Top

Gepubliceerd in:

01-02-2008 | Artikel

Nieuwe ontwikkelingen in de behandeling van de borderlinepersoonlijkheidsstoornis?

Een vergelijkende analyse en implicaties voor toekomstig onderzoek

Auteurs: Drs. J. A. Koelen, E. H. M. Eurelings-Bontekoe

Gepubliceerd in: Tijdschrift voor Psychotherapie | Uitgave 1/2008

Samenvatting

New developments in the treatment of borderline personality disorder? A comparative analysis and implications for future research

This article provides an overview of current treatments of borderline personality disorder that have been systematically studied in randomized controlled trials: Mentalization-based treatment (MBT), Schema-focused therapy (SFT), Transference-focused psychotherapy (TFP) en Dialectical behavior therapy (DBT). Available knowledge concerning the absolute and relative efficacy of these treatments is discussed. It is concluded that particularly MBT, SFT and TFP seem efficacious, yet little is known about the mechanisms of change. Guidelines for future research are also discussed.

vorige artikel Inleiding

volgende artikel Kenmerken van helpende zelfonthulling

Agrawal, H.R., Gunderson, J.G., Holmes, B.M. & Lyons-Ruth, K. (2004). Attachment studies with borderline patients: a review. Harvard Review of Psychiatry, 12, 94-104.

American Psychiatric Association (1980/1987/1994/2000). Diagnostic and statistical manual of mental disorders (resp. 3^rd , 3^rd revised, 4^th en 4^th revised ed.). Washington DC: American Psychiatric Association.

Bales, D., Beek, N. van, & Bateman, A. (2007). Mentalization-Based Treatment voor patiënten met een borderline persoonlijkheidsstoornis. In E.H.M. Eurelings-Bontekoe, R. Verheul, & W.M. Snellen (red.), Handboek persoonlijkheidspathologie (p. 249-271). Houten: Bohn Stafleu van Loghum.

Bateman, A., & Fonagy, P. (2006). Mentalization-Based Treatment for borderline personality disorder. A practical guide. New York: Oxford University Press.

Bateman, A., & Fonagy, P. (2004a). Psychotherapy for borderline personality disorder. Mentalization-based treatment. Oxford University Press.

Bateman, A., & Fonagy, P. (2004b). Mentalization-based treatment of BPD. Journal of Personality Disorders, 18, 36-51.

Bateman, A., & Fonagy, P. (2003). Health service utilization costs for borderline personality disorder patients treated with psychoanalytically oriented partial hospitalization versus general psychiatric care. American Journal of Psychiatry, 160, 169-171.

Bateman, A., & Fonagy, P. (2001). Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: an 18-month follow-up. American Journal of Psychiatry, 158, 36-42.

Bateman, A., & Fonagy, P. (2000). Effectiveness of psychotherapeutic treatment of personality disorder. British Journal of Psychiatry, 177, 138-143.

Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial. American Journal of Psychiatry, 156, 1563-1569.

Battle, C.L., Shea, M.T., Johnson, D.M., Yen, S., Zlotnick, C., Zanarini, M.C., Sanislow, Ch. A., Skodol, A.E., Gunderson, J.G., Grilo, C.M., McGlashan, T.H. & Morey, L.C. (2004). Childhood maltreatment associated with adult personality disorders: findings from the collaborative longitudinal personality disorders study. Journal of Personality Disorders, 18, 193-211.

Blatt, S.J., Besser, A., & Ford, R.Q. (2007). Two primary configurations of psychopathology and change in thought disorder in long-term intensive inpatient treatment of seriously disturbed young adults. American Journal of Psychiatry, 164, 1561-1567.

Blatt, S.J., & Zuroff, D.C. (2005). Empirical evaluation of the assumptions in identifying evidence based treatments in mental health. Clinical Psychology Review, 25, 459-486.

Blatt, S.J., & Shahar, G. (2004). Psychoanalysis-with whom, for what, and how? Comparisons with psychotherapy. Journal of the American Psychoanalytic Association, 52, 393-447.

Blatt, S.J., Stayner, D.A., Auerbach, J.S., & Behrends, R.S. (1996). Change in object and self representations in long-term, intensive, inpatient treatment of seriously disturbed adolescents and young adults. Psychiatry, 59, 82-107.

