scholarly journals Motive-oriented therapeutic relationship in brief psychodynamic intervention for patients with depression and personality disorders

2011 ◽  
Vol 67 (10) ◽  
pp. 1017-1027 ◽  
Author(s):  
Ueli Kramer ◽  
Alessandra Rosciano ◽  
Mirjana Pavlovic ◽  
Laurent Berthoud ◽  
Jean-Nicolas Despland ◽  
...  
Keyword(s):  
Personality Disorders ◽  
Therapeutic Relationship

Psychoanalysis and the Cognitive Therapy of Personality Disorders

1992 ◽  
Vol 6 (1) ◽  
pp. 25-42 ◽  
Author(s):  
George Lockwood
Keyword(s):  
Personality Disorders ◽  
Therapeutic Relationship ◽  
Cognitive Distortions ◽  
Object Relations Theory ◽  
Self Image ◽  
Interpersonal Experience ◽  
Recent Developments ◽  
Parent Interactions ◽  
Participant Observer ◽  
New Evidence

Personality disorders, through a series of vicious cycles and self-fulfilling prophecies, usually skew interactions and events in a manner that confirms the preexisting cognitive distortions. As a result, therapy often becomes part of the problem rather than the problem part of the therapy. Cognitive therapists can benefit in dealing with this phenomenon by drawing on recent developments in psychoanalytic theory and technique. Object-relations theory views problems in the therapeutic relationship as a function of internalized representations of early child-parent interactions being projected onto the relationship (the cognitive equivalent of schemas being triggered within the therapeutic relationship.) Treatment can be enhanced by taking advantage of this process as the therapist acts as a participant-observer, helping the client clarify the projections (schemas) and then test and correct them, in part, through having a new kind of interpersonal experience with the therapist (encountering new evidence in the here-and-now), and then re-internalizing a new self-image and set of assumptions about others.

Treatment Outlines for Avoidant, Dependent and Passive-Aggressive Personality Disorders the Quality Assurance Project

1991 ◽  
Vol 25 (3) ◽  
pp. 404-411 ◽  
Keyword(s):  
Personality Disorders ◽  
Therapeutic Relationship ◽  
Behavioural Therapy ◽  
Term Therapy ◽  
Cognitive Behavioural ◽  
Quality Assurance Project ◽  
Relationship Assessment ◽  
Long Term Therapy ◽  
Aggressive Personality

Treatment outlines for avoidant, dependent and passive-aggressive personality disorders were developed by having nominated experts consider their own views in the light of the treatment literature and the responses of practising psychiatrists. The experts recommend that long-term psychotherapy is the treatment of choice and that a considerable component of the outcome will be related to the therapeutic relationship. Assessment, general approaches to treatment, and strategies in psychodynamic management are outlined in some detail. For those individuals for whom long-term therapy is not available or appropriate, other therapies, such as cognitive behavioural therapy, can be promising.

Disturbo di personalitŕ e deficit metacognitivo. Alcune riflessioni

PSICOBIETTIVO ◽  
2009 ◽  
pp. 104-108
Author(s):  
Fabrizio Alfani
Keyword(s):  
Personality Disorders ◽  
Key Words ◽  
Therapeutic Relationship ◽  
Clinical Situation ◽  
The Self ◽  
Dimensional Approach ◽  
Diagnostic Categories ◽  
Defensive Role ◽  
Parental Figures ◽  
Mental Contents

- The author underlines the importance that psychodynamic diagnosis is inspired to a dimensional approach rather than a categorial one. In personality disorders, referring strictly to DSM diagnostic categories can reduce the complexity of the single clinical situation. The metacognitive deficit, which is present in various degree in personality disorders, has predominantly a defensive role against the pain and the anxiety caused by the recognition of mental contents presented by refusing and aggressive parental figures.Key Words: Psychodynamic diagnosis; Personality disorders; Metacognition; Therapeutic relationship; Defences of the Self.Parole chiave: diagnosi psicodinamica; disturbi di personalitŕ; metacognizione; relazione terapeutica; difese del sé.

Spotlight on the Clinician in the Life Participation Approach to Aphasia: Balancing Relationship-Centered Care and Professionalism

2020 ◽  
Vol 5 (2) ◽  
pp. 414-424
Author(s):  
Rochelle Cohen-Schneider ◽  
Melodie T. Chan ◽  
Denise M. McCall ◽  
Allison M. Tedesco ◽  
Ann P. Abramson
Keyword(s):  
Social Workers ◽  
Therapeutic Relationship ◽  
Interprofessional Collaboration ◽  
Opportunity To Learn ◽  
Subjective Experiences ◽  
Speech Language Pathologists ◽  
Self Disclosure ◽  
Centered Care ◽  
High Standards ◽  
Therapeutic Encounter

