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Journal of Personality Disorders最新文献

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Transference-Focused Psychotherapy and Trust Processing in BPD: Exploring Possible Mechanisms of Change. BPD中以转移为中心的心理治疗和信任处理：探索可能的变化机制。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-10-01 DOI: 10.1521/pedi.2023.37.5.620
Eric A Fertuck, Emanuele Preti, John F Clarkin
{"title":"Transference-Focused Psychotherapy and Trust Processing in BPD: Exploring Possible Mechanisms of Change.","authors":"Eric A Fertuck,&nbsp;Emanuele Preti,&nbsp;John F Clarkin","doi":"10.1521/pedi.2023.37.5.620","DOIUrl":"10.1521/pedi.2023.37.5.620","url":null,"abstract":"<p><p>Individuals with borderline personality disorder (BPD) struggle to identify whom they can safely trust, and this struggle contributes to profound emotional turmoil in their close relationships. Transference-focused psychotherapy (TFP) is an application of object relations theory (ORT) that posits that polarized mental representations of self and other define the personality organization of BPD. TFP aims to utilize a clear treatment frame coupled with an analysis of the therapeutic relationship (i.e., the transference) to help individuals with BPD integrate their polarized mental representations. Improvement in the capacity to trust others is inherent in the mechanisms of change in TFP. In this article, a social cognitive model of trust processing provides a new lens through which we formulate how TFP may enhance trust processing in BPD. Recent evidence from randomized clinical trials supports the argument that TFP may intervene with BPD in a way that is concordant with uniquely improved trust processing.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 5","pages":"620-632"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Accuracy and Bias in Facial Trustworthiness Appraisals in Borderline Personality Disorder. 边缘型人格障碍患者面部可信度评估的准确性和偏倚。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-10-01 DOI: 10.1521/pedi.2023.37.5.525
Annemarie Miano, Sophia Lustig, Luca Meyerding, Sven Barnow
{"title":"Accuracy and Bias in Facial Trustworthiness Appraisals in Borderline Personality Disorder.","authors":"Annemarie Miano,&nbsp;Sophia Lustig,&nbsp;Luca Meyerding,&nbsp;Sven Barnow","doi":"10.1521/pedi.2023.37.5.525","DOIUrl":"10.1521/pedi.2023.37.5.525","url":null,"abstract":"<p><p>Individuals with borderline personality disorder (BPD) have shown a negativity bias, whereas the general population has shown a positivity bias in their trustworthiness appraisal of others. We tested if individuals with BPD are more negative but also more realistic with their appraisals. Trustworthiness was objectified on an external criterion. The influence of childhood trauma was investigated. Facial photographs of peace prize laureates and sentenced murderers were presented. Participants with BPD and healthy controls (HC) rated the trustworthiness of the targets. Bias and sensitivity were measured using signal detection theory. The BPD group was more negatively biased compared to HC, but not more sensitive in discriminating between the two groups. When correcting for experienced childhood abuse and neglect, the authors found that group differences in bias disappeared. Individuals with BPD might not be more sensitive in discriminating between, on average, more or less trustworthy targets, but they have developed a negativity bias to ensure the detection of untrustworthiness.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 5","pages":"525-541"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Corrective Experiences to Enhance Trust: Clinical Wisdom From Good (Enough) Psychiatric Management. 增强信任的矫正经验：来自良好（足够）精神病管理的临床智慧。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-10-01 DOI: 10.1521/pedi.2023.37.5.559
Lois W Choi-Kain, Sara R Masland, Ellen F Finch
