The effects of DSM-IV cluster B personality disorder symptoms on the termination and continuation of psychotherapy.

Hilsenroth, Mark J.; Holdwick, Daniel J.; Castlebury, Frank D.; Blais, Mark A.

doi:10.1037/h0087845

Cited by 74 publications

(43 citation statements)

References 90 publications

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“…These studies highlight the importance of a careful understanding of the interpersonal aspects of BP. Of additional importance is past research that has reported the importance of the therapeutic relationship with this specific clinical population (Cohen & Sherwood, 1989;Gunderson et al, 1989;Hilsenroth, Holdwick, Castlebury, & Blais, 1998 Koenigsberg, Carr, & Appelbaum, 1989;Sandell et al, 1993;Steiger & Stotland, 1996;Summers, 1999;Yeomans, Selzer, & Clarkin, 1993;Yeomans et al, 1994). As such, improved understanding of the interpersonal characteristics of BPD may help clinicians more effectively navigate the relational intricacies inherent to the development of an effective working alliance (see e.g., Gurtman, 1996).…”

Section: Implications For Treatmentmentioning

confidence: 94%

Assessment of borderline pathology using the Inventory of Interpersonal Problems Circumplex Scales (IIP‐C): a comparison of clinical samples

Hilsenroth

Menaker

Peters

et al. 2007

Clin Psychology and Psychoth

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We examined the interpersonal functioning of 74 outpatients at a university-based community clinic in a naturalistic study. Twenty-three individuals diagnosed with borderline pathology (BP) were compared with a non-BP clinical control group (n = 51). Based on previous research, we hypothesized that individuals with BP would report significantly greater overall interpersonal distress as well as greater problems associated with non-assertive, overly accommodating, selfsacrificing and intrusive/needy relational behaviours. We found that individuals with BP reported greater interpersonal distress in regard to overly accommodating, self-sacrificing and intrusive/needy relational behaviours. A trend was observed in regard to differences in overall interpersonal distress. Evaluation of the group-level circumplex profiles confirmed group homogeneity in interpersonal problem endorsement, supporting the aggregate descriptions of interpersonal style as representative of individuals within each group. The clinical utility of our results, specifically in regard to psychotherapy process and outcome as well as therapeutic alliance, will be discussed. Copyright

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Section: Implications For Treatmentmentioning

confidence: 94%

Assessment of borderline pathology using the Inventory of Interpersonal Problems Circumplex Scales (IIP‐C): a comparison of clinical samples

Hilsenroth

Menaker

Peters

et al. 2007

Clin Psychology and Psychoth

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“…Two studies have examined the impact of narcissistic traits on early dropout from therapy. Using a retrospective record-review method to diagnose personality disorder symptoms, Hilsenroth, Holdwick, Castlebury, and Blais (1998) found that if outpatients met the "requires excessive admiration" criterion for NPD, they were more likely to drop out prematurely from long-term psychodynamic psychotherapy. Although the reliability of these retrospective ratings was adequate, it is unclear whether the information contained in patient records and the coding procedures used resulted in a valid assessment of narcissistic pathology.…”

Section: Pathological Narcissism and Psychotherapymentioning

confidence: 99%

The Impact of Pathological Narcissism on Psychotherapy Utilization, Initial Symptom Severity, and Early-Treatment Symptom Change: A Naturalistic Investigation

Ellison

Levy

Cain

et al. 2013

Journal of Personality Assessment

117

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The impact of pathological narcissism on psychotherapy has seldom been investigated empirically, despite extensive clinical theory proposing that highly narcissistic individuals should be reluctant to engage in treatment and derive smaller benefits from therapy. In this study, we investigate the relationship between scores on the Pathological Narcissism Inventory (PNI; Pincus et al., 2009), which assesses both narcissistic grandiosity and narcissistic vulnerability, and clinical variables in a sample of outpatients (N=60) at a community mental health center. Results indicated that grandiosity, but not vulnerability, was negatively related to the use of adjunctive services and positively predicted client-initiated termination of psychotherapy. In addition, grandiosity and vulnerability were related to initial levels of different symptoms in multilevel models using a subsample (n=41) but not generally related to the linear rate of symptom change in early psychotherapy. The results highlight the clinical utility of assessing pathological narcissism in a real-world psychotherapeutic context.

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“…Zu− dem ist zusätzlich mit einer sehr hohen Abbruchswahrschein− lichkeit seitens des Patienten zu rechnen. Hilsenroth et al [74] berichten eine Abbruchrate von 64 %, wobei sich das vierte diag− nostische Kriterium nach DSM−IV (¹verlangt nach übermäßiger Bewunderung") als signifikantester Prädiktor für den Abbruch erwies. Bisher gibt es nur sehr wenige Untersuchungen, die prognosti− sche Aussagen zulassen.…”

Section: Prognoseunclassified

Narzissmus - Persönlichkeitsvariable und Persönlichkeitsstörung

Ritter

Lammers²

2007

Psychother Psych Med

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There are three main aspects of narcissism: 1. narcissism as a psychological construct in the sense of personality variable, 2. as a personality accentuation as a factor of vulnerability for other psychological disorders and 3. narcissism as a personality disorder in the sense of a psychiatric disease (NPD). There are no clear boundaries between these forms of narcissism. The NPD is recognized as a personality disorder by DSM-IV but not by ICD-10. There is a clear lack of scientific studies on the neurobiology, psychology and psychotherapeutic as well as psychopharmacological treatment.

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The effects of DSM-IV cluster B personality disorder symptoms on the termination and continuation of psychotherapy.

Cited by 74 publications

References 90 publications

Assessment of borderline pathology using the Inventory of Interpersonal Problems Circumplex Scales (IIP‐C): a comparison of clinical samples

Assessment of borderline pathology using the Inventory of Interpersonal Problems Circumplex Scales (IIP‐C): a comparison of clinical samples

The Impact of Pathological Narcissism on Psychotherapy Utilization, Initial Symptom Severity, and Early-Treatment Symptom Change: A Naturalistic Investigation

Narzissmus - Persönlichkeitsvariable und Persönlichkeitsstörung

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