scholarly journals Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience?

2021 ◽  
Vol 12 ◽  
Author(s):  
Ronan Zimmermann ◽  
Lukas Fürer ◽  
Johann R. Kleinbub ◽  
Fabian T. Ramseyer ◽  
Rahel Hütten ◽  
...  
Keyword(s):  
Borderline Personality ◽  
Personality Pathology ◽  
Therapy Outcome ◽  
Psychotherapeutic Treatment ◽  
Personality Functioning ◽  
Motion Energy ◽  
Cross Correlation Analysis ◽  
Movement Synchrony ◽  
Drop Outs ◽  
Therapy Sessions

Movement synchrony describes the coordination of body movements. In psychotherapy, higher movement synchrony between therapist and patient has been associated with higher levels of empathy, therapeutic alliance, better therapy outcome, and fewer drop-outs. The current study investigated movement synchrony during the psychotherapeutic treatment of female adolescents with borderline personality disorder. It was hypothesized that there are higher levels of movement synchrony in the analyzed therapy sessions compared to pseudo-interactions. Further, we tested whether higher levels of movement synchrony correlate with stronger patients’ symptom reduction and whether higher movement synchrony predicts higher post-session ratings. A total of 356 sessions from 16 completed psychotherapies of adolescent patients with BPD were analyzed. Movement synchrony was assessed with motion energy analysis and an index of synchrony was calculated by lagged cross-correlation analysis. As hypothesized, the findings support higher levels of movement synchrony in therapy sessions compared to pseudo-interactions (Cohen’s d = 0.85). Additionally, a correlation of movement synchrony with better therapy outcome was found (standardized beta = −0.43 indicating stronger personality functioning impairment reduction). The post-session ratings were negatively associated with higher levels of movement synchrony (standardized beta = −0.1). The relevance of movement synchrony and potential implications for clinical practice are discussed.

Silence in the psychotherapy of adolescents with borderline personality pathology.

2020 ◽  
Author(s):  
Ronan Zimmermann ◽  
Lukas Fürer ◽  
Nathalie Schenk ◽  
Julian Koenig ◽  
Volker Roth ◽  
...  
Keyword(s):  
Borderline Personality ◽  
Personality Pathology

Beliefs about emotion shift dynamically alongside momentary affect

2019 ◽  
Author(s):  
Jennifer Veilleux ◽  
Elise Warner ◽  
Danielle Baker ◽  
Kaitlyn Chamberlain
Keyword(s):  
Self Efficacy ◽  
Daily Life ◽  
Borderline Personality ◽  
Personality Pathology ◽  
Emotional States ◽  
Assessment Study ◽  
Directed Action ◽  
Emotion Beliefs ◽  
Ecological Momentary ◽  
Momentary Assessment

This study examined if beliefs about emotion change across emotional contexts in daily life, and investigated whether people with prominent features of borderline personality pathology experience greater shifts in emotion beliefs during emotional states compared to people without borderline features. Undergraduate participants with (n = 49) and without borderline features (n = 50) completed a one week ecological momentary assessment study where 7x/day they provided ratings of affect, nine different beliefs about emotion and indicators of momentary self-efficacy. Results indicated a significant between-person element to emotion beliefs, supporting the notion of beliefs as relatively schematic. In addition, people with borderline features generally experienced greater instability of beliefs over time compared to people without borderline features. In addition, most of the beliefs about emotion shifted with either positive or negative affect. For many of the emotion beliefs, the relationships between affect and belief were moderated by borderline group. Finally, momentary beliefs about emotion also predicted momentary self-efficacy for tolerating distress and exerting willpower. Taken together, results confirm that beliefs about emotion can fluctuate in daily life and that there are implications for emotion beliefs for people who struggle with emotion regulation and impulsivity (i.e., people with features of borderline personality) as well as for self-efficacy in tolerating emotion and engaging in goal-directed action.

