Transference-focused psychotherapy is a manualised treatment for borderline personality disorder.To compare transference-focused with by experienced community psychotherapists.In randomised controlled trial (NCT00714311) 104 female out-patients were treated 1 year either or an psychotherapist.Significantly fewer participants dropped out of the group (38.5% v. 67.3%) and also significantly attempted suicide (d = 0.8, P 0.009). was superior in domains symptomatology 1.6, 0.001), psychosocial...

In this article, we describe the development and preliminary psychometric properties of Structured Interview Personality Organization (STIPO), a semistructured interview designed for dimensional assessment identity, primitive defenses, reality testing, three primary content domains in model personality health disorder elaborated by Kernberg (1984; & Caligor, 2005). Results investigation, conducted clinical sample representing broad range pathology, indicate that identity defenses as...

The Reflective Functioning Scale (RFS) was developed to assess individual differences in the ability mentalize attachment relationships. RFS assesses mentalization from transcripts of Adult Attachment Interview (AAI). A global score is given by trained coders on an 11-point scale ranging antireflective exceptionally reflective. Coding procedures rely a distinction demand and permit questions during AAI. Demand directly probe for reflective functioning (RF), whereas do not. focuses detecting...

Summary Borderline personality disorder is associated with deficits in functioning and mentalisation. In a randomised controlled trial 104 people borderline received either transference-focused psychotherapy (TFP) or treatment by experienced community therapists. Among other outcome variables, mentalisation was assessed means of the Reflective Functioning Scale (RF Scale). Findings revealed only significant improvements reflective function TFP group within 1 year treatment. The between-group...

Relationships between personality organization, reflective functioning (RF), and the number of Axis I II disorders were examined. Ninety-two female patients with Diagnostic Statistical Manual Mental Disorders (4th ed.; DSM-IV-TR) borderline disorder (BPD) administered Structured Interview Personality Organization (STIPO), Adult Attachment for assessment RF, Clinical DSM Disorders. Significant correlations found level organization diagnoses. In contrast, no association was RF severity...

The study determined the prevalence of use three treatment modalities (individual therapy, medication, and hospitalization) reported over a ten-year period by patients with borderline personality disorder those in comparison group other axis II disorders. Time to cessation time resumption for each modality among were also determined.Treatment history inpatients reliable diagnosis (N=290) disorders (N=72) was assessed an interview proven reliability during index admission. Treatment...

In diesem Artikel wird eine deutschsprachige Kurzskala des Inventars der Persönlichkeitsorganisation (IPO-16) vorgestellt und in drei klinischen Stichproben mit insgesamt 1300 Personen validiert. Das IPO ist ein international verbreitetes Selbsteinschätzungsinstrument, das mehreren Versionen vorliegt zur Erfassung von struktureller Beeinträchtigung den Bereichen Identität, Abwehr Realitätsprüfung eingesetzt wird. Die basiert auf 16 versionsübergreifenden IPO-Items misst Schweregrad...

We investigated attachment representations and the capacity for mentalization in a sample of adult female borderline patients with without comorbid narcissistic personality disorder (NPD). Participants were 22 diagnosed NPD (NPD/BPD) 129 BPD (BPD) from 2 randomized clinical trials. Attachment assessed on Adult Interview (AAI; George, Kaplan, & Main, 1996). Results showed that as expected, compared group, NPD/BPD group was significantly more likely to be categorized either dismissing or...

The aim of this article was to construct an empirical bridge between object relations theory and attachment by investigating how researchers in both traditions have contributed understanding assessing identity diffusion (a keystone personality pathology) patients with borderline disorder during 1 year transference-focused psychotherapy (TFP).The Adult Attachment Interview (AAI) the Structured Personality Organization (STIPO) were administered (N=104, all women) before after treatment. This...

Recent considerations around DSM–5 criteria of personality disorders (PDs) demand new concepts assessing levels functioning. Of special interest are multiperspective approaches accounting for clinicians' as well patients' points view. The study investigates observer-rated and self-assessed functioning measured by the level structural integration defined Operationalized Psychodynamic Diagnosis System (OPD). Both perspectives were positively related. combination both measures was most...

