title: Change in biased thinking in a 10-session treatment for borderline personality disorder: further evidence of the motive-oriented therapeutic relationship.
abstract: Borderline Personality Disorder (BPD) is characterized by both maladaptive thinking and problematic schemas. Kramer and colleagues (2011) showed that using the motive-oriented therapeutic relationship (MOTR), based on the individualized understanding of the patient according to Plan Analysis (Caspar, 2007), can improve treatment outcomes for BPD. The present process-outcome pilot study aimed to examine the effects of the motive-oriented therapeutic relationship on the cognitive biases of patients with BPD. Change in biased cognitions in N=10 patients who were subject to MOTR was compared to that of N=10 patients who received psychiatric-psychodynamic treatment (Gunderson & Links, 2008). Results show a greater decrease in over-generalizations in patients who received MOTR, compared to the patients who received the psychiatric-psychodynamic treatment. These changes were related to outcome in various ways. These findings underline the importance of an individualized case formulation method in bringing about therapeutic change.
authors: a Department of Psychiatry-CHUV , Institute of Psychotherapy, Cèdres-Cery , Prilly-Lausanne , Switzerland.
authors: Ueli
authors: U
authors: Kramer
authors: Franz
authors: F
authors: Caspar
authors: Martin
authors: M
authors: Drapeau
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation / Q000502:physiology*; D011369:Professional-Patient Relations; D011613:Psychotherapy / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult