Weekly therapist ratings of the therapeutic relationship and patient introject during the course of dialectical behavioral therapy for the treatment of borderline personality disorder.

作者: Jamie D. Bedics , David C. Atkins , Katherine Anne Comtois , Marsha M. Linehan

DOI: 10.1037/A0028254

关键词: Dialectical behavior therapyTherapeutic relationshipPsychologyIntrapsychicPerspective (graphical)AutonomyRandomized controlled trialClinical psychologyPsychotherapistDialecticBorderline personality disorder

摘要: The purpose of the present study was to examine theory-driven hypotheses therapeutic relationshipand patient introject in dialectical behavior therapy (DBT; Linehan, 1993) for treatment borderlinepersonality disorder. A total 14 DBT therapists provided weekly ratings ( N 41) during course a randomized controlled trial treatmentof borderline personality Using hierarchical linear modeling (Raudenbush & Bryk, 2002), wetested four relationship as predicted by and behavioral theory. Resultssupported three our relationship, including effectiveuse balancing autonomy control importance therapists’maintaining nonpejorative stance toward patient, use therapist warmth asa contingency improved intrapsychic outcome. Results did not support hypothesis thetherapeutic relationship. supported model relationshipfrom perspective treating clinician.Keywords: dialecticalbehaviortherapy,borderlinepersonalitydisorder,therapeuticrelationship,introject

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