The weirdness of having a bunch of other minds like yours in the room: The lived experiences of mentalization ‐based therapy for borderline personality disorder

ConclusionOur research aligns with current thought regarding the complexity and challenges of treating BPD via psychotherapy and adds a further dimension, that of experiencing MBT and changes during therapy. The participants ’ experiences of BPD and of experiencing MBT are discussed.Practitioner points Therapists are observant of how each client gives meaning to their experience of diagnosis, the group, and change, particularly since the experience of recovery is not all positive. Service users ’ emergingand ongoing construction of their experience of diagnosis is closely monitored and additional appropriate strategies implemented where necessary. The impact of joining MBT, especially the group, becomes a process for formal regular review. Therapists undertake an in ‐depth exploration of service users’ felt experiences to capture less quantifiable dimensions of change.
Source: Psychology and Psychotherapy: Theory, Research and Practice - Category: Psychiatry & Psychology Authors: Tags: Qualitative paper Source Type: research

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Authors: Wongpakaran N, Wongpakaran T, Kuntawong P Abstract The study aimed to development a short screening scale for borderline personality disorder (Short-Bord), and to validate its psychometric properties using Rasch analysis. Ninety-eight outpatients undergoing psychotherapy were evaluated using a semistructured diagnostic interview for DSM-IV Personality disorders. Correlational analysis and Rasch analysis were used to identify the best-fitted items for the shorter scale. Rasch analysis identified three underfitted items. The best five items were selected for the Short-Bord using two analyses, resulting in tw...
Source: Asian Journal of Psychiatry - Category: Psychiatry Tags: Asian J Psychiatr Source Type: research
Our work provides important new insights about treatment prediction in a specific mental disorder of high clinical relevance that is borderline personality disorder, using random forest classification based on functional and structural MRI data as well as clinical and demographical data. Our findings now show proof of principle that random forest models can provide predictions of therapy response with good test characteristics (here up to 76.08% mean accuracy, 0.77 mean sensitivity, and 0.81 mean specificity) and underline the power of random forest classifications in general. AbstractIntroductionIndividualized treatment p...
Source: Brain and Behavior - Category: Neurology Authors: Tags: ORIGINAL RESEARCH Source Type: research
CONCLUSION: The overall clinical presentation when AVH occur in BPD can assist in determining a primary diagnosis of BPD when frank psychotic disorder is absent. AVH in BPD cannot be distinguished phenomenologically from AVH in SCZ. Clinical experience and increasing research suggest that AVH in BPD are often dissociative in origin and highly correlated with the presence of FRS, elevated levels of dissociation and a history of childhood trauma. When AVH occur in BPD in the absence of co-occurring psychotic disorder, formal thought disorder is usually absent, negative symptoms minimal or absent, bizarre symptoms absent, aff...
Source: Australasian Psychiatry - Category: Psychiatry Authors: Tags: Australas Psychiatry Source Type: research
ConclusionsOur results do not support models postulating BPD-specific affective hyperreactivity. HAP and LAP have different trajectories, depending on the degree of psychopathology. The resilience-enhancing potential of a PA-focus in psychotherapy needs further research.
Source: Journal of Behavior Therapy and Experimental Psychiatry - Category: Psychiatry Source Type: research
ConclusionsThree modalities of brief, contextual behavioural therapy proved to be useful in decreasing BPD symptom severity and emotional dysregulation, as well as negative interpersonal attachment. These changes were related to the reduction of experiential avoidance and the acquisition of mindfulness skills in all treatment groups, which may explain why no differences between the three different intervention modalities were observed.Practitioner points Brief adaptations of acceptance and commitment therapy and dialectical behavioural therapy are effective interventions for BPD patients, in combined or isolated modaliti...
Source: Psychology and Psychotherapy: Theory, Research and Practice - Category: Psychiatry & Psychology Authors: Tags: Original Article Source Type: research
 When Pauline Dakin was 10 years old, her mother took the family into hiding to escape imminent danger.  Fifteen years later, Pauline was told that they were on the run from the mafia.  At first, accepting of this explanation, Pauline’s doubts grew until she could no longer deny the truth: that there was no danger and she was being misled. Join us as Pauline shares how she came to this heartbreaking conclusion. SUBSCRIBE &REVIEW   Guest information for ‘Delusional Disorder’ Podcast Episode Pauline Dakin is the bestselling author of Run, Hide, Repeat: A Memoir of a Fugitive Childhoo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Borderline Personality Schizophrenia The Psych Central Show Trauma Source Type: blogs
AbstractThe aim of this study was to investigate whether (a) baseline levels of panic-specific reflection function (PSRF; i.e. patients ’ capacity to reflect on their panic symptoms) and improvement in this capacity over treatment, (b) baseline borderline personality disorder (BPD) traits and pre–post treatment improvement in BPD traits predict change in patients’ quality of object relations (QORs). A subsample of 102 patients diagnosed with panic disorder from a larger randomized controlled trial received either Cognitive-Behavioral Therapy or Panic-Focused Psychodynamic Psychotherapy. We investigated wh...
Source: Journal of Contemporary Psychotherapy - Category: Psychiatry & Psychology Source Type: research
Authors: Farrés CCI, Elices M, Soler J, Domínguez-Clavé E, Martín-Blanco A, Pomarol-Clotet E, Salvador R, Martinez-Horta S, Pascual JC Abstract Patients with borderline personality disorder (BPD) present dysfunctions of the default mode network (DMN). Mindfulness training has proven effective to improve the symptoms of BPD. The present study examines the effect of mindfulness training on BPD symptomatology and DMN activity during the performance of a working memory task in patients with BPD. Sixty-five individuals with BPD were randomized to receive psychotherapy with either the Mindfuln...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research
AbstractPersonality disorders (PD) are common and burdensome mental disorders. The treatment of individuals with PD represents one of the more challenging areas in the field of mental health and health care providers need evidence-based recommendations to best support patients with PDs. Clinical guidelines serve this purpose and are formulated by expert consensus and/or systematic reviews of the current evidence. In this review, European guidelines for the treatment of PDs are summarized and evaluated. To date, eight countries in Europe have developed and published guidelines that differ in quality with regard to recency a...
Source: Borderline Personality Disorder and Emotion Dysregulation - Category: Psychiatry Source Type: research
ConclusionsThe current Australian mental health system is not designed to best meet the needs of people living with BPD, which remains highly stigmatised and misunderstood. Future research should consider how the system could be modified or restructured to better support recovery for these individuals and others with complex mental illness.
Source: Australian Psychologist - Category: Psychiatry & Psychology Authors: Tags: ORIGINAL ARTICLE Source Type: research
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