By W. John Livesley MD PhD, Giancarlo Dimaggio, John F. Clarkin PhD
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Additional info for Integrated Treatment for Personality Disorder: A Modular Approach
Changes in the alliance, such as decreased involvement, are noted. The patient’s attention is drawn to the event, the reasons for the rupture, and the way in which it was experienced; these things are explored, and the patient is encouraged to express any negative feelings about the event. 3. The therapist validates the patient’s account of the experience. 4. If these steps are not effective, attention focuses on how the patient avoids recognizing and exploring the rupture. 5. The therapist acknowledges his or her contribution to the relationship problem and promotes joint reflection on the reasons that things went awry and how to reestablish a collaborative bond.
Et al. (2006). Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs. transference-focused therapy. Archives of General Psychiatry, 63, 649–658. Gullestad, F. , Johansen, M. , & Wilberg, T. (2013). Mentalization as a moderator of treatment effects: Findings from a randomized clinical trial for personality disorders. Psychotherapy Research, 23(6), 674–689. Gullestad, F. , Johansen, M. , & Karterud, S. (2012). : 36 months follow-up of a randomized clinical trial comparing different treatment modalities.
The chapter concludes by illustrating the use of these strategies in treating a case of BPD. In Chapter 13, Paolo Ottavi, Tiziana Passarella, Manuela Pasinetti, Giampaolo Salvatore, and Giancarlo Dimaggio consider the role of mindfulness in treating personality disorder, especially its value in treating the ruminative tendencies observed in many patients. After considering the ways standard mindfulness protocols need to be modified for use with patients with severe personality pathology, they outline specific strategies and techniques and discuss their applications in specific cases.
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