{"title":"Corrective Experiences to Enhance Trust: Clinical Wisdom From Good (Enough) Psychiatric Management.","authors":"Lois W Choi-Kain,&nbsp;Sara R Masland,&nbsp;Ellen F Finch","doi":"10.1521/pedi.2023.37.5.559","DOIUrl":"10.1521/pedi.2023.37.5.559","url":null,"abstract":"<p><p>Unstable trust within social interchange underlies the symptom constellation of borderline personality disorder (BPD), resulting in preoccupation with intense dyadic relationships, limited capacity for social collaboration, and constricted social networks. Good Psychiatric Management (GPM) provides a distilled formulation of how interpersonal hypersensitivities drive the engine of BPD's symptomatic oscillations in both affect and attachment. The authors summarize clinically relevant conclusions from the empirical literature on trust in BPD, synthesize it with selected ideas from other empirically supported interventions, and distill a formulation of how the GPM approach can address problems of trust in BPD with strategies most clinicians can use to improve their work with patients. GPM's clinical management approach utilizes common factors in psychotherapy to structure collaboration with patients to be accountable partners in treatment, rely on themselves more to diminish unrealistic demands on others, and function more effectively in arenas that expand and stabilize their social network.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 5","pages":"559-579"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Modulation of Trust in Borderline Personality Disorder by Script-Based Imaginal Exposure to Betrayal. 基于脚本的想象暴露于背叛对边缘型人格障碍信任的调节。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-10-01 DOI: 10.1521/pedi.2023.37.5.508
Rosa Shapiro-Thompson, Tanya V Shah, Caroline Yi, Nasir Jackson, Daniel Trujillo Diaz, Sarah K Fineberg
{"title":"Modulation of Trust in Borderline Personality Disorder by Script-Based Imaginal Exposure to Betrayal.","authors":"Rosa Shapiro-Thompson, Tanya V Shah, Caroline Yi, Nasir Jackson, Daniel Trujillo Diaz, Sarah K Fineberg","doi":"10.1521/pedi.2023.37.5.508","DOIUrl":"10.1521/pedi.2023.37.5.508","url":null,"abstract":"<p><p>Interpersonal and trust-related difficulties are central features of borderline personality disorder (BPD). In this study, we applied script-driven betrayal imagery to evoke mistrustful behavior in a social reinforcement learning task. In 21 BPD and 20 healthy control (HC) participants, we compared this approach to the standard confederate paradigm used in research studies. The script-driven imagery evoked a transient increase in negative affect and also decreased trusting behavior to a similar degree in both groups. Across conditions, we also replicated previously reported between-group differences in negative affect (increased in BPD) and task behavior (more sensitive to social cues in BPD). These results support the validity of script-driven imagery as an alternative social task stimulus. This script-driven imagery approach is appealing for clinical research studies on reinforcement learning because it eliminates deception, scales easily, and evokes disorder-specific states of social difficulty.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 5","pages":"508-524"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11002460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interpersonal Trust in Adolescents With Borderline Personality Disorder: Comparisons With Healthy and Psychiatric Controls. 边缘型人格障碍青少年的人际信任：与健康和精神控制的比较。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-10-01 DOI: 10.1521/pedi.2023.37.5.475
Carla Sharp, Amanda Venta, Veronica McLaren
{"title":"Interpersonal Trust in Adolescents With Borderline Personality Disorder: Comparisons With Healthy and Psychiatric Controls.","authors":"Carla Sharp,&nbsp;Amanda Venta,&nbsp;Veronica McLaren","doi":"10.1521/pedi.2023.37.5.475","DOIUrl":"10.1521/pedi.2023.37.5.475","url":null,"abstract":"<p><p>The aim of the current study was to utilize a well-known trust versus lottery paradigm to evaluate interpersonal trust in adolescents with borderline personality disorder (BPD). The study included 126 healthy controls, 59 inpatient adolescents with a diagnosis of BPD, and 137 inpatient adolescents without BPD. Alongside diagnostic measures, a questionnaire-based measure for assessing trust beliefs was administered to probe group differences in trust beliefs and associations between game behavior and trust beliefs. No main effect for group or condition was found. A significant interaction of trial and group was noted, suggesting that across games, psychiatric controls demonstrated the steepest increase in trust over time, followed by the BPD and healthy control groups. Healthy controls evidenced significantly higher levels of trust beliefs compared to BPD and psychiatric controls. Reasons for nonreplication of previously demonstrated anomalous game behavior in adults in this adolescent sample are discussed.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 5","pages":"475-489"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating Change in Transference, Interpersonal Functioning, and Trust Processes in the Treatment of Borderline Personality Disorder: A Single-Case Study Using Ecological Momentary Assessment. 评估迁移、人际功能和信任过程在治疗边缘型人格障碍中的变化：一项使用生态瞬时评估的个案研究。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-10-01 DOI: 10.1521/pedi.2023.37.5.490
