Volume 31, Issue 4 (July 2020)
Studies in Medical Sciences 2020, 31(4): 255-266 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
zarei G, Rahimian Boogar I, Moazedian A, jahan A. IMPROVEMENT OF BORDERLINE PERSONALITY DISORDER AT DIFFERENT TIME FRAMES OF TRANSFERENCE FOCUSED PSYCHOTHERAPY: A CASE REPORT. Studies in Medical Sciences 2020; 31 (4) :255-266
URL: http://umj.umsu.ac.ir/article-1-5190-en.html
URL: http://umj.umsu.ac.ir/article-1-5190-en.html
Associate Professor of Health Psychology, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Mahdishahr, Semnan, Iran (Corresponding Author) , i_rahimian@semnan.ac.ir
Abstract: (5052 Views)
Background & Aims: The purpose of the present study was to investigate the changes in borderline personality structure at different time serials of treatment.
Materials & Methods: The present study is a quasi-experimental and single-subject (A/B) study. The sample of study was a 35-year-old man who was selected as a borderline personality disorder among the patients referred to Health Center through a preliminary clinical interview and performing Millon clinical multiaxial inventory -III (MCMI-III) by available sampling method. The interview with the Semi-Structured Interview of the Personality Organization (STIPO) was conducted in four stages including one pre-test and three post-tests after time series treatment. Single-Subject was studied for 11 months in a format of 51 sessions of transference focused psychotherapy.
Results: The findings showed that the mean scores of personality structure (identity, dimensions of object relations, aggression, personality rigidity, deference mechanisms, and morality) in the first post-test were not significantly different from the pre-test; but there was a significant clinical difference in the mean scores of personality structure at the second and third post-tests compared to the pre-test.
Conclusion: Based on the results, this treatment has significant effect in improving the personality dimensions of borderline patients, especially in advanced stages of treatment.
Materials & Methods: The present study is a quasi-experimental and single-subject (A/B) study. The sample of study was a 35-year-old man who was selected as a borderline personality disorder among the patients referred to Health Center through a preliminary clinical interview and performing Millon clinical multiaxial inventory -III (MCMI-III) by available sampling method. The interview with the Semi-Structured Interview of the Personality Organization (STIPO) was conducted in four stages including one pre-test and three post-tests after time series treatment. Single-Subject was studied for 11 months in a format of 51 sessions of transference focused psychotherapy.
Results: The findings showed that the mean scores of personality structure (identity, dimensions of object relations, aggression, personality rigidity, deference mechanisms, and morality) in the first post-test were not significantly different from the pre-test; but there was a significant clinical difference in the mean scores of personality structure at the second and third post-tests compared to the pre-test.
Conclusion: Based on the results, this treatment has significant effect in improving the personality dimensions of borderline patients, especially in advanced stages of treatment.
Keywords: Borderline personality disorder, Kernberg’s Dynamic Psychotherapy, Personality Structure, Transference focused psychotherapy
Type of Study: case report |
Subject:
روانشناسی
References
1. American Psychiatric Association. Diagnostic andstatistical manual of mental disorders DSM-5. 5th Edition. Rezaei F, FakhraeeA, Charismatic A, lotus A,Hashemi Azar J, Shamloo F, translators.Tehran:ArjmandPublishing: Tehran, 2018 [Persian] [URL]
