Metacognitive Interpersonal Therapy for Personality Disorders Swinging from Emotional Over-Regulation to Dysregulation: A Case Study

Salvatore, Giampalo; Popolo, Raffaele; Buonocore, Luisa; Ferrigno, Anna Maria; Proto, Mariagrazia; Sateriale, Anna; Serio, Marianna; Dimaggio, Giancarlo

doi:10.1176/appi.psychotherapy.2016.70.4.365

Cited by 6 publications

(4 citation statements)

References 32 publications

(35 reference statements)

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“…Manualized versions of MIT and MIT‐G initially focused on PD patients presenting with emotional overregulation and inhibition, with the latter incorporating procedures for treating patients with emotional dysregulation incorporated into the current protocol (Inchausti et al, 2020; Salvatore et al, 2016). The treatment program presented here is rooted in the MIT‐G approach but includes further adaptations for working with adolescents.…”

Section: Introductionmentioning

confidence: 99%

Metacognitive interpersonal group therapy for adolescents with avoidant personality disorder: The case of Sofia

et al. 2022

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Introduction: Early intervention studies for adolescents and early adults are required to explore the acceptability and effectiveness of psychological therapies across the full range of personality disorders (PDs) beyond just borderline PD. The main aim of the current paper was to describe a Metacognitive Interpersonal Therapy group adaptation for adolescents (MIT-GA) presenting with PDs featuring overcontrol and social inhibition, and in particular Avoidant PD characteristics. Methods: We report findings from a single case of a female adolescent diagnosed with Avoidant PD providing preliminary data on feasibility and the possible effectiveness of MIT-GA. Results: Evidence of acceptability and meaningful clinical gains are described.Conclusions: Results suggest that MIT-GA could be a powerful treatment option in patients with generalized social avoidance who do not currently receive goldstandard psychotherapeutic treatments. This intervention also appears to be effective and cost-effective in initiating significant clinical changes in profiles of young patients with non-borderline PD symptoms.

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Section: Introductionmentioning

confidence: 99%

Metacognitive interpersonal group therapy for adolescents with avoidant personality disorder: The case of Sofia

et al. 2022

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“…The approaches included in this issue represent a few such approaches. Other notable exemplars include cognitive‐analytic therapy (Ryle, 1997), metacognitive interpersonal therapy (Dimaggio et al, 2020; Salvatore et al, 2016), and schema therapy (Young, 1994). A general convergence on the interpersonal domain additionally suggests potential for integrative and/or transtheoretical use, a version of which will be explored by Kramer and colleagues in this issue, as described below.…”

Section: Case Formulation In Psychotherapy Practicementioning

confidence: 99%

Case formulation of interpersonal patterns and its impact on the therapeutic process: Introduction to the issue

2022

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Authors included in this issue of the Journal of Clinical Psychology: In-Session come from diverse theoretical orientations but discuss methods of case conceptualization that share these assumptions: (1) that interpersonal patterns are salient to a good understanding of patient personality and problems and (2) that an individual formulation is helpful in responsively tailoring in-session processes to meet therapeutic goals. We believe these assumptions resonate with many practitioners working across settings, levels of severity, and theoretical orientations. Each author offers an overview of theory as well as a detailed case description that emphasizes the implications of each formulation for the subsequent process of therapy. A final paper provides commentary across the source papers. The issue is thus evocative not only about clinical practice issues but also of underlying theory.

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“…EI has been linked to the adaptation and well-being of patients. Recent studies strongly related EI to anxiety disorders (Zimmermann et al, 2015;Peh et al, 2017), depression (Langner et al, 2012;Li et al, 2015), substance misuse (Marceau et al, 2018), eating disorders (Ferrer et al, 2017), paranoia (Nittel et al, 2018), and borderline personality disorder (Popolo et al, 2014;Salvatore et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…The EIS is the only reliable instrument that explains the behavior and intrinsic features of EI. In recent studies, the EIS has been administered to cardiac recipients, hirsute women, patients with hypochondriacal attitudes, patients with personality disorders, patients with somatic concerns, and patients with panic disorders (Fava et al, 1989;Grandi et al, 2011;Salvatore et al, 2016;Dimaggio et al, 2018). The EI plays an important role in the onset, evolution, and outcome of psychological difficulties (Soto et al, 2011;Ellis and Cromby, 2012).…”

Section: Introductionmentioning

confidence: 99%

Cross-Cultural Adaptation and Validation of the Emotional Inhibition Scale in a Chinese Cancer Sample

Liu

et al. 2021

Front. Psychol.

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The Emotional Inhibition Scale (EIS) is a brief measure based on a four-factor model with documented validity in a mood disorder sample that may be useful for assessing emotional inhibition in patient populations, such as individuals with cancer. The present study adapted the EIS to Chinese conditions and examined the psychometric characteristics of the EIS in patients with cancer. The recruited participants comprised a sample of 100 patients (sample 1) and a sample of 202 patients (sample 2) with cancer. The two samples (sample 1 and sample 2) with cancer completed surveys including the EIS. The Toronto Alexithymia Scale-20 was completed by the two sample groups to assess criterion validity. Statistical analyses included internal consistency (sample 1), exploratory factor analyses (EFAs; sample 1), and confirmatory factor analyses (CFAs; sample 2). The results showed that EFA and CFA confirmed the four-factor solution proposed by the original authors (verbal inhibition, self-control, disguise of feelings, and timidity). The internal consistency and test-retest reliability of the EIS were satisfactory. In conclusion, the EIS demonstrated acceptable reliability and validity for assessing emotional inhibition in Chinese-speaking patients with cancer and may be a useful measure for assessing the level of emotional inhibition and the effect of emotional disclosure interventions.

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Metacognitive Interpersonal Therapy for Personality Disorders Swinging from Emotional Over-Regulation to Dysregulation: A Case Study

Abstract: Many patients with personality disorders (PD) display emotional inhibition or over-regulation (EOR); others display emotional dysregulation (ED)-

Cited by 6 publications

References 32 publications

Metacognitive interpersonal group therapy for adolescents with avoidant personality disorder: The case of Sofia

Metacognitive interpersonal group therapy for adolescents with avoidant personality disorder: The case of Sofia

Case formulation of interpersonal patterns and its impact on the therapeutic process: Introduction to the issue

Cross-Cultural Adaptation and Validation of the Emotional Inhibition Scale in a Chinese Cancer Sample

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