Kevin B Meehan, Nicole M Cain, Michael J Roche, Eric A Fertuck, Julia F Sowislo, John F Clarkin
{"title":"Evaluating Change in Transference, Interpersonal Functioning, and Trust Processes in the Treatment of Borderline Personality Disorder: A Single-Case Study Using Ecological Momentary Assessment.","authors":"Kevin B Meehan,&nbsp;Nicole M Cain,&nbsp;Michael J Roche,&nbsp;Eric A Fertuck,&nbsp;Julia F Sowislo,&nbsp;John F Clarkin","doi":"10.1521/pedi.2023.37.5.490","DOIUrl":"10.1521/pedi.2023.37.5.490","url":null,"abstract":"<p><p>Transference-focused psychotherapy (TFP) is an empirically supported treatment for borderline personality disorder (BPD) that improves functioning via targeting representations of self affectively relating to others, particularly as evoked in the therapeutic relationship. If change in TFP operates as theorized, then shifts in patterns of \"self affectively relating to others\" should be observed in the transference prior to shifts in daily relationships. Using ecological momentary assessment (EMA), a patient with BPD rated daily interpersonal events for 2-week periods during 18 months of TFP; at 9 and 18 months these ratings included interactions with the therapist. Results suggest that positive perceptions of her therapist that ran counter to her negatively biased perception in other relationships preceded changes in her perceptions of others. EMA shifts corresponded to improvements in self-reported symptoms, interview-based personality functioning, and therapist assessments. Implications for assimilation of a trusting experience with the therapist as a mechanism of change in TFP are discussed.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 5","pages":"490-507"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trust in Therapeutic Work With Adolescents With and Without Personality Disorders: A Transference-Focused Therapy Perspective. 对有或没有人格障碍的青少年治疗工作的信任：以迁移为中心的治疗视角。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-10-01 DOI: 10.1521/pedi.2023.37.5.580
Karin Ensink, Lina Normandin
{"title":"Trust in Therapeutic Work With Adolescents With and Without Personality Disorders: A Transference-Focused Therapy Perspective.","authors":"Karin Ensink,&nbsp;Lina Normandin","doi":"10.1521/pedi.2023.37.5.580","DOIUrl":"10.1521/pedi.2023.37.5.580","url":null,"abstract":"<p><p>Trust is central to successful therapeutic work with adolescents, but establishing trust can be challenging, especially with adolescents with personality disorders. We present our understanding of trust in working with adolescents with and without personality disorders. We draw on complementary and overlapping perspectives, namely the attachment model, Kernberg's object relations model, and Fonagy's mentalization model. In Kernberg's object relations conceptualization, difficulties in trust experienced by patients with borderline personality disorders result from paranoia associated with splitting and identity diffusion. In Fonagy's mentalization model, epistemic trust is rooted in early experiences of being responded to and understood. We outline how techniques used in transference-focused psychotherapy for adolescents promote the development of the adolescent's capacity to trust by facilitating identity integration, thus reducing paranoia. Finally, we use two clinical case illustrations to demonstrate how trust unfolds in working with adolescents with and without personality disorders.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 5","pages":"580-603"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Becoming Trustworthy in Treating Patients With Borderline Personality Disorder. 治疗边缘型人格障碍患者值得信赖。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-10-01 DOI: 10.1521/pedi.2023.37.5.604
Jon G Allen
