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Scott Kellogg - One of the best experts on this subject based on the ideXlab platform.

  • schema therapy for Borderline Personality Disorder
    Journal of Clinical Psychology, 2006
    Co-Authors: Scott Kellogg, Jeffrey Young
    Abstract:

    This article presents the Schema Therapy (Young, Klosko, & Weishaar, 2003) approach to the treatment of Borderline Personality Disorder. Schema therapy draws on the cognitive-behavioral, attachment, psychodynamic, and emotion-focused traditions and conceptualizes patients who have Borderline Personality Disorder as being under the sway of five modes or aspects of the self. The goal of the therapy is to reorganize this inner structure. To this end, there are four core mechanisms of change that are used in this therapy: (1) limited reparenting, (2) experiential imagery and dialogue work, (3) cognitive restructuring and education, and (4) behavioral pattern breaking. These interventions are used during the three phases of treatment: (1) bonding and emotional regulation, (2) schema mode change, and (3) development of autonomy. © 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 445–458, 2006.

  • schema therapy for Borderline Personality Disorder
    Journal of Clinical Psychology, 2006
    Co-Authors: Scott Kellogg, Jeffrey E Young
    Abstract:

    This article presents the Schema Therapy (Young, Klosko, & Weishaar, 2003) approach to the treatment of Borderline Personality Disorder. Schema therapy draws on the cognitive-behavioral, attachment, psychodynamic, and emotion-focused traditions and conceptualizes patients who have Borderline Personality Disorder as being under the sway of five modes or aspects of the self. The goal of the therapy is to reorganize this inner structure. To this end, there are four core mechanisms of change that are used in this therapy: (1) limited reparenting, (2) experiential imagery and dialogue work, (3) cognitive restructuring and education, and (4) behavioral pattern breaking. These interventions are used during the three phases of treatment: (1) bonding and emotional regulation, (2) schema mode change, and (3) development of autonomy.

Nadine Nehls - One of the best experts on this subject based on the ideXlab platform.

  • Borderline Personality Disorder the voice of patients
    Research in Nursing & Health, 1999
    Co-Authors: Nadine Nehls
    Abstract:

    The purpose of this interpretive phenomenological study was to generate knowledge about the experience of living with the diagnosis of Borderline Personality Disorder. Persons identified as meeting DSM-III-R (American Psychiatric Association, 1987) or DSM-IV (American Psychiatric Association, 1994) criteria for Borderline Personality Disorder were invited to participate in a private interview focusing on what it means to live with the diagnosis. The data were analyzed using the procedures of interpretive phenomenological data analysis (Benner, 1994; Diekelmann, Allen, & Tanner, 1989). Three themes were identified: (a) living with a label, (b) living with self-destructive behavior perceived as manipulation, and (c) living with limited access to care. The findings suggest that mental health care for persons with Borderline Personality Disorder could be improved by confronting prejudice, understanding self-harm, and safeguarding opportunities for dialogue. © 1999 John Wiley & Sons, Inc. Res Nurs Health 22:285–293, 1999

  • Borderline Personality Disorder: The voice of patients
    Research in nursing & health, 1999
    Co-Authors: Nadine Nehls
    Abstract:

    The purpose of this interpretive phenomenological study was to generate knowledge about the experience of living with the diagnosis of Borderline Personality Disorder. Persons identified as meeting DSM-III-R (American Psychiatric Association, 1987) or DSM-IV (American Psychiatric Association, 1994) criteria for Borderline Personality Disorder were invited to participate in a private interview focusing on what it means to live with the diagnosis. The data were analyzed using the procedures of interpretive phenomenological data analysis (Benner, 1994; Diekelmann, Allen, & Tanner, 1989). Three themes were identified: (a) living with a label, (b) living with self-destructive behavior perceived as manipulation, and (c) living with limited access to care. The findings suggest that mental health care for persons with Borderline Personality Disorder could be improved by confronting prejudice, understanding self-harm, and safeguarding opportunities for dialogue.

  • Borderline Personality Disorder and group therapy.
    Archives of Psychiatric Nursing, 1991
    Co-Authors: Nadine Nehls
    Abstract:

    Abstract This study examined the process and outcome of group therapy for community health center clients with Borderline Personality Disorder. The results indicated that group members rated Yalom's curative factors to be increasingly helpful over time, and that universality and existential factors were consistently ranked as very helpful group process variables. The group sessions also were associated with positive outcomes, as evidenced by significant improvement in Goal Attainment Scale scores and the depression and hostility scales of the Brief Symptom Inventory. The results of this study suggest that group therapy is a valued and effective treatment option for people with Borderline Personality Disorder.

Jeffrey E Young - One of the best experts on this subject based on the ideXlab platform.