2. Lewis KC, Meehan KB, Cain MN, Wong PS,Clemence AJ, Stevens J et al. Impairments in object relations and chronicity of suicidal behavior in individuals with borderline personality disorder.Journal of Personality Disorders 2016; 30:19-34 [DOI:10.1521/pedi_2015_29_178] [PMID]
3. Huprich SK, Nelson SM, Lenqu K, Albright J.Object relations predicts borderline personality disorder symptoms beyond emotional dysregulation, negative affect, and impulsivity. Journal of Personality Disorders 2017; 8:46-53 [DOI:10.1037/per0000188] [PMID]
4. Peyvas tegar.M Borderline Personality and Alexithymia among Female College Students with Interpersonal Problems.Journal of SHafaye khatam Vol6, No. 2, spring 2017[Persian] [DOI:10.29252/shefa.6.2.51]
5. Imani.M, Pourshahbazi.M. Prediction of Borderline Personality Disorder Based On Psychological Flexibility Components: Acceptance and Action, Values and Cognitive Defusion. Quarterly of Psychology and health in resarch Vol. 8, No. 4 , winter 2017[Persian] [Google Scholar]
6. Ganji.M.abnormal psychology based on DSM-5 .tehran. savalan. pub:2017[Persian]Psychology and health in resarch Vol. 8, No. 4 , winter 2017[Persian] [URL]
7. Babaeefard.M,Farahani.M,Hashemi Razini.HThe Relationship between Five Factor Model of Personality and Symptoms of Borderline Personality Disorder and Schizotypal Personality Disorder in a Non-clinical Sample. Quarterly of Psychology and health in resarch Vol3, No. 9 , autumn 2016[Persian] [Google Scholar]
8. Huprich SK, Greenberg RP. Advances in the assessment of object relations in the 1990s. Clinical Psychology Review 200; 23:665-669 [DOI:10.1016/S0272-7358(03)00072-2] [PMID]
9. Miranda B, Louzã MR. The physician's qualityof life: Relationship with ego defense mechanismsand object relations. Comprehensive psychiatry.2015; 63: 22-9. [DOI:10.1016/j.comppsych.2015.07.012] [PMID]
10. Einy.S, Narimani.M, Atadokht.A, Basharpoor.S,Sadeghi Movahhed.F Effectiveness of Mentalization based Therapy and Cognitive-Analytical Therapy on Improved Object Relationship of People with Borderline Personality Disorder: A comparison.Payesh 2018; 17(3): 275-287[Persian] [Google Scholar]
11. Kernberg OF. Borderline (patient) personality.International Encyclopedia of the Social & Behavioral Sciences (Second Edition) 2015;755-759 [DOI:10.1016/B978-0-08-097086-8.27009-8]
12. Rashn. Sh, Makvand-Hosseini, Sh, Rezaei. A.M, Tabatabaee. M.The effect of long-term dynamic psychotherapy on the personality structure of patients with Dependent Personality Disorder. Journal of Clinical Psychology Vol. 9, No. 4 (36), Winter 2018[Persian] [Google Scholar]
13. Clarkin JF, Caligor E, Stern B, Kernberg OF . Structured Interview of the Personality Organization(STIPO) Tahmaseb A,Rezaei.A, translators.2017.non published[Persian]
14. Dickhaut, V. Arntz, A.Combined group and individual schema therapy for borderline personality disorder: A pilot study Journal of Behavior Therapy and Experimental.2014 [DOI:10.1016/j.jbtep.2013.11.004] [PMID]
15. Arntz A and Hnnie V . Schema therapy for Borderline personality Disorder.wiley- blacckweli.A John Wiley and Sonns, Ltd, Publication. 2009. [Google Scholar]
16. Zargarani N, Mashhadi A, Tabibi Z. The Effectiveness of Emotion Regulation GroupTraining Based on Process Model of Gross on Behavioral and Cognitive Inhibition of Adolescent Girls with Syndrome of BPD and ADHD. Journal of Clinical Psychology. 2015;6(4) [Persian] [URL]
17. Hoseini-Emam SS, Najafi M, Makvand-HosseiniSh, Salavati M, Rezaei AM. Comparing theEffectiveness of Training Emotion Regulation SkillsBased on Gross and Linehan Models on Emotion Regulation Strategies in Adolescents with Borderline Personality Disorder. Journal of Research in Behavioural Sciences. 2018;15(4):508-17. [Persian] [Google Scholar]
18. Makvand Hosseini S, Azarfar F, Sabahi P. Effectiveness of a Short-term Group Dialectic Behavior Therapy on Quality of Lif of Girl Adolescents with Borderline Personality Disorder Symptoms. Family research .2019:57[Persian]. [Google Scholar]
