Evaluating “mentalizing positive affect” as an intervention for enhancing positive affectivity in borderline personality disorder using a single-case multiple-baseline design.

Psychotherapy ◽  
2020 ◽  
Vol 57 (4) ◽  
pp. 580-586
Author(s):  
Tine S. D. Harpøth ◽  
Mickey T. Kongerslev ◽  
Mariola Moeyaert ◽  
Sune Bo ◽  
Anthony W. Bateman ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Positive Affect ◽  
Single Case ◽  
Borderline Personality ◽  
Multiple Baseline ◽  
Multiple Baseline Design ◽  
Positive Affectivity ◽  
Baseline Design

scholarly journals Metacognitive Interpersonal Therapy for Borderline Personality Disorder: A Single Case Study

2020 ◽  
Vol 20 (1) ◽  
pp. 56-74
Author(s):  
Giampaolo Salvatore ◽  
Lorena Bianchi ◽  
Luisa Buonocore ◽  
Nadia Disturco ◽  
Angus Macbeth ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emotion Dysregulation ◽  
Single Case ◽  
Sense Of Self ◽  
Severe Disease ◽  
Borderline Personality ◽  
Interpersonal Therapy ◽  
Metacognitive Interpersonal Therapy

Borderline personality disorder (BPD) is a severe disease, characterized by severe instabilities in identity, affect and relationships. Clinical improvement of BPD can be facilitated by psychotherapy aimed at tackling multiple specific cross-modality impairments and their patterns of interaction: impaired sense of self, maladaptive interpersonal schemas, impaired metacognition, emotion dysregulation and impulsivity. Herein, we describe the steps in the treatment of a young woman meeting the criteria for with BPD with paranoid traits, successfully treated with Metacognitive Interpersonal Therapy, a treatment based on comprehensive assessment of domains. In the initial phase, treatment focused on promoting emotion regulation, integrating opposing patient representations of the therapist, enhancing metacognition, and increasing focus on the maladaptive schema that elicited dysregulated behaviors. Later in therapy, treatment focused on supporting the patient to realize her ideas about self and others were schema-driven; and improving metacognitive capacity to understand others’ minds. General implications for psychotherapy of BPD are discussed.

The unified protocol for anxiety and depression with comorbid borderline personality disorder: a single case design clinical series

2019 ◽  
Vol 12 ◽  
Author(s):  
Michelle E. Lopez ◽  
Steven R. Thorp ◽  
Matthew Dekker ◽  
Andrew Noorollah ◽  
Giovanna Zerbi ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Emotional Disorders ◽  
Single Case ◽  
Borderline Personality ◽  
Anxiety And Depression ◽  
Individual Treatment ◽  
List Type ◽  
Unified Protocol ◽  
Clinical Series

AbstractThis study used a single case experimental design to investigate the use of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) among a sample of individuals with depression and anxiety who also presented with borderline personality disorder (BPD). Eight women received individual treatment with the UP over the course of 14–16 treatment sessions, and were assessed for anxiety and depression severity on a weekly basis over a 2–6 week baseline period and throughout treatment. Three of the eight participants demonstrated reliable pre- to post-treatment clinical improvements on depression and stress scales, and one participant demonstrated a reliable reduction on an anxiety scale. Two participants demonstrated a reliable improvement in overall anxiety. The results indicate that the UP applied to individuals diagnosed with primary BPD may lead to clinical improvement in depression, stress and anxiety for some individuals. However, the majority of individuals with BPD in our sample did not show strong improvement, and this suggests the need for additional sessions of UP or an intervention that focuses on the symptoms of BPD specifically for some women.Key learning aims (1)To describe the applicability of the Unified Protocol in the treatment of individuals with borderline personality and co-occurring anxiety or depression.(2)To understand the value of utilizing a transdiagnostic approach as an alternative to diagnosis-specific approaches to treatment.(3)To identify the four core modules of the Unified Protocol and describe the general format for individual treatment.

