Consciousness Streaming: A Single-Subject Within Session Analysis of Therapeutically Relevant Verbalizations

1989 ◽  
Vol 3 (4) ◽  
pp. 299-310
Author(s):  
Steven A. Szykula ◽  
Laura Czajkowski ◽  
Julia A. Laylander ◽  
Thomas V. Sayger
Keyword(s):  
Borderline Personality Disorder ◽  
Major Depression ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Future Research ◽  
Single Subject ◽  
Experimental Demonstration ◽  
Verbal Responses ◽  
The Subject

A case study is presented that exposes the psychotherapy technique of “consciousness streaming” to an empirical analysis of its potency. This technique is proposed to be one way of reducing “resistance” (as defined herein) of some clients. The subject was an adult female with a diagnosis of major depression and borderline personality disorder. Applied behavioral analyses of her in-therapy, verbal responses to consciousness streaming and therapeutic interviewing are compared. The data indicated that the consciousness streaming technique was superior to therapeutic interviewing in producing higher purity ratios (as opposed to frequency) of therapeutically relevant client verbalizations. A discussion on the utility of this experimental demonstration is presented, and suggestions are offered for future research and clinical application.

Central Autonomic Network Association With Cardiac Autonomic Sleep-Wake Rhythm in Major Depression and Borderline Personality Disorder

2021 ◽  
Vol 89 (9) ◽  
pp. S385
Author(s):  
Agustina Wainsztein ◽  
Camacho Vicente ◽  
Carolina Abulafia ◽  
Mirta F. Villarreal ◽  
Carles Soriano-Mas ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Major Depression ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Central Autonomic Network

Associations of childhood trauma, trauma in adulthood and previous-year stress with psychopathology in patients with major depression and borderline personality disorder

2011 ◽  
Vol 35 (8) ◽  
pp. 647-654 ◽  
Author(s):  
Katja Wingenfeld ◽  
Camille Schaffrath ◽  
Nina Rullkoetter ◽  
Christoph Mensebach ◽  
Nicole Schlosser ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Major Depression ◽  
Personality Disorder ◽  
Childhood Trauma ◽  
Borderline Personality

Failures to Imagine

2016 ◽  
Vol 36 (3) ◽  
pp. 270-300 ◽  
Author(s):  
Reed Maxwell ◽  
Steven Jay Lynn ◽  
Scott Lilienfeld
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Imagery ◽  
Emotional Regulation ◽  
Preliminary Evidence ◽  
Borderline Personality ◽  
Self Report ◽  
Future Research ◽  
Cross Sectional ◽  
Visual Mental Imagery

Although interest in the relationship between mental imagery and psychopathology has increased greatly over the last decade, few publications to date have examined relationships between personality-related psychopathology and mental imagery use, abilities, or both. However, we have reason to expect that substantive relationships may exist. For example, studies have consistently linked psychopathy and borderline personality disorder to problems in emotion experience and emotion regulation, and a growing number of studies indicate that deficits in visual mental imagery use and ability in particular may contribute to such problems. Using correlational data from multiple self-report measures of normal and pathological personality functioning and visual mental imagery, our study presents preliminary evidence for lower levels of self-reported visual mental imagery use, abilities, or both among noncriminal individuals with higher levels of self-reported psychopathy and individuals with greater emotional regulation difficulties, a core feature of borderline personality disorder. We also found significant relationships among self-reported visual mental imagery use, ability, or both, and personality variables shown to strongly predict psychopathy and emotional regulation difficulties. Limitations of the study, especially its reliance on a correlational, cross-sectional design, are discussed, and implications for future research are explored.

scholarly journals Borderline personality disorder classification based on brain network measures during emotion regulation

2020 ◽  
Author(s):  
Henk Cremers ◽  
Linda van Zutphen ◽  
Sascha Duken ◽  
Gregor Domes ◽  
Andreas Sprenger ◽  
...  
Keyword(s):  
Emotion Regulation ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Brain Network ◽  
Borderline Personality ◽  
Future Research ◽  
Support Vector ◽  
Classification Analysis ◽  
Network Analyses ◽  
Network Measures

AbstractBorderline Personality Disorder (BPD) is characterized by an increased emotional sensitivity and dysfunctional capacity to regulate emotions. While amygdala and prefrontal cortex interactions are regarded as the critical neural mechanisms underlying these problems, the empirical evidence hereof is inconsistent. In the current study, we aimed to systematically test different properties of brain connectivity and evaluate the predictive power to detect borderline personality disorder. Patients with borderline personality disorder (n = 51), cluster C personality disorder (n = 26) and non-patient controls (n = 44), performed an fMRI emotion regulation task. Brain network analyses focused on two properties of task-related connectivity: phasic refers to task-event dependent changes in connectivity, while tonic was defined as task-stable background connectivity. Three different network measures were estimated (strength, local efficiency, and participation coefficient) and entered as separate models in a nested cross-validated linear support vector machine classification analysis. Borderline personality disorder vs. non-patient controls classification showed a balanced accuracy of 55%, which was not significant under a permutation null-model, p = 0.23. Exploratory analyses did indicate that the tonic strength model was the highest performing model (balanced accuracy 62%), and the amygdala was one of the most important features. Despite being one of the largest data-sets in the field of BPD fMRI research, the sample size may have been limited for this type of classification analysis. The results and analytic procedures do provide starting points for future research, focusing on network measures of tonic connectivity, and potentially focusing on subgroups of BPD.

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.

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