Bosch, L.M.C. van den (2007). Dialectische Gedragstherapie. In E.H.M. Eurelings-Bontekoe, R. Verheul & W.M. Snellen (red.), Handboek persoonlijkheidspathologie (pp. 303-314). Houten: Bohn Stafleu van Loghum.

Bosch, L.M.C. van den, Koeter, M.W.J., Stijnen, T., Verheul, R., & Brink, W. Van den (2005). Sustained efficacy of dialectical behaviour therapy for borderline personality disorder. Behaviour Research and Therapy, 43, 1231-1241.

Bosch, L.M.C. van den (1999). Dialectische gedragstherapie bij de borderline persoonlijkheidsstoornis. In Tilburg, W. van, Brink, W. van den & Arntz, A., Behandelingsstrategieën bij de borderline persoonlijkheidsstoornis (p. 32-41). Houten/Diegem: Bohn Stafleu Van Loghum.

Carpendale, J.I.M., & Lewis, C. (2004). Constructing an understanding of mind: the development of children’s social understanding within social interaction. Behavioral and Brain Sciences, 27, 79-96.

Chiesa, M., Fonagy, P., Holmes, J., & Drahorad, C. (2004). Residential versus community treatment of personality disorders: a comparative study of three treatment programs. American Journal of Psychiatry, 161, 1463-1470.

Chiesa, M., Fonagy, P., & Homes, J. (2006). Six-year follow-up of three treatment programs to personality disorder. Journal of Personality Disorders, 20, 493-509.

Clarkin, J.F., Levy, K.N., Lenzenweger, M.F. & Kernberg, O.F. (2007). Evaluating three treatments for borderline personality disorders: a multiwave study. American Journal of Psychiatry, 164, 1-8.

Clarkin, J.F., Yeomans, F., & Kernberg, O.F. (2006). Psychotherapy for borderline personality. Focusing on object relations. American Psychiatric Publishing.

Clarkin, J.F., Levy, K.N., Lenzenweger, M.F., & Kernberg, O.F. (2004). The personality disorders institute/borderline personality disorder research foundation randomized control trial for borderline personality disorder: rationale, methods, and patients characteristics. Journal of Personality Disorders, 18, 52-72.

Diamond, D., Blatt, S.J., Stayner, D.A., & Kaslow, N. (1995). Differentiation-relatedness of self and object representations. Unpublished manuscript: New Haven: Yale University.

Diguer, L., Hébert, E., Gamache, D., Laverdière, O., Daoust, J.-P., & Pelletier, S. (2006). Personality Organization Diagnostic Form (PODF). Manual for Scoring, 2006 edition. Université Laval, Québec, Canada: Laboratoire de recherche sur la personnalité et la psychopathologie, Ecole de psychologie.

Dozier, M., Cue, K.L., & Barnett, L. (1994). Clinicians as caregivers: role of attachment organization in treatment. Journal of Consulting and Clinical Psychology, 62, 793-800.

Eurelings-Bontekoe, E.H.M., Verheul, R., & Snellen, W.M. (2007). Handboek persoonlijkheidspathologie. Houten: Bohn Stafleu van Loghum.

Eurelings-Bontekoe, E.H.M., & Snellen, W.M. (2004a). Dynamische persoonlijkheidsdiagnostiek. Lisse: Swets & Zeitlinger.

Eurelings-Bontekoe, E.H.M., & Snellen, W.M (2004b). Theoriegestuurde multidimensionele multi-trait-diagnostiek: Theorie en relevantie voor de psychotherapie. Tijdschrift voor Psychotherapie, 30, 397-413.

Exner, J.E. (2001). A Rorschach workbook for the comprehensive system (5^th ed.). Asheville, NC: Rorschach Workshops.

Fonagy, P., & Bateman, A. (2006a). Progress in the treatment of borderline personality disorder. British Journal of Psychiatry, 188, 1-3.

Fonagy, P., & Bateman, A. (2006b). Mechanisms of change in mentalization-based treatment of BPD. Journal of Clinical Psychology, 62, 411-430.

Fonagy, P., Target, M., Gergely, G., Allen, J.G., & Bateman, A. (2003).The developmental roots of borderline personality disorder in early attachment relationships: a theory and some evidence. Psychoanalytic Inquiry, 23, 412-459.

Fonagy, P., Gergely, G., Jurist, E.L., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York: Other Press.

Fonagy, P., Moran, G.S., Edgcumbe, R., Kennedy, H., & Target, M. (1993). The roles of mental representations and mental processes in therapeutic action. Psychoanalytic Study of the Child, 48, 9-48.

