Ueli Kramer1,2, Catherine F Eubanks3, Katja Bertsch4, Sabine C Herpertz5, Shelley McMain6, Lars Mehlum7, Babette Renneberg8, Johannes Zimmermann9. 1. University of Lausanne, Lausanne, Switzerland. Ueli.Kramer@chuv.ch. 2. University of Windsor, Windsor, Canada. Ueli.Kramer@chuv.ch. 3. Adelphi University, Garden City, NY, USA. 4. Ludwig-Maximilians-Universität Munich, Munich, Germany. 5. Universitätsklinikum Heidelberg, Heidelberg, Germany. 6. Centre for Addiction and Mental Health (CAMH) and University of Toronto, Toronto, Canada. 7. National Centre for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. 8. Freie Universität Berlin, Berlin, Germany. 9. University of Kassel, Kassel, Germany.
Abstract
PURPOSE OF REVIEW: Individuals with personality disorders are frequently seen in mental health settings. Their symptoms typically reflect a high level of suffering and burden of disease, with potentially harmful societal consequences, including costs related to absenteeism at work, high use of health services, ineffective or harmful parenting, substance use, suicidal and non-suicidal self-harming behavior, and aggressiveness with legal consequences. Psychotherapy is currently the first-line treatment for patients with personality disorders, but the study of psychotherapy in the domain of personality disorders faces specific challenges. RECENT FINDINGS: Challenges include knowing what works for whom, identifying which putative mechanisms of change explain therapeutic effects, and including the social interaction context of patients with a personality disorder. By following a dimensional approach, psychotherapy research on personality disorders may serve as a model for the development and study of innovative psychotherapeutic interventions. We recommend developing the following: (a) an evidence base to make treatment decisions based on individual features; (b) a data-driven approach to predictors, moderators, and mechanisms of change in psychotherapy; (c) methods for studying the interaction between social context and psychotherapy.
PURPOSE OF REVIEW: Individuals with personality disorders are frequently seen in mental health settings. Their symptoms typically reflect a high level of suffering and burden of disease, with potentially harmful societal consequences, including costs related to absenteeism at work, high use of health services, ineffective or harmful parenting, substance use, suicidal and non-suicidal self-harming behavior, and aggressiveness with legal consequences. Psychotherapy is currently the first-line treatment for patients with personality disorders, but the study of psychotherapy in the domain of personality disorders faces specific challenges. RECENT FINDINGS: Challenges include knowing what works for whom, identifying which putative mechanisms of change explain therapeutic effects, and including the social interaction context of patients with a personality disorder. By following a dimensional approach, psychotherapy research on personality disorders may serve as a model for the development and study of innovative psychotherapeutic interventions. We recommend developing the following: (a) an evidence base to make treatment decisions based on individual features; (b) a data-driven approach to predictors, moderators, and mechanisms of change in psychotherapy; (c) methods for studying the interaction between social context and psychotherapy.
Authors: Hailey L Dotterer; Adriene M Beltz; Katherine T Foster; Leonard J Simms; Aidan G C Wright Journal: Psychol Med Date: 2019-10-10 Impact factor: 7.723
Authors: Johannes Zimmermann; William C Woods; Sven Ritter; Moritz Happel; Oliver Masuhr; Ulrich Jaeger; Carsten Spitzer; Aidan G C Wright Journal: Psychol Assess Date: 2019-03-14
Authors: Brian A Nosek; Charles R Ebersole; Alexander C DeHaven; David T Mellor Journal: Proc Natl Acad Sci U S A Date: 2018-03-13 Impact factor: 12.779