Lessening of the pervasiveness of interpersonal patterns in borderline personality disorder explains symptom decrease after treatment: A process analysis

Kramer, Uëli; Beuchat, Hélène; Grandjean, Loris; Seragnoli, Federico; Djillali, Slimane; Choffat, Chloe; George, Elisa; Despland, Jean‐Nicolas; Kolly, Stéphane; Roten, Yves de

doi:10.1002/jclp.23275

Cited by 4 publications

(1 citation statement)

References 35 publications

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“…Wielu autorów wskazuje, że chaotyczne funkcjonowanie interpersonalne to cecha definiująca zaburzenie osobowości typu borderline (Drapeau et al, 2012). Podjęto również próby dowodzenia, że redukcja trudności interpersonalnych w toku terapii skutkowała poprawą objawową (Kramer et al, 2022). Kryteria zawarte w 11. edycji Międzynarodowej Statystycznej Klasyfikacji Chorób i Problemów Zdrowotnych (International Classification of Diseases and Related Health Problems, 11 th Revision, ICD-11), wydanej przez WHO i obowiązującej od 1 stycznia 2022 roku, mogą posłużyć jako pewna rama opisu patologii z pogranicza (World Health Organization, 2020).…”

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Borderline personality disorder in ICD-11 and DSM-5 – the relational nature of the criteria for the disorder

Krzysztof-Świderska¹,

Małek²

2022

Psychiatr Psychol Klin

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The paper illustrates the relational nature of the psychiatric category of borderline personality disorders based on the analysis of symptomatic criteria set out in the International Classification of Diseases and Related Health Problems, 11th Revision (ICD-11) issued by the World Health Organization (WHO), as well as the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) developed by the American Psychiatric Association (APA). We point to the appreciation of the relational nature of the phenomenon, which is noticeable already in a very cursory analysis, in the latest WHO and APA classification systems. The clinical manifestations of these criteria seem not only to be interconnected, but also to result from one another, suggesting a fundamentally structural nature of the phenomenon. All the described difficulties relate to interpersonal relationships – both in terms of the direct causes of disfunctions and long-term family and social consequences. This particularly applies to the borderlinetype emotionally unstable personality disorder, which is inseparably linked to emotional volatility and instability, and which is difficult to define using criteria in a way that does not give rise to diagnostic challenges. Therefore, we draw attention to difficulties with relationships, which are an important diagnostic criterion. Both ICD-11 and DSM-5 contain separate diagnostic categories for relationship problems, which, as it turns out, not necessarily coexist with other disorders. Linking relationship pathology with personality disorders may be of great importance for establishing the correct diagnosis and therefore choosing an appropriate treatment strategy.

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Borderline personality disorder in ICD-11 and DSM-5 – the relational nature of the criteria for the disorder

Krzysztof-Świderska¹,

Małek²

2022

Psychiatr Psychol Klin

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Lessening of the pervasiveness of interpersonal patterns in borderline personality disorder explains symptom decrease after treatment: A process analysis

et al. 2021

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Background: Problematic interpersonal patterns, as defined by the core conflictual relationship theme (CCRT) method, are part of the clinical presentation of clients with borderline personality disorder (BPD). So far, we do not know whether the pervasiveness of interpersonal patterns changes and if this change explains therapy outcome. Methods:In a secondary analysis of a randomized controlled trial on a brief version of psychiatric treatment for BPD, a treatment with a psychodynamic focus, the present study included N = 39 clients. One early session and one late session of the treatment were transcribed and analyzed using the CCRT method.Results: It appeared that pervasiveness of the predominant CCRT decreased over the course of the brief treatment; this effect was robust across treatment conditions. Change in pervasiveness in any CCRT component explained a small

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Change in emotion-based narrative as a potential mechanism of change in a brief treatment for borderline personality disorder

Kramer,

Simonini,

Rrustemi

et al. 2024

Psychotherapy Research

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Lessening of the pervasiveness of interpersonal patterns in borderline personality disorder explains symptom decrease after treatment: A process analysis

Cited by 4 publications

References 35 publications

Borderline personality disorder in ICD-11 and DSM-5 – the relational nature of the criteria for the disorder

Borderline personality disorder in ICD-11 and DSM-5 – the relational nature of the criteria for the disorder

Lessening of the pervasiveness of interpersonal patterns in borderline personality disorder explains symptom decrease after treatment: A process analysis

Change in emotion-based narrative as a potential mechanism of change in a brief treatment for borderline personality disorder

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