Giesen-Bloo, J.H., & Arntz, A. (2007). Reply to Dr Yeomans. Archives of General Psychiatry, 64, 610-611.

Giesen-Bloo, J.H., Dyck, R. van, Spinhoven, Ph., Tilburg, W. van, Dirksen, C., Asselt, Th. Van, Kremers, I., Nadort, M., & Arntz, A. (2006). Outpatient psychotherapy for borderline personality disorder. Randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 63, 649-658.

Giesen-Bloo, J.H. (2006). Crossing borders: theory, assessment and treatment in borderline personality disorder. Academisch Proefschrift. Universiteit Maastricht.

Gunderson, J.G. (1996). The borderline patient’s intolerance of aloneness: insecure attachments and therapist availability. American Journal of Psychiatry, 153, 752-758.

Hardy, G.E., Stiles, W.B., Barkham, M., & Startup, H. (1998). Therapist responsiveness to client interpersonal styles during time-limited treatments for depression. Journal of Consulting and Clinical Psychology, 66, 304-312.

Hoermann, S., Clarkin, J.F., Hull, J.W., & Levy, K.N. (2005). The construct of effortful control: an approach to borderline personality disorder heterogeneity. Psychopathology, 38, 82-86.

Høglend, P., Amlo, S., Marble, A., BØgwald, K., SØrbye, Ø., Sjaastad, M.C. e.a. (2006). Analysis of the patient-therapist relationship in dynamic psychotherapy: an experimental study of transference interpretations. American Journal of Psychiatry, 163, 1739-1746.

Horvath, A.O., & Bedi, R.P. (2002). The alliance. In J.C. Norcross (red.), Psychotherapy relationships that work. Therapist contributions and responsiveness to patients (p. 37-69). New York: Oxford University Press.

IJzendoorn, M.H. Van (1995). Adult attachment representations, parental responsiveness and infant attachment: a meta-analysis on the predictive validity of the Adult Attachment Interview. Psychological Bulletin, 117, 387-403.

Kellogg, S.H., & Young, J.E. (2006). Schema therapy for borderline personality disorder. Journal of Clinical Psychology, 62, 445-458.

Kernberg, O.F., & Caligor, E. (2005). A psychoanalytic theory of personality disorders. In M.F. Lenzenweger, & J.F. Clarkin (red.), Major theories of personality disorder (p. 114-156). New York: The Guilford Press.

Kernberg, O.F., Koenigsberg, H.W., Stone, M.H., Yeomans, F.E., Appelbaum, A.H., & Diamond, D. (2000). Borderline patients: extending the limits of treatability. New York: Basic Books.

Kernberg, O.F. (1976). Object relations theory and clinical psychoanalysis. New York: Jason Aronson Inc.

Koelen, J.A., Luyten, P., & Eurelings-Bontekoe, E.H.M. (2007). Visies op het borderline concept: Verleden, heden en toekomst. Identiteitsdiffusie of complex geheel. In E.H.M. Eurelings-Bontekoe, R. Verheul, & W.M. Snellen (red.), Handboek persoonlijkheidspathologie (p. 103-142). Houten: Bohn Stafleu van Loghum.

Lauteslager, M. (2006). Het evidence-beest heeft kuren. Gebruik en misbruik van EBP, RCT- en EST-methodologie, Tijdschrift voor Psychotherapie, 32, 347-366.

Levy, K.N., Clarkin, J.F., Yeomans, F.E., Scott, L.N., Wasserman, R.H., & Kernberg, O.F. (2006). The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy. Journal of Clinical Psychology, 62, 481-501.

Levy, K.N., Meehan, K.B., Kelly, K.M., Reynoso, J.S., Weber, M., Clarkin, J.F. & Kernberg, O.F. (2006). Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 74, 1027-1040.

Linehan, M.M., Comtois, K.A., Murray, A.M., Brown, M.Z., Gallop, R.J., Heard, H.L., Korslund, K.E., Tutek, D.A., Reynolds, S.K., & Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of Dialectical Behavior Therapy vs Therapy by Experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63, 757-766.

Linehan, M.M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: The Guilford Press.

Linehan, M.M., Heard, H.L., & Armstrong, H.E. (1993). Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry, 50, 971-974.

Linehan, M.M., Armstrong, H.E., Suarez, A., Allmon, D., & Heard, H. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060-1064.

