Samenvatting
lecture 6 full summary personality disorder
- Instelling
- Erasmus Universiteit Rotterdam (EUR)
Lecture 6 summary on all literatures and the lecture :)
[Meer zien]Voorbeeld 3 van de 28 pagina's
Voorbeeld 3 van de 28 pagina's
In winkelwagengesponsord bericht van onze partner
Verkoper
Volgen
Voorbeeld van de inhoud
Lecture 6 – Individual TreatmentLearning goals:
• For MBT, TFT, SFT and DBT:
o To identify and distinguish the different models, key components of each model.
o To identify and distinguish the underlying working mechanism of each model.
o To apply this knowledge to clinical examples and illustrations.
o To identify the key characteristics of AIP and EMDR therapy for PD.
o To identify the key characteristics of effective research re: psychotherapy.
o Dodo-bird hypothesis and pitfalls.
o Factors responsible for therapeutic change.
o Differences over time (pre/during/post).
o To apply knowledge re: the effectiveness of psychotherapy to evaluate research findings and
statements.
à Treatment Models of PDs
1. Mentalisation-Based Therapy (MBT) à psychodynamically orientated.
- Mentalization = capacity to understand/interpret underlying mental states of
behaviours
o Involves making sense of self/other actions based on mental states
= desires, feelings, beliefs.
o Capacity that develops through having experienced oneself in the
mind of another during childhood (empathy?) within an attachment
context (developmental achievement)
o Crucial to self-regulation, constructive, intimate relationships.
- How to we learn to mentalize
, - Goal
• To target mentalisation to foster the development of stable internal
representations.
• To aid the formation of a coherent sense of self and enable the patient to
form more secure relationships in which (motivations of) the self/other are
better understood.
- Objective: From pre-mentalizing states to mentalizing
• Teleological mode: actions = reality.
• Psychic equivalence: mental reality = outer reality.
• Pretend mode: external world is shut out.
- Therapist
• Here-and-now
• Not-knowing, empathic attitude.
• (active): “stop-rewind-explore”.
• Short interventions based on feelings.
2. Schema Focused Therapy (SFT) à Cognitive behaviourally orientated.
- Cognitive therapy dealing with early maladaptive schemas, focusing on deepest level
of cognition.
- Schemas are self-defeating emotional/cognitive patterns established from childhood,
repeated through life.
- Early Maladaptive Schemas used as basic unit of analysis, schema modes therapy
developed for PDs, BPD.
3. Dialectical Behaviour Therapy (DBT) à Cognitive behaviourally orientated.
4. Transference Focused Psychotherapy (TFP) à psychodynamically orientated
Emmelkamp 2020, Personality Disorders, Chapter 10 – Treatment of Personality Disorders
Treatment for Mixed Cluster C PDs
- Psychodynamic psychotherapy – confrontational + more supportive approach
• Predominantly cluster C patient sig. improvement on measure or distress,
social functioning.
• ST Dynamic vs. Cognitive Therapy
• Both groups improved and continued to at 2 years, in distress, avoidant
behaviour.
- Schema Therapy vs alternative
• Greater proportion of patients recovered in schema therapy.
• Effective in older Cluster C patients (mean 69), LT results less positive.
• More symptomatic complaints LT, but Cluster B improved in SFT in LT.
, Avoidant PD – formed persistent negative representations that direct their social encounters.
o Behavioural approaches/strategies (exposure, social skills training) effective than controls.
• Interpersonal problems related to distrust; anger decreased from exposure
but not from SST.
• Interpersonal problems related to being coerced, controlled benefitted from
both types of strategies.
- Cognitive therapy, focusing on negative schemas/cognitions.
• Since patients may misinterpret ambiguous social info., includes to infer
rejection they will avoid social situations.
• Cognitive/behavioural strategies challenge these negative
inferences/expectations on social encounters.
• Behavioural exposure helps patients habituate to aversive social stimulation.
- CBT vs Brief Dynamic Therapy
• CBT assumption that anxiety/avoidance = maladaptive beliefs/thoughts.
• Socratic dialogue, monitoring of beliefs, analysis of pro/cons of avoidance,
active monitoring/scheduling, graded exposure assignments, behavioural
experiments, role play.
• BDT assumes anxiety/avoidance = unconscious psychodynamic conflicts
(shame).
• Unconscious conflict can be clarified/resolved with expressive techniques:
clarification, confrontation, interpretations.
• Supportive techniques: suggestion, reassurance, encouragement, therapist
clarifies not confront defences to regulate not provoke anxiety.
• Treatment directs at defence/affect restructuring.
o CBT more effective than BDT.
Psychotherapy for BPD
CBT for BPD
o Identify core dysfunctional beliefs/automatic thoughts (negative, polarized, extreme
helplessness, distrust, fear of abandonment/rejection.
DBT: structured, compassionate approach, focus on problems of dysregulation.
- Emotional dysregulation (from interaction between biologically emotional vulnerable
person and invalidating environment= invalidating the person, leading to
dysregulation of interpersonal/cognitive domains) as core of BPD.
- DBT based on CBT combined with acceptance, mindfulness, and dialects.
- CBT aids change, DBT emphasizes importance of support/acceptance in
promoting/learning changes.
- Differs from CBT as it directed to teaching new skills than emphasizing cognitive
restructuring.
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper karachwt. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €9,16. Je zit daarna nergens aan vast.
Is Stuvia te vertrouwen?
4,6 sterren op Google & Trustpilot (+1000 reviews)
Afgelopen 30 dagen zijn er 64438 samenvattingen verkocht
Opgericht in 2010, al 14 jaar dé plek om samenvattingen te kopen