Direct Training to Increase Agreement Between Teachers’ and Observers’ Treatment Integrity Ratings

2017 ◽  
Vol 43 (4) ◽  
pp. 196-211 ◽  
Author(s):  
Lindsay M. Fallon ◽  
Lisa M. H. Sanetti ◽  
Sandra M. Chafouleas ◽  
Michael N. Faggella-Luby ◽  
Amy M. Briesch
Keyword(s):  
Treatment Integrity ◽  
Single Case ◽  
Self Report ◽  
Interrater Agreement ◽  
Multiple Baseline ◽  
Student Outcome ◽  
Multiple Baseline Design ◽  
Baseline Design ◽  
Direct Training ◽  
Intervention Description

To evaluate students’ responsiveness to an intervention, both student outcome and implementer treatment integrity data are needed. Teachers are often asked to self-report treatment integrity data. However, when self-report responses are compared with those from a direct observer, it is apparent that teachers commonly overestimate the extent to which an intervention was implemented as planned. As such, more research related to teacher self-report to assess treatment integrity is needed. The objective of this preliminary single-case multiple-baseline design study was to improve interrater agreement between observers’ and teachers’ self-report ratings of treatment integrity by providing teachers with comprehensive, direct training (including an intervention description, modeling, practice, and feedback). Results indicate that after this training, agreement between observers’ and teachers’ ratings of treatment integrity improved.

scholarly journals Metacognition, Borderline Pathology and Psychotherapeutic Change: A Single-Case Study

2014 ◽  
Vol 16 (2) ◽  
pp. 102-108
Author(s):  
Raffaella Perrella ◽  
Antonio Semerari ◽  
Francesca Scafuto ◽  
Giorgio Caviglia
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Current Literature ◽  
Cognitive Functions ◽  
Single Case ◽  
Borderline Personality ◽  
Assessment Scale ◽  
Single Case Study ◽  
Psychotherapeutic Change

The aim of this study is to analyze whether: (a) a specific type of metacognitive deficit is present in a patient with Borderline Personality Disorder; (b) a metacognitive improvement can be detected during the psychotherapy treatment; (c) if this improvement can be indicative of the effectiveness of psychotherapy itself. A single case study has been conducted; metacognitive deficits have been measured with the Metacognition Assessment Scale (MAS). In line with the hypothesis, the results show a global and progressive improvement of meta-cognitive functions. We conclude in agreement with the current literature, the existence of a major deficit in Differentiation and Integration subfunctions (belonging to Self-reflexivity), compared to Characterization and Relation between variables subfunctions (belonging to Metacognitive monitoring).

scholarly journals Daily Suicidal Surge and Attempted Suicide in Borderline Personality Disorder

2020 ◽  
Author(s):  
Aleksandra Kaurin ◽  
Alexandre Dombrovski ◽  
Michael Hallquist ◽  
Aidan G.C. Wright
Keyword(s):  
Borderline Personality Disorder ◽  
Suicidal Ideation ◽  
Personality Disorder ◽  
Positive Affect ◽  
Attempted Suicide ◽  
Borderline Personality ◽  
Equation Modeling ◽  
Healthy Controls ◽  
Assessment Protocol ◽  
History Of

Suicidality is a defining feature of borderline personality disorder (BPD), yet little work has accounted for why only a small subset of those that have thoughts of suicide, commit suicide. In this study we compared early stage suicidal crises, where affective disturbance is linked to suicidal ideation at the within-person level (i.e., suicidal surges) across suicide attempters and non-attempters. We used multilevel structural equation modeling to test the hypothesis that a history of attempted suicide predicts a stronger dynamic link of daily affect and impulsivity with suicidal ideation. 141 patients diagnosed with BPD, 97 of which had a history of medically serious suicide attempts, and 52 healthy controls completed a 21-day ecological momentary assessment protocol (N=3790 days). All models suggested that people generally experiencing more negative and less positive affect and high in impulsivity, also tend to ideate more about suicide on average. Moreover, within-person associations of negative and positive affect with suicidal ideation (i.e., suicidal surges) were greater among attempters in comparison to non-attempters, and healthy controls. This suggests that the diathesis for suicidal behavior is expressed in the dynamic processes linking affect and suicidal ideation. Because these within-person links were amplified in attempters compared to non-attempters, suicidal surges may index specific, potentially lethal, processes that generalize beyond BPD and may have clinical value as predictors of suicidal risk.

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