The assessment of personality organization and its observable behavioral manifestations, i.e. functioning, has a long tradition in psychodynamic psychiatry. Recently, the DSM-5 Levels Personality Functioning Scale moved it into focus psychiatric diagnostics. Based on Kernberg’s concept Structured Interview Organization (STIPO) was developed for diagnosing functioning. STIPO covers seven dimensions: (1) identity, (2) object relations, (3) primitive defenses, (4) coping/rigidity, (5)...

This article demonstrates the utility of a theory-guided psychodynamic approach to assessment personality and pathology based on object relations model developed by Kernberg (1984). We describe clinical interview, Structural Interview (SI; Kernberg, 1984), also semistructured approach, Structured Personality Organization (STIPO; Clarkin, Caligor, Stern, & 2004) this theoretical model. Both interviews focus consolidated identity versus disturbance, use adaptive lower level defensive...

According to the alternative model for personality disorders (AMPD) of Diagnostic and Statistical Manual Mental Disorders, Fifth Edition (DSM-5), a moderate or greater impairment in functioning is essential criterion disorder diagnosis. Personality operationalized Level Functioning Scale via 4 domains (identity, self-direction, empathy, intimacy) 2 higher order dimensions (self interpersonal functioning). The current study examined reliability (interrater, test-retest), structure, validity...

Abstarct Psychodynamic constructs and psychopathology are closely inter‐related, but more detailed insight is needed. We investigated these complex inter‐relations using network analysis. A Gaussian graphical model in a sample of N = 2232 psychotherapeutic inpatients was estimated. Self‐administered questionnaires to assess interpersonal relations (Inventory Interpersonal Problems‐32), psychodynamic conflicts (Operationalized Diagnosis–Conflict Questionnaire), personality functioning...

Background: Decades of research on the dimensional nature personality disorder (PD) have led to replacement categorical PD diagnoses by a assessment severity (PDS) in ICD-11, which essentially corresponds functioning alternative DSM-5 model for PDs. Besides advancing focus diagnosis impairments self and interpersonal functioning, this shift also urges clinicians researchers worldwide get familiar with new diagnostic approaches. Aims: This study investigated PDS dimensions among different...

Clinical experience involving the treatment of patients with comorbid borderline and narcissistic personality disorders suggests that this patient population is among more difficult to treat within disorder spectrum. In article, we present refinements Transference Focused Psychotherapy (TFP) based on our clinical research data disorder/borderline (NPD/BPD). We briefly review object relations formulations severe pathology, as well recent in attachment allied concept mentalization, which have...

Zanarini MC, Hörz S, Frankenburg FR, Weingeroff J, Reich DB, Fitzmaurice G. The 10-year course of PTSD in borderline patients and axis II comparison subjects. Objective: first objective is to detail the prevalence post-traumatic stress disorder (PTSD) over a decade follow-up for those both study groups. second determine time-to-remission, recurrence, new onset PTSD, third assess relationship between sexual adversity likelihood remission recurrence PTSD. Method: SCID I was administered 290...

Pharmacotherapy still seems to play a major role in the treatment of patients suffering from borderline personality disorder (BPD). However, little is known about psychiatrists' detailed perspective on indication and significance medication. A total 233 psychiatrists city Munich Upper Bavaria were asked by questionnaire their habits medical with BPD. One hundred forty-one answered (60.5%). In total, 94% BPD treated psychotropic Psychiatrists predominantly saw an prescribe antidepressants...

In Section III of DSM–5, the Level Personality Functioning Scale (LPFS), a component DSM–5 Alternative Model for Disorders (AMPD), offers dimensional approach to assessment personality pathology. Similar psychoanalytic concept organization developed by Kernberg (1984 Kernberg, O. F. (1984). Severe disorders. New Haven: Yale University Press. [Google Scholar]), disorders are assessed not only categorical diagnoses, but also measuring impairment functioning. this study we empirically...

The aim of this study was to explore the viability a bifactor model for Inventory Personality Organization (IPO), which is self-report measure personality functioning based on Kernberg’s organization. A heterogeneous, predominantly clinical sample (N = 616) completed German 83-item version IPO. Confirmatory and Exploratory Factor Analyses were applied factor structure We able establish with general three specific factors (Aggression, Reality Testing, Moral Values), represent additional...