Luyten, P., Blatt, S.J., Van Houdenhove, B., & Corveleyn, J. (2006). Depression research and treatment: are we skating to where the puck is going to be? Clinical Psychology Review, 26, 985-999.

Lynch, T.R., Chapman, A.L., Rosenthal, M.Z., Kuo, J.R., & Linehan, M.M. (2006). Mechanisms of change in dialectical behavior therapy: theoretical and empirical observations. Journal of Clinical Psychology, 62, 459-480.

Martin, D.J., Garske, J.P., & Davis, M.K. (2000). Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. Journal of Consulting and Clinical Psychology, 68, 438-450.

Meares, R., Stevenson, J., & Comerford, A. (1999). Psychotherapy with borderline patients: I. A comparison between treated and untreated cohorts. Australian and New Zealand Journal of Psychiatry, 33, 467-472.

Meyer, B., & Pilkonis, P.A. (2005). An attachment model of personality disorders. In Lenzenweger, M.F., & Clarkin, J.F. (Red.). Major Theories of Personality Disorder (2e editie) (p. 231-281). New York: The Guilford Press.

Oldham, J.M. (2005). Guideline watch: practice guideline for the treatment of patients with borderline personality disorder. Arlington, VA: American Psychiatric Association. Available online at: http://www.psych.org/psych_pract/treatg/pg/prac_guide.cfm

Piper, W.E., Ogrodniczuk, J.S., & Joyce, A.S. (2004). Quality of object relations as moderator of the relationship between pattern of alliance and outcome in short-term individual psychotherapy. Journal of Personality Assessment, 83, 345-356.

Porcerelli, J.H., Shahar, G., Blatt, S.J., Ford, R.Q., Mezza, J.A., & Greenlee, L.M. (2006). Social cognition and object relations scale: convergent validity and changes following intensive inpatient treatment. Personality & Individual Differences, 401, 407-417.

Roth, A., & Fonagy, P. (2005). What works for whom? A critical review of psychotherapy research (2^e editie). New York: The Guilford Press.

Ryle, A. (2004). The contribution to cognitive analytic therapy to the treatment of borderline personality disorder. Journal of Personality Disorders, 18, 3-35.

Ryle, A. & Golynkina, K. (2000). Effectiveness of time-limited cognitive analytic therapy of borderline personality disorder: factors associated with outcome. British Journal of Medical Psychology, 73, 197-210.

Schmideberg, M. (1947). The treatment of psychopaths and borderline patients. American Journal of Psychotherapy, 1, 45-55.

Spinhoven, Ph., Giesen-Bloo, J., Van Dyck, R., Kooiman, K., & Arntz, A. (2007). The therapeutic alliance in schema focused therapy and transference focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 75, 104-115.

Spitzer, R.L. Endicott, J., & Gibbon, M. (1979). Crossing the border into borderline personality and borderline schizophrenia. The development of criteria. Archives of General Psychiatry, 36, 17-24.

Stevenson, J., Meares, R., & D’Angelo, R. (2005). Five-year outcome of outpatient psychotherapy with borderline patients. Psychological Medicine, 35, 79-87.

Stevenson, J., & Meares, R. (1992). An outcome study of psychotherapy for patients with borderline personality disorder. American Journal of Psychiatry, 149, 358-362.

Verheul , R. (2005). Clinical utility of dimensional models for personality pathology. Journal of Personality Disorders, 19, 383-302.

Verheul, R., Bosch, L.M.C. van den, Koeter, M.W.J., Ridder, M.A.J. de, Stijnen, T., & Brink, W, van den (2003). Dialectical behaviour therapy for women with borderline personality disorder. British Journal of Psychiatry, 182, 135-140.

Verheul, R. (1999). Classificatie en differentiële diagnostiek. In Tilburg, W. van, Brink, W. van den & Arntz, A., Behandelingsstrategieën bij de borderline persoonlijkheidsstoornis (p. 1-31). Houten/Diegem: Bohn Stafleu van Loghum.

Vermote, R. (2005). Touching inner change. Psychoanalytically informed hospitalization-based treatment of personality disorders. A process-outcome study. Academisch proefschrift. Katholieke Universiteit Leuven.

Wallin, D. J. (2007). Attachment in psychotherapy. New York: Guilford Press.

Westen, D., & Arkowitz-Westen, L. (1998). Limitations of axis II in diagnosing personality pathology in clinical practice. American Journal of Psychiatry, 155, 1767-1771.