19. Vakili,J , Kimiaee.S , Salehi-Fadardi, J. The Effectiveness of Dialectical Behavior Therapy on Borderline Personality Disorder Symptoms of prisoners.Journal of Clinical Psychology Vol. 8, No. 3 (31), Autumn 2016[Persian] [Google Scholar]
20. Chanen AM, Jackson HJ, McCutcheon LK, Jovev M, Dudgeon P, Yuen HP, et al. Early intervention for adolescents with borderline personality disorder using cognitive analytic therapy: randomised controlled trial. The British Journal of Psychiatry. 2008; 193(6): 477-84 [DOI:10.1192/bjp.bp.107.048934] [PMID]
21. Debashi. L., Najafi.M, Rahimian-Boogar, I The Effectiveness of Cognitive-Analytic Therapy on Impulsivity and Dissociative Experiences of Borderline Personality Disordered Patients. Journal of Clinical Psychology Vol. 10, No2 (38), summer 2019 [Google Scholar]
22. Kellett S, Bennett D, Ryle T, Thake A.Cognitive analytic therapy for borderline personalitydisorder: therapist competence and therapeuticeffectiveness in routine practice. Clinical psychology& psychotherapy. 2013; 20(3): 216-25 [DOI:10.1002/cpp.796] [PMID]
23. Shedler J The Efficacy of Psychodynamic Psychotherapy. American Psychologist.2010. 65, No. 2, 98-109 . [DOI:10.1037/a0018378] [PMID]
24. Svartberg M, Stiles TC, Seltzer MH. Randomized, controlled trial of the effectiveness of short-term dynamic psychotherapy and cognitive therapy for cluster C personality disorders. The American journal of psychiatry. 2004; 161(5): 810-7. [DOI:10.1176/appi.ajp.161.5.810] [PMID]
25. Clarkin JF, Cain NM, Lenzenweger MF.Advances in transference-focused psychotherapy derived from the study of borderline personality disorder: clinical insights with a focus on mechanism. Current opinion in psychology. 2017; 21: 80-5. [DOI:10.1016/j.copsyc.2017.09.008] [PMID]
26. Yeomans F,Clarkin J,Kernberg F (1949)Transference focused psychotherapy for borderline personality disorder.Rezaei F translator.Tehran:ArjmandPublishing: Tehran, 2017[Persian] [Google Scholar]
27. Kendall PC, Butcher JN, Grayson NH.Handbook of research methods in clinical psychology. Second edition. Chicago: John Wiley& Sons Inc; 1999. p. 297-329. [URL]
28. Chegini M, Delavar A, Garray B. Psychometrics Of millon clinical multiaxial inventory -III. Journal Management System 2013; 8: 135-162[Persian]
29. Rahmani F, Kiani MA, Rezaie F, Nasuri M, ArastehM. Personality, intellectual and emotional state of patients with borderline personality disorder. Scientific Journal of Kurdistan University Medical Sciences 2013; 18:1-12 [Persian] [URL]
30. Doering S, Horz S, Rentrop M, Fischer-Kern M, Schuster P, Benecke C, et al. Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: randomised controlled trial. The British journal of psychiatry : the journal of mental science. 2010; 196(5): 389-95 [DOI:10.1192/bjp.bp.109.070177] [PMID]
31. Vahedi A, Makvand-Hosseini S, Bigdeli I.Diagnosis of Higher Level Personality Pathology by Using Short-Term DynamicPsychotherapy. Journal of Clinical Psychology. 2012; 4(3): 75-85[Persian]. [Google Scholar]
32. Stadter M. object relations brief therapy: the therapeutic relationship in short-term work. Second edition. Maryland: Roman and Littlefield;2009. 20 [URL]
33. Chioqueta AP, Stiles TC. Assessing suicide risk in cluster C personality disorders. Crisis. 2004 2 34.Kernberg OF. Object Relations Theory and Clinical Psychoanalysis. 1st ed. New York: JasonAronson. 1976.5(3): 128-133. [DOI:10.1027/0227-5910.25.3.128] [PMID]
35. Kernberg OF. Object Relations Theory and Clinical Psychoanalysis. 1st ed. New York: Jason Aronson. 1976. [Google Scholar]
36. Disney KL. Dependent personality disorder: a critical review. Clinical psychology review. 2013; 33(8): 1184-96 [DOI:10.1016/j.cpr.2013.10.001] [PMID]
37. Frakland A.The little psychotherapy Book Object Relations in practice. Kiyanpoor S. translators. Tehran: Arjmand Publishing: Tehran, 2019 [Persian] [URL]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
