R., Spinhoven, P., Van Tilburg, W., Dirksen, C., Van Asselt, T., … Arntz, A. (2006). Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 63(6), 649–658.Google Scholar
  16. Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37(1), 25–35.CrossRefPubMedGoogle Scholar
  17. Gregory, R. J., Chlebowski, S., Kang, D., Remen, A. L., Soderberg, M. G., Stepkovitch, J., & Virk, S. (2008). A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder. Psychotherapy: Theory, Research, Practice, Training, 45(1), 28–41.  https://doi.org/10.1037/0033-3204.45.1.28.CrossRefGoogle Scholar
  18. Gunderson, J. G., & Links, P. (2014). Handbook of good psychiatric management for borderline personality disorder. Arlington: American Psychiatric Publishing.Google Scholar
  19. Hardy, G. E., Barkham, M., Shapiro, D. A., Stiles, W. B., Rees, A., & Reynolds, S. (1995). Impact of Cluster C personality disorders on outcomes of contrasting brief psychotherapies for depression. Journal of Consulting and Clinical Psychology, 63(6), 997.CrossRefPubMedGoogle Scholar
  20. Hellerstein, D. J., Rosenthal, R. N., Pinsker, H., Samstag, L. W., Muran, J. C., & Winston, A. (1998). A randomized prospective study comparing supportive and dynamic therapies: Outcome and alliance. The Journal of Psychotherapy Practice and Research, 7(4), 261–271.PubMedCentralPubMedGoogle Scholar
  21. Johnson, B. N., & Levy, K. N. (2017). Personality disorder not otherwise specified (PDNOS). In V. Zeigler-Hill & T. K. Shackelford (Eds.), Encyclopedia of personality and individual differences (pp. 1–11). Cham: Springer International Publishing.  https://doi.org/10.1007/978-3-319-28099-8_924-1.CrossRefGoogle Scholar
  22. Kramer, U., Berger, T., Kolly, S., Marquet, P., Preisig, M., de Roten, Y., … Caspar, F. (2011). Effects of motive-oriented therapeutic relationship in early-phase treatment of borderline personality disorder: A pilot study of a randomized trial. The Journal of Nervous and Mental Disease, 199(4), 244–250.Google Scholar
  23. Leichsenring, F., & Leibing, E. (2003). The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders: A meta-analysis. American Journal of Psychiatry, 160(7), 1223–1232.  https://doi.org/10.1176/appi.ajp.160.7.1223.CrossRefPubMedGoogle Scholar
  24. Leichsenring, F., Masuhr, O., Jaeger, U., Rabung, S., Dally, A., Dümpelmann, M., … Streeck, U. (2016). Psychoanalytic-interactional therapy versus psychodynamic therapy by experts for personality disorders: A randomized controlled efficacy-effectiveness study in cluster B personality disorders. Psychotherapy and Psychosomatics, 85(2), 71–80.  https://doi.org/10.1159/000441731.
  25. Levy, K. N. (2008). Psychotherapies and lasting change. American Journal of Psychiatry, 165(5), 556–559.  https://doi.org/10.1176/appi.ajp.2008.08020299.CrossRefPubMedGoogle Scholar
  26. Levy, K. N. (2012). Subtypes, dimensions, levels, and mental states in narcissism and narcissistic personality disorder: NPD subtypes. Journal of Clinical Psychology, 68(8), 886–897.  https://doi.org/10.1002/jclp.21893.CrossRefPubMedGoogle Scholar
  27. Levy, K. N., & Johnson, B. N. (2016). Personality disorders. In J. C. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), APA handbook of clinical psychology: Psychopathology and health (Vol. 4, pp. 173–207). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  28. Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.Google Scholar
  29. Magnavita, J. J., Levy, K. N., Critchfield, K. L., & Lebow, J. L. (2010). Ethical considerations in treatment of personality dysfunction: Using evidence, principles, and clinical judgment. Professional Psychology: Research and Practice, 41(1), 64–74.  https://doi.org/10.1037/a0017733.CrossRefGoogle Scholar
  30. Munroe-Blum, H., & Marziali, E. (1995). A controlled trial of short-term group treatment for borderline personality disorder. Journal of Personality Disorders, 9(3), 190–198.  https://doi.org/10.1521/pedi.1995.9.3.190.CrossRefGoogle Scholar
  31. Muran, J. C., Safran, J. D., Samstag, L. W., & Winston, A. (2005). Evaluating an alliance-focused treatment for personality disorders. Psychotherapy: Theory, Research, Practice, Training, 42(4), 532.Google Scholar
  32. Paris, J. (2013). Stepped care: An alternative to routine extended treatment for patients with borderline personality disorder. Psychiatric Services (Washington, D.C.), 64(10), 1035–1037.  https://doi.org/10.1176/appi.ps.201200451.CrossRefGoogle Scholar
  33. Perry, J. C., Banon, E., & Ianni, F. (1999). Effectiveness of psychotherapy for personality disorders. American Journal of Psychiatry, 156(9), 1312–1321.  https://doi.org/10.1176/ajp.156.9.1312.CrossRefPubMedGoogle Scholar
  34. Strauss, J. L., Hayes, A. M., Johnson, S. L., Newman, C. F., Brown, G. K., Barber, J. P., … Beck, A. T. (2006). Early alliance, alliance ruptures, and symptom change in a nonrandomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders. Journal of Consulting and Clinical Psychology, 74(2), 337–345.  https://doi.org/10.1037/0022-006X.74.2.337.
  35. Svartberg, M., Stiles, T. C., & Seltzer, M. H. (2004). Randomized, controlled trial of the effectiveness of short-term dynamic psychotherapy and cognitive therapy for cluster c personality disorders. American Journal of Psychiatry, 161(5), 810–817.  https://doi.org/10.1176/appi.ajp.161.5.810.CrossRefPubMedGoogle Scholar
  36. Weinberg, I., Gunderson, J. G., Hennen, J., & Cutter, C. J., Jr. (2006). Manual assisted cognitive treatment for deliberate self-harm in borderline personality disorder patients. Journal of Personality Disorders, 20(5), 482.CrossRefPubMedGoogle Scholar
  37. Winston, A., Laikin, M., Pollack, J., Samstag, L. W., McCullough, L., & Muran, J. C. (1994). Short-term psychotherapy of personality disorders. American Journal of Psychiatry, 151(2), 190–194.  https://doi.org/10.1176/ajp.151.2.190.CrossRefPubMedGoogle Scholar
  38. Yeomans, F. (2007). Questions concerning the randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 64(5), 609–610.  https://doi.org/10.1001/archpsyc.64.5.609-c.CrossRefPubMedGoogle Scholar
  39. Yeomans, F. E., Levy, K. N., & Caligor, E. (2013). Transference-focused psychotherapy. Psychotherapy, 50(3), 449–453.  https://doi.org/10.1037/a0033417.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.The Pennsylvania State UniversityUniversity ParkUSA
  2. 2.Department of PsychologyPennsylvania State UniversityUniversity ParkUSA

Section editors and affiliations

  • Bradley A. Green
    • 1
  1. 1.University of Southern MississippiHattiesburgUSA