Westen, D. (1991). Clinical assessment of object relations using the TAT. Journal of Personality Assessment, 56, 56-74.

Winnicott, D.W. (1965). The maturational processes and the facilitating environment. Londen: Karnac.

Yeomans, F.E. (2007). Questions Concerning the Randomized Trial of Schema-Focused Therapy vs Transference-Focused Psychotherapy. Archives of General Psychiatry, 64, 609-610.

Yeomans, F.E., Gutfreund, J., Selzer, M.A., Clarkin, J.F., Hull, J.W., & Smith, T.E. (1994). Factors related to drop-outs by borderline patients. The Journal of Psychotherapy Practice and Research, 3, 16-24.

Young, J.E., Klosko, J.S., & Weishaar, M.E. (2005). Schemagerichte therapie. Handboek voor therapeuten. Houten: Bohn Stafleu van Loghum.

Zanarini, M.C., Frankenburg, F.R., Hennen, J., & Silk, K.R. (2003). The longitudinal course of borderline psychopathology: 6-year prospective follow-up of the phenomenology of borderline personality disorder. American Journal of Psychiatry, 160, 274-283.

Zittel Conklin, C., Bradley, R., & Westen, D. (2006). Affect regulation in borderline personality disorder. Journal of Nervous and Mental Disease, 194, 69-77.

Zuroff, D.C., & Blatt, S.J. (2006). The therapeutic relationship in the brief treatment of depression: contributions to clinical improvement and enhanced adaptive capacities. Journal of Consulting and Clinical Psychology, 74, 130-140.

Titel: Nieuwe ontwikkelingen in de behandeling van de borderlinepersoonlijkheidsstoornis?
Een vergelijkende analyse en implicaties voor toekomstig onderzoek
Auteurs: Drs. J. A. Koelen
E. H. M. Eurelings-Bontekoe
Publicatiedatum: 01-02-2008
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Tijdschrift voor Psychotherapie / Uitgave 1/2008
Print ISSN: 0165-1188
Elektronisch ISSN: 1876-5637
DOI: https://doi.org/10.1007/BF03078396

Andere artikelen Uitgave 1/2008

Mededeling

Mededeling

Anne Margriet Pot, Yolande Kuin & Marja Vink (red.) (2006). Handboek ouderenpsychologie. Utrecht: De Tijdstroom. 566 pp., € 49,–

Gelezen

DBC’s in de GGZ: een schijnvertoning

Forum

Transgenerationele aspecten van trauma en dissociatie

Artikel

C. van Heeringen (red.) (2007). Handboek suïcidaal gedrag. Utrecht: De Tijdstroom. 331 pp., € 49,–

Gelezen

15e internationale congres van de ISPS. Madrid, 12-16 juni 2006

Gehoord

Bohn Stafleu van Loghum

Welkom bij Erasmus MC & Bohn Stafleu van Loghum

Registreer

Login

Nieuwe ontwikkelingen in de behandeling van de borderlinepersoonlijkheidsstoornis?

Een vergelijkende analyse en implicaties voor toekomstig onderzoek

Samenvatting

Andere artikelen Uitgave 1/2008

Mededeling

Anne Margriet Pot, Yolande Kuin & Marja Vink (red.) (2006). Handboek ouderenpsychologie. Utrecht: De Tijdstroom. 566 pp., € 49,–

DBC’s in de GGZ: een schijnvertoning

Transgenerationele aspecten van trauma en dissociatie

C. van Heeringen (red.) (2007). Handboek suïcidaal gedrag. Utrecht: De Tijdstroom. 331 pp., € 49,–

15e internationale congres van de ISPS. Madrid, 12-16 juni 2006

Bohn Stafleu van Loghum

Welkom bij Erasmus MC & Bohn Stafleu van Loghum

Registreer

Login

Deel dit onderdeel of sectie (kopieer de link)

Samenvatting

Log in om toegang te krijgen

Mededeling

Anne Margriet Pot, Yolande Kuin & Marja Vink (red.) (2006). Handboek ouderenpsychologie. Utrecht: De Tijdstroom. 566 pp., € 49,–

DBC’s in de GGZ: een schijnvertoning

Transgenerationele aspecten van trauma en dissociatie

C. van Heeringen (red.) (2007). Handboek suïcidaal gedrag. Utrecht: De Tijdstroom. 331 pp., € 49,–

15e internationale congres van de ISPS. Madrid, 12-16 juni 2006