{"title":"Becoming Trustworthy in Treating Patients With Borderline Personality Disorder.","authors":"Jon G Allen","doi":"10.1521/pedi.2023.37.5.604","DOIUrl":"10.1521/pedi.2023.37.5.604","url":null,"abstract":"<p><p>No one doubts the importance of trust in psychotherapy, but few therapists think about the complexities of trusting relationships, and the trustworthiness that would justify trusting remains far from view. Fortunately, inasmuch as trusting and trustworthiness are inherently ethical concepts, contemporary philosophers have given trust the consideration it warrants. Integrating science and philosophy, the author reviews the broad scope and multifaceted nature of trust and trustworthiness, the social-cognitive development of trust, and the development of distrust in the context of borderline personality disorder. Without questioning therapists' character, the author makes the case for shifting the emphasis from the patient's distrust to the therapist's challenge to become trustworthy in the course of each treatment relationship and, more broadly, over the course of a professional career.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 5","pages":"604-619"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Is Personality Pathology Ego-Syntonic? Self- and Meta-Perception of Maladaptive Personality Traits. 人格病理学是自我通素吗？适应不良人格特征的自我和元认知。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-08-01 DOI: 10.1521/pedi.2023.37.4.383
Brinkley M Sharpe, Chelsea E Sleep, Nathan T Carter, Donald R Lynam, Joshua D Miller
{"title":"Is Personality Pathology Ego-Syntonic? Self- and Meta-Perception of Maladaptive Personality Traits.","authors":"Brinkley M Sharpe,&nbsp;Chelsea E Sleep,&nbsp;Nathan T Carter,&nbsp;Donald R Lynam,&nbsp;Joshua D Miller","doi":"10.1521/pedi.2023.37.4.383","DOIUrl":"10.1521/pedi.2023.37.4.383","url":null,"abstract":"<p><p>Research has challenged the assumption that personality pathology is \"ego-syntonic\" or perceived favorably and consistent with one's self-image. The present study employed a community sample (<i>n</i> = 401) to examine relations between self-rated maladaptive personality and liking of maladaptive traits in self and others as well as meta-perception of personality pathology (i.e., how likable participants believe others find maladaptive traits). In general, individuals with higher self-rated maladaptive traits provided higher ratings of the likability of these traits in themselves and others. However, as hypothesized, comparison of liking ratings for high scorers and the rest of the sample revealed that individuals who score high on most pathological personality traits do not \"like\" these traits (or rate others as \"liking\" them) but simply dislike them less. Results support a dimensional view of ego-syntonicity.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 4","pages":"383-405"},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathways to Health Reported by Patients With Borderline Personality Disorder With a Good Overall Outcome Versus a Fair-Poor Outcome Over 24 Years of Prospective Follow-Up. 在24年的前瞻性随访中，边缘型人格障碍患者报告的总体结果良好与较差的健康途径。
IF 2.3 3区 医学
Journal of Personality Disorders Pub Date : 2023-08-01 DOI: 10.1521/pedi.2023.37.4.456
Mary C Zanarini, Katherine E Hein, Christina M Temes, Frances R Frankenburg, Garrett M Fitzmaurice
{"title":"Pathways to Health Reported by Patients With Borderline Personality Disorder With a Good Overall Outcome Versus a Fair-Poor Outcome Over 24 Years of Prospective Follow-Up.","authors":"Mary C Zanarini,&nbsp;Katherine E Hein,&nbsp;Christina M Temes,&nbsp;Frances R Frankenburg,&nbsp;Garrett M Fitzmaurice","doi":"10.1521/pedi.2023.37.4.456","DOIUrl":"10.1521/pedi.2023.37.4.456","url":null,"abstract":"<p><p>Our objective was to determine pathways to health reported by patients with borderline personality disorder (BPD) who had and had not attained a good overall outcome over 24 years of prospective follow-up. Overall outcome symptomatically and psychosocially and 11 pathways to health related to vocation, relationships, activities, and psychiatric treatment that patients reported were helpful to their functioning or feeling better about themselves were assessed at 12 contiguous 2-year follow-up periods using a semistructured interview. Good outcome patients reported significantly higher rates of pathways related to work performance, relationships with friends, relationship with a partner/spouse, and athletic activities. In contrast, patients with a fair-poor outcome reported significantly higher rates of psychotherapy and psychotropic medication as pathways. Taken together, the results of this study suggest that a good overall outcome is significantly associated with reported vocational, interpersonal, and activity pathways, while a fair-poor outcome is significantly associated with reported treatment-related pathways.</p>","PeriodicalId":48175,"journal":{"name":"Journal of Personality Disorders","volume":"37 4","pages":"456-468"},"PeriodicalIF":2.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10672554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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