title: A rational model for maximizing the effects of therapeutic relationship regulation in personality disorders with poor metacognition and over-regulation of affects.
abstract: BACKGROUND
  The therapeutic relationship plays a key role in personality disorder (PD) psychotherapy. Some aspects of therapeutic relationship regulation appear important for treatment of PD clients, including those with constricted relational schemas, poor metacognition, and over-regulation of affects described here. AIM.: To propose a rational model for how and when to work on the therapeutic relationship by treating the underlying personality pathology.
  
  
  METHODS
  Formalize a step-by-step procedure for performing operations such as validation of clients' experiences, creating a sense of sharedness, assessing the quality of the therapeutic relationship in order to prevent and repair ruptures in the alliance, self-disclosing by the therapist, and metacommunication on the basis of clients' responses to treatment.
  
  
  CONCLUSIONS
  We discuss the implications of this model for further research into the PD therapy process.
authors.affiliation: Third Center of Cognitive Psychotherapy - Training School Associazione di Psicologia Cognitiva (APC), Rome, Italy.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Dimaggio
authors.forename: Antonino
authors.initials: A
authors.lastname: Carcione
authors.forename: Giampaolo
authors.initials: G
authors.lastname: Salvatore
authors.forename: Antonio
authors.initials: A
authors.lastname: Semerari
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Nicolò
mesh_terms: D000339:Affect; D003299:Cooperative Behavior; D006801:Humans; D000067489:Metacognition; D008960:Models, Psychological; D010554:Personality Disorders / Q000628:therapy*; D011369:Professional-Patient Relations; D011613:Psychotherapy / Q000379:methods*