Background Speech-language pathologists make clinical decisions informed by evidence-based theory and “beliefs, values and emotional experiences” ( Hinckley, 2005 , p. 265). These subjective processes, while not extensively studied, underlie the workings of the therapeutic relationship and contribute to treatment outcomes. While speech-language pathologists do not routinely pay attention to subjective experiences of the therapeutic encounter, social workers do. Thus, the field of social work makes an invaluable contribution to the knowledge and skills of speech-language pathologists. Purpose This clinical focus article focuses on the clinician's contribution to the therapeutic relationship by surfacing elements of the underlying subjective processes. Method Vignettes were gathered from clinicians in two community aphasia programs informed by the principles of the Life Participation Approach to Aphasia. Results and Discussion By reflecting on and sharing aspects of clinical encounters, clinicians reveal subjective processing occurring beneath the surface. The vignettes shed light on the following clinical behaviors: listening to the client's “whole self,” having considerations around self-disclosure, dealing with biases, recognizing and surfacing clients' identities, and fostering hope. Speech-language pathologists are given little instruction on the importance of the therapeutic relationship, how to conceptualize this relationship, and how to balance this relationship with professionalism. Interprofessional collaboration with social workers provides a rich opportunity to learn ways to form and utilize the benefits of a strong therapeutic relationship while maintaining high standards of ethical behavior. Conclusion This clinical focus article provides speech-language pathologists with the “nuts and bolts” for considering elements of the therapeutic relationship. This is an area that is gaining traction in the field of speech-language pathology and warrants further investigation.

Employing Latino Value Orientations to Facilitate Success in Stuttering Treatment

2008 ◽  
Vol 18 (3) ◽  
pp. 111-118
Author(s):  
Lourdes Ramos-Heinrichs ◽  
Lynn Hansberry Mayo ◽  
Sandra Garzon
Keyword(s):  
Foreign Language ◽  
Therapeutic Relationship ◽  
Service Provider ◽  
Speech Therapy ◽  
Cross Cultural ◽  
Value Orientations ◽  
Collaborative Partnership ◽  
The Family ◽  
Therapy Services ◽  
Cultural Connections

Abstract Providing adequate speech therapy services to Latinos who stutter can present challenges that are not obvious to the practicing clinician. This article addresses cultural, religious, and foreign language concerns to the therapeutic relationship between the Latino client and the clinician. Suggestions are made for building cross-cultural connections with clients and incorporating the family into a collaborative partnership with the service provider.

Tools & Resources: Impairment and Disability Web Sites

1999 ◽  
Vol 4 (6) ◽  
pp. 5-6
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Relationships ◽  
Web Sites ◽  
Outpatient Psychotherapy ◽  
Obsessive Compulsive ◽  
Not Otherwise Specified ◽  
Cluster B Personality Disorders ◽  
Clinically Significant ◽  
And Behavior

Abstract Personality disorders are enduring patterns of inner experience and behavior that deviate markedly from those expected by the individual's culture; these inflexible and pervasive patterns reflect issues with cognition, affectivity, interpersonal functioning and impulse control, and lead to clinically significant distress or impairment in social, occupational, or other important areas of functioning. The AMA Guides to the Evaluation of Permanent Impairment, Fourth Edition, defines two specific personality disorders, in addition to an eleventh condition, Personality Disorder Not Otherwise Specified. Cluster A personality disorders include paranoid, schizoid, and schizotypal personalities; of these, Paranoid Personality Disorder probably is most common in the legal arena. Cluster B personality disorders include antisocial, borderline, histrionic, and narcissistic personality. Such people may suffer from frantic efforts to avoid perceived abandonment, patterns of unstable and intense interpersonal relationships, an identity disturbance, and impulsivity. Legal issues that involve individuals with cluster B personality disorders often involve determination of causation of the person's problems, assessment of claims of harassment, and assessment of the person's fitness for employment. Cluster C personality disorders include avoidant, dependent, and obsessive-compulsive personality. Two case histories illustrate some of the complexities of assessing impairment in workers with personality disorders, including drug abuse, hospitalizations, and inpatient and outpatient psychotherapy.

Test-Retest Reliability of a Self-Report Questionnaire for DSM-IV and ICD-10 Personality Disorders

2000 ◽  
Vol 16 (1) ◽  
pp. 53-58 ◽  
Author(s):  
Hans Ottosson ◽  
Martin Grann ◽  
Gunnar Kullgren
Keyword(s):  
Personality Disorder ◽  
Anxiety Disorders ◽  
Personality Disorders ◽  
Clinical Sample ◽  
Self Report ◽  
Anxiety State ◽  
Short Term ◽  
Retest Reliability ◽  
Axis I ◽  
Test Retest Reliability

Summary: Short-term stability or test-retest reliability of self-reported personality traits is likely to be biased if the respondent is affected by a depressive or anxiety state. However, in some studies, DSM-oriented self-reported instruments have proved to be reasonably stable in the short term, regardless of co-occurring depressive or anxiety disorders. In the present study, we examined the short-term test-retest reliability of a new self-report questionnaire for personality disorder diagnosis (DIP-Q) on a clinical sample of 30 individuals, having either a depressive, an anxiety, or no axis-I disorder. Test-retest scorings from subjects with depressive disorders were mostly unstable, with a significant change in fulfilled criteria between entry and retest for three out of ten personality disorders: borderline, avoidant and obsessive-compulsive personality disorder. Scorings from subjects with anxiety disorders were unstable only for cluster C and dependent personality disorder items. In the absence of co-morbid depressive or anxiety disorders, mean dimensional scores of DIP-Q showed no significant differences between entry and retest. Overall, the effect from state on trait scorings was moderate, and it is concluded that test-retest reliability for DIP-Q is acceptable.

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