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Current Psychiatry Reports
Erschienen in: Current Psychiatry Reports 8/2020

01.08.2020 | Personality Disorders (K Bertsch, Section Editor)

How Personality Disorders Change in Psychotherapy: a Concise Review of Process

verfasst von: Ueli Kramer, Hélène Beuchat, Loris Grandjean, Antonio Pascual-Leone

Erschienen in: Current Psychiatry Reports | Ausgabe 8/2020

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Abstract

Purpose of Review

The present review summarizes the current state of the art in psychotherapy processes during treatments for clients with personality disorders. We outline some methodological challenges in the discipline of process research, give a brief historical account on process research, and then focus on specific processes studied from an empirical perspective.

Recent Findings

The current review acknowledges the centrality of the therapeutic relationship, in particular the therapeutic alliance, therapist empathy, and responsiveness in explaining outcome across treatment modalities for personality disorders. The review describes evidence from three overall and overlapping lines of inquiry that have garnered scientific interest in the past years.

Summary

For emotional change (regulation, awareness, and transformation), socio-cognitive change (mentalizing, meta-cognition, and interpersonal patterns), and increase in insight and change in defense mechanisms, evidence is moderate to strong for these processes to contribute to healthy change in treatments for personality disorders, in particular borderline personality disorder. Avenues of future studies are outlined.
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Metadaten
Titel
How Personality Disorders Change in Psychotherapy: a Concise Review of Process
verfasst von
Ueli Kramer
Hélène Beuchat
Loris Grandjean
Antonio Pascual-Leone
Publikationsdatum
01.08.2020
Verlag
Springer US
Erschienen in
Current Psychiatry Reports / Ausgabe 8/2020
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-020-01162-3

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