Positive Emotion in Borderline Personality Disorder

2019 ◽  
pp. 332-352
Author(s):  
Jill M. Hooley ◽  
Sara R. Masland
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Positive Emotions ◽  
Negative Emotions ◽  
Negative Mood ◽  
Severe Form ◽  
Borderline Personality ◽  
Negative Emotionality ◽  
Personality Pathology ◽  
Emotional Experiences

Borderline personality disorder (BPD) is a severe form of personality pathology characterized by high levels of negative emotionality. Because negative emotions are so central to the clinical presentation of BPD, the issue of how people with this disorder process and experience positive emotional experiences is relatively unexplored. This chapter provides an overview of what is currently known about positive emotions and BPD. Although the literature is characterized by many inconsistencies, our review suggests that people with BPD do indeed experience positive emotions. However, their recall of positive emotional experiences appears to be reduced, perhaps because such experiences are more transient, less stable, and more likely to be quickly replaced by negative emotions. Problems with the identification and accurate differentiation of positive emotions may also play a role. Such difficulties may conspire to create a psychological world for people with BPD that is characterized by a focus on negative mood and negative emotional experiences. In addition to focusing on negative affect, we suggest that it might also be clinically beneficial to make problems with positive affect a specific clinical target.

scholarly journals The Relationship between Affect Integration and Psychopathology in Patients with Personality Disorder: A Cross-Sectional Study

Medicina ◽  
2021 ◽  
Vol 57 (6) ◽  
pp. 627
Author(s):  
Christina Frederiksen ◽  
Ole André Solbakken ◽  
Rasmus Wentzer Licht ◽  
Carsten René Jørgensen ◽  
Maria Rodrigo-Domingo ◽  
...  
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Interpersonal Problems ◽  
Symptom Distress ◽  
Central Component ◽  
Psychotherapeutic Treatment ◽  
Cross Sectional ◽  
Personality Functioning ◽  
Emotional Dysfunction ◽  
The Relationship

Background and Objectives: Emotional dysfunction is considered a key component in personality disorders; however, only few studies have examined the relationship between the two. In this study, emotional dysfunction was operationalized through the Affect Integration Inventory, and the aim was to examine the relationships between the level of affect integration and the levels of symptom distress, interpersonal problems, and personality functioning in patients diagnosed with personality disorder according to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition. Materials and Methods: Within a hospital-based psychiatric outpatient setting, 87 patients with personality disorder referred for treatment were identified for assessment with the Affect Integration Inventory and other measures (e.g., the Symptom Checklist-90, Revised, the Inventory of Interpersonal Problems 64 circumplex version, and the Severity Indices of Personality Problems). Results: The analyses revealed that problems with affect integration were strongly and statistically significantly correlated with high levels of symptom distress, interpersonal problems, and maladaptive personality functioning. Additionally, low scores on the Affect Integration Inventory regarding discrete affects were associated with distinct and differentiated patterns of interpersonal problems. Conclusion: Taken together, emotional dysfunction, as measured by the Affect Integration Inventory, appeared to be a central component of the pathological self-organization associated with personality disorder. These findings have several implications for the understanding and psychotherapeutic treatment of personality pathology. Furthermore, they highlight the importance of considering the integration of discrete affects and their specific contributions in the conceptualization and treatment of emotional dysfunction in patients with personality disorders.

scholarly journals Three Dimensional Approaches to Personality Disorders: a Review on Personality Functioning, Personality Structure, and Personality Organization

2021 ◽  
Vol 23 (7) ◽  
Author(s):  
Susanne Hörz-Sagstetter ◽  
Ludwig Ohse ◽  
Leonie Kampe
Keyword(s):  
Personality Disorders ◽  
Empirical Studies ◽  
Three Dimensional ◽  
Personality Pathology ◽  
Personality Structure ◽  
Assessment Instruments ◽  
Personality Organization ◽  
Personality Functioning ◽  
Clinical Observations ◽  
Categorical Classification

Abstract Purpose of Review The concept of personality functioning (Alternative DSM-5 Model of Personality Disorders) has led to increased interest in dimensional personality disorder diagnosis. While differing markedly from the current categorical classification, it is closely related to the psychodynamic concepts of personality structure and personality organization. In this review, the three dimensional approaches, their underlying models, and common instruments are introduced, and empirical studies on similarities and differences between the concepts and the categorical classification are summarized. Additionally, a case example illustrates the clinical application. Recent Findings Numerous studies demonstrate the broad empirical basis, validated assessment instruments and clinical usefulness of the dimensional concepts. Their advantages compared to the categorical approach, but also the respective differences, have been demonstrated empirically, in line with clinical observations. Summary Evidence supports the three dimensional concepts, which share conceptual overlap, but also entail unique aspects of personality pathology, respectively.

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