  • schema therapy for Borderline Personality Disorder
    Journal of Clinical Psychology, 2006
    Co-Authors: Scott Kellogg, Jeffrey E Young
    Abstract:

    This article presents the Schema Therapy (Young, Klosko, & Weishaar, 2003) approach to the treatment of Borderline Personality Disorder. Schema therapy draws on the cognitive-behavioral, attachment, psychodynamic, and emotion-focused traditions and conceptualizes patients who have Borderline Personality Disorder as being under the sway of five modes or aspects of the self. The goal of the therapy is to reorganize this inner structure. To this end, there are four core mechanisms of change that are used in this therapy: (1) limited reparenting, (2) experiential imagery and dialogue work, (3) cognitive restructuring and education, and (4) behavioral pattern breaking. These interventions are used during the three phases of treatment: (1) bonding and emotional regulation, (2) schema mode change, and (3) development of autonomy.

Jeffrey Young - One of the best experts on this subject based on the ideXlab platform.

  • schema therapy for Borderline Personality Disorder
    Journal of Clinical Psychology, 2006
    Co-Authors: Scott Kellogg, Jeffrey Young
    Abstract:

    This article presents the Schema Therapy (Young, Klosko, & Weishaar, 2003) approach to the treatment of Borderline Personality Disorder. Schema therapy draws on the cognitive-behavioral, attachment, psychodynamic, and emotion-focused traditions and conceptualizes patients who have Borderline Personality Disorder as being under the sway of five modes or aspects of the self. The goal of the therapy is to reorganize this inner structure. To this end, there are four core mechanisms of change that are used in this therapy: (1) limited reparenting, (2) experiential imagery and dialogue work, (3) cognitive restructuring and education, and (4) behavioral pattern breaking. These interventions are used during the three phases of treatment: (1) bonding and emotional regulation, (2) schema mode change, and (3) development of autonomy. © 2006 Wiley Periodicals, Inc. J Clin Psychol 62: 445–458, 2006.

Mary C. Zanarini - One of the best experts on this subject based on the ideXlab platform.

  • Comorbidity of Borderline Personality Disorder: Current Status and Future Directions.
    The Psychiatric clinics of North America, 2018
    Co-Authors: Ravi V. Shah, Mary C. Zanarini
    Abstract:

    Patients with Borderline Personality Disorder have high rates of comorbid mood, anxiety, substance use, and eating Disorders. The longitudinal studies conducted on Borderline patients over 10 years of prospective follow-up suggest that patients with Borderline Personality Disorder experienced declining rates of Axis I Disorders over time, but the rates of these Disorders remained high compared with those with other Personality Disorders. In addition, patients whose Borderline Personality Disorder remitted over time experienced a substantial decline in all comorbid Axis I Disorders, but those whose Borderline Personality Disorder did not remit over time, reported stable rates of comorbid Disorders.

  • Major Depressive Disorder and Borderline Personality Disorder Revisited: Longitudinal Interactions
    The Journal of clinical psychiatry, 2004
    Co-Authors: John G. Gunderson, Thomas H. Mcglashan, Leslie C. Morey, Robert L. Stout, Andrew E. Skodol, M. Tracie Shea, Mary C. Zanarini, Carlos M. Grilo, Charles A. Sanislow, Shirley Yen
    Abstract:

    Background: This report investigates the longitudinal association of changes in major depressive Disorder (MDD) and Borderline Personality Disorder. Method: A DSM-IV-diagnosed sample of 161 patients with Borderline Personality Disorder who have been followed with repeated measures at 6, 12, 24, and 36 months are investigated to see whether those with co-occurring MDD differ at baseline and in their course. Proportional hazard regression and cross-lagged panel analyses are used to demonstrate whether changes in the course of either Disorder have predictable effects on the course of the other. Results: The rate of remissions of Borderline Personality Disorder was not affected by whether patients had co-occurring MDD. The rate of MDD remissions was significantly reduced by co-occurring Borderline Personality Disorder. Both regression analyses and panel analyses indicated that improvements in Borderline Personality Disorder were often followed by improvements in MDD but that improvements in MDD were not followed by improvements in Borderline Personality Disorder. Five of the 9 Borderline criteria, including those that most relate to affects, were particularly apt to remit prior to MDD remissions. Conclusions: When Borderline Personality Disorder and MDD co-occur, they can sometimes have independent courses, but more often improvements in MDD are predicted by prior improvements in Borderline Personality Disorder. Clinicians should not ignore Borderline Personality Disorder in hopes that treatment of MDD will be followed by improvement of Borderline Personality Disorder.

  • Update on pharmacotherapy of Borderline Personality Disorder.
    Current psychiatry reports, 2004
    Co-Authors: Mary C. Zanarini
    Abstract:

    Pharmacotherapy is a very common form of treatment for Borderline Personality Disorder or its concomitant Disorders. This paper reviews all the open-label and placebo-controlled trials of second generation medications studied in samples of well-defined Borderline patients. Most of the medications studied in double-blind, placebo-controlled trials were efficacious. Most of these medications were also useful in treating symptoms of affective dysregulation and impulsive aggression, which have been suggested to be the core dimensions of psychopathology of underlying Borderline Personality Disorder. Taken together, the results of these studies suggest that the choice of medication can be guided as much by tolerability and safety as by symptom presentation. It also suggests that the common practice of polypharmacy, which has no empiric support, may be unnecessary for most patients with Borderline Personality Disorder.