A pilot study of Manual-Assisted Cognitive Therapy with a Therapeutic Assessment augmentation for Borderline Personality Disorder

Morey, Leslie C.; Lowmaster, Sara E.; Hopwood, Christopher J.

doi:10.1016/j.psychres.2010.04.055

Cited by 43 publications

(18 citation statements)

References 30 publications

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“…By assessors sharing responsibility for regulating for clients' affect, EH is lowered and ET grows 5. When new solutions are tried and judged to be successful, clients are urged to "try it at home" and to report back at the next session disorder and suicidal ideation (Morey, Lowmaster, & Hopwood, 2010); multiproblem families with emotionally disturbed children (Tharinger et al, 2009); and clients with complex PTSD (Smith & George, 2012;Tarocchi, Aschieri, Fantini, & Smith, 2013); among others. This breadth of impact suggests that metatheoretical change processes are at work, but what are they?…”

Section: Selective Empirical Observations On the Effectiveness Of Tamentioning

confidence: 99%

Therapeutic Assessment in Personality Disorders: Toward the Restoration of Epistemic Trust

Kamphuis

Finn

2018

Journal of Personality Assessment

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Research evidence suggests Therapeutic Assessment positively affects clients with problems in living, including clients with personality disorders, who are typically quite resistant to change. Importantly, this change takes place quickly, in relatively few sessions. This article draws on a relatively new evolutionary-based theory of epistemic trust (ET) and epistemic hypervigilance (EH) as a lens to plausibly explain the efficacy of TA, and especially its influence on PD clients' alliance and motivation for subsequent psychotherapy (Fonagy, Luyten, & Alison, 2015 ). ET is the willingness to take in relevant interpersonally transmited information and it is essential to the immediate success of psychotherapy and its long-term impact. The collaborative, intersubjective framework of TA and many of its specific techniques might be understood as highly relevant to restoring ET in clients, especially those with PD. We close by discussing implications for psychological assessment, psychotherapy, and research.

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Section: Selective Empirical Observations On the Effectiveness Of Tamentioning

confidence: 99%

Therapeutic Assessment in Personality Disorders: Toward the Restoration of Epistemic Trust

Kamphuis

Finn

2018

Journal of Personality Assessment

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“…Similarly, Newman and Greenway () also found that treatment‐seeking college students who received TA MMPI‐2 feedback reported higher self‐esteem and lower symptomatic distress at a two‐week follow‐up. Furthermore, Morey, Lowmaster, and Hopwood () found that TA was associated with clinical improvement in a BPD sample (i.e., fewer BPD symptoms, less suicidal ideation), although it did not improve treatment retention. Finally, De Saeger et al.…”

Section: Therapeutic Assessmentmentioning

confidence: 99%

Translational applications of personality science for the conceptualization and treatment of psychopathology.

Lengel

Helle

DeShong

et al. 2016

Clinical Psychology: Science and Practice

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Utilizing personality science within clinical assessment and intervention can aid in treatment planning. General personality constructs also are related to clinically relevant areas of dysfunction. However, personality continues to be underutilized in clinical settings. This article reviews current literature pertaining to the clinical applications of personality with a focus on dimensional models such as the Five‐Factor Model. With the advent of a dimensional personality model in DSM‐5, the clinical use of traits is an important topic of exploration. This review discusses the clinical significance of personality and personality pathology in various aspects of living (i.e., functioning, physical health, mental health), clinical applications and utility within clinical and treatment settings, and future research directions, as well as suggestions for further utilization of personality traits.

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“…Bateman & Fonagy, 1999Bateman & Fonagy, 2009Bateman et al, 2016Blum et al, 2008Bos et al, 2010Doering et al, 2010Farrell et al, 2009Gregory et al, 2008Harned et al, 2014Jahangard et al, 2012Jørgensen et al, 2013Kramer et al, 2011Kramer et al, 2014Kramer et al, 2016Laurenssen et al, 2018Leppänen et al, 2016Linehan et al, 1991Linehan et al, 1999Linehan et al, 2002Linehan et al, 2006Linehan et al, 2015McMain et al, 2009McMain et al, 2017Morey et al, 2010Pascual et al, 2015Reneses et al, 2013Soler et al, 2009van Wel et al, 2009Verheul et al, 2003Weinberg et al, 2006 Note. Risk of bias was rated as low (þ), high (À), or unclear (?)…”

mentioning

confidence: 99%

Dropout rates from psychotherapy trials for borderline personality disorder: A meta-analysis.

Iliakis

Ilagan

Choi-Kain

2021

Personality Disorders: Theory, Research, and Treatment

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Borderline personality disorder (BPD) is a serious mental illness associated with heightened disability, risk for suicide, and costs to society. This study aims to meta-analytically quantify dropout rates from psychotherapies of BPD, identify moderators, and assess reasons for dropout and time taken to dropout. PubMed, PsycINFO, and MEDLINE were screened from database inception to March 2020 for trials that investigated psychotherapies for individuals with BPD reporting dropout rates. The primary outcomes were pooled dropout rates and differential treatment retention across all studies, all randomized controlled trials (RCT), all outpatient studies, and all outpatient RCTs. Random effects meta-analysis, metaregression analyses, and publication bias tests were conducted. Information on reasons for dropout and time to dropout was synthesized qualitatively. Dropout rates were 22.3% considering all studies, and 28.2% when only considering outpatient randomized controlled trials. Odds of dropout were not significantly higher in the control condition than in the intervention condition. Longer duration, randomization, phone coaching, and outpatient setting were associated with higher dropout rates, but only when considering all studies. Publication bias-adjusted dropout rates were as high as 29.9%. Reasons for dropout included dissatisfaction with treatment, expulsion from treatment, and lack of motivation. Most dropouts occurred in the first half of treatment. Dropout is an important and prevalent issue in BPD psychotherapies. Reported rates are minimized by publication bias, and moderators of dropout rates are inconsistent. Subsequent research should identify obstacles to completing treatment and investigate ways to organize treatment allocation to enhance treatment retention.

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A pilot study of Manual-Assisted Cognitive Therapy with a Therapeutic Assessment augmentation for Borderline Personality Disorder

Cited by 43 publications

References 30 publications

Therapeutic Assessment in Personality Disorders: Toward the Restoration of Epistemic Trust

Therapeutic Assessment in Personality Disorders: Toward the Restoration of Epistemic Trust

Translational applications of personality science for the conceptualization and treatment of psychopathology.

Dropout rates from psychotherapy trials for borderline personality disorder: A meta-analysis.

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