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20 - Brief Therapeutic Approaches for Personality Disorders

from Part V - Treatment

Published online by Cambridge University Press:  24 February 2020

By
Katherine L. Dixon-Gordon ,
Lindsey C. Conkey  and
Sherry E. Woods
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

The last several decades have witnessed the emergence of several efficacious treatments for personality disorders, yet many of these treatments are lengthy and resource-intensive. There is a pressing public health need to identify briefer treatment options for the treatment of personality disorders. The present contribution is a comprehensive review of brief (i.e., less than one-year) psychosocial interventions for personality disorders. The authors' search criteria yielded 66 articles, which they summarize in this chapter. Of note, only a minority of these studies were randomized controlled trials, and nearly half focused on borderline personality disorders. A few brief treatments appear to be efficacious for personality disorders, namely short-term dynamic psychotherapy for Cluster C personality disorders, as well as manual-assisted cognitive therapy, six-month dialectical behavior therapy, and emotion regulation group therapy for borderline personality disorder and/or self-injury. Recommendations for future research in this area are discussed.

Keywords

personality disorderspsychotherapycomprehensive reviewpsychosocial interventionsclinical trials

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The Cambridge Handbook of Personality Disorders , pp. 477 - 494
Publisher: Cambridge University Press
Print publication year: 2020

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References

Alden, L. (1989). Short-term structured treatment for avoidant personality disorder. Journal of Consulting and Clinical Psychology, 57(6), 756–764.Google Scholar
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Amianto, F., Ferrero, A., Pierò, A., Cairo, E., Rocca, G., Simonelli, B., … Fassino, S. (2011). Supervised team management, with or without structured psychotherapy, in heavy users of a mental health service with borderline personality disorder: A two-year follow-up preliminary randomized study. BMC Psychiatry, 11(1), 181. https://doi.org/10.1186/1471-244X-11-181Google Scholar
Andreasson, K., Krogh, J., Wenneberg, C., Jessen, H. K. L., Krakauer, K., Gluud, C., … Nordentoft, M. (2016). Effectiveness of dialectical behavior therapy versus collaborative assessment and management of suicidality treatment for reduction of self-harm in adults with borderline personality traits and disorder: A randomized observer-blinded clinical trial. Depression and Anxiety, 33(6), 520–530.Google Scholar
Andreoli, A., Burnand, Y., Cochennec, M.-F., Ohlendorf, P., Frambati, L., Gaudry-Maire, D., … Frances, A. (2016). Disappointed love and suicide: A randomized controlled trial of “abandonment psychotherapy” among borderline patients. Journal of Personality Disorders, 30(2), 271–287.CrossRefGoogle ScholarPubMed
Ansell, E. B., Sanislow, C. A., McGlashan, T. H., & Grilo, C. M. (2007). Psychosocial impairment and treatment utilization by patients with borderline personality disorder, other personality disorders, mood and anxiety disorders, and a healthy comparison group. Comprehensive Psychiatry, 48(4), 329–336.Google Scholar
Ball, S. A. (2007). Comparing individual therapies for personality disordered opioid dependent patients. Journal of Personality Disorders, 21(3), 305–321.Google Scholar
Ball, S. A., Cobb-Richardson, P., Connolly, A. J., Bujosa, C. T., & O’Neall, T. W. (2005). Substance abuse and personality disorders in homeless drop-in center clients: Symptom severity and psychotherapy retention in a randomized clinical trial. Comprehensive Psychiatry, 46(5), 371–379.Google Scholar
Bartak, A., Spreeuwenberg, M. D., Andrea, H., Holleman, L., Rijnierse, P., Rossum, B. V., … Emmelkamp, P. M. G. (2010). Effectiveness of different modalities of psychotherapeutic treatment for patients with cluster C personality disorders: Results of a large prospective multicentre study. Psychotherapy and Psychosomatics, 79(1), 20–30.Google Scholar
Berggraf, L., Ulvenes, P. G., Øktedalen, T., Hoffart, A., Stiles, T., McCullough, L., & Wampold, B. E. (2014). Experience of affects predicting sense of self and others in short-term dynamic and cognitive therapy. Psychotherapy, 51(2), 246–257.Google Scholar
Blum, N., Pfohl, B., John, D. S., Monahan, P., & Black, D. W. (2002). STEPPS: A cognitive-behavioral systems-based group treatment for outpatients with borderline personality disorder: A preliminary report. Comprehensive Psychiatry, 43(4), 301–310.Google Scholar
Bohus, M., Haaf, B., Simms, T., Limberger, M. F., Schmahl, C., Unckel, C., … Linehan, M. M. (2004). Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: A controlled trial. Behaviour Research and Therapy, 42(5), 487–499.Google Scholar
Bohus, M., Haaf, B., Stiglmayr, C., Pohl, U., Bohme, R., & Linehan, M. M. (2000). Evaluation of inpatient dialectical-behavioral therapy for borderline personality disorder: A prospective study. Behaviour Research and Therapy, 38, 875–887.Google Scholar
Bos, E. H., van Wel, E. B., Appelo, M. T., & Verbraak, M. J. P. M. (2010). A randomized controlled trial of a Dutch version of Systems Training for Emotional Predictability and Problem Solving for borderline personality disorder. Journal of Nervous and Mental Disease, 198(4), 299–304.CrossRefGoogle ScholarPubMed
Budge, S. L., Moore, J. T., Del Re, A. C., Wampold, B. E., Baardseth, T. P., & Nienhuis, J. B. (2013). The effectiveness of evidence-based treatments for personality disorders when comparing treatment-as-usual and bona fide treatments. Clinical Psychology Review, 33(8), 1057–1066.Google Scholar
Carmel, A., Rose, M., & Fruzzetti, A. E. (2013). Barriers and solutions to implementing dialectical behavior therapy in a public behavioral health system. Administration and Policy in Mental Health and Mental Health Research Services, 18(9), 1199–1216.Google Scholar
Carter, G. L., Willcox, C. H., Lewin, T. J., Conrad, A. M., & Bendit, N. (2010). Hunter DBT project: Randomized controlled trial of dialectical behaviour therapy in women with borderline personality disorder. The Australian and New Zealand Journal of Psychiatry, 44(2), 162–173.Google Scholar
Center for Substance Abuse Treatment. (1999). Brief interventions and brief therapies for substance abuse. In Treatment Improvement Protocol Series (Vol. 34). Rockville, MD: Substance Abuse and Mental Health Services Administration.Google Scholar
Christensen, E. (2007). Methodology of superiority vs. equivalence trials and non-inferiority trials. Journal of Hepatology, 46(5), 947–954.Google Scholar
Chugani, C. D., Ghali, M. N., & Brunner, J. (2013). Effectiveness of short term dialectical behavior therapy skills training in college students with cluster B personality disorders. Journal of College Student Psychotherapy, 27(4), 323–336.CrossRefGoogle Scholar
Crits-Christoph, P., & Barber, J. P. (2007). Psychological treatments for personality disorders. In Nathan, P. E. & Gorman, J. M. (Eds.), A Guide to Treatments That Work (3rd ed., pp. 641–658). New York: Oxford University Press.Google Scholar
Davanloo, H. (1980). Short-Term Dyanmic Psychotherapy. New York: Jason Aronson.Google Scholar
Davidson, K. M., Brown, T. M., James, V., Kirk, J., & Richardson, J. (2014). Manual-assisted cognitive therapy for self-harm in personality disorder and substance misuse: A feasibility trial. Psychiatric Bulletin, 38(3), 108–111.Google Scholar
Davidson, K. M., Tyrer, P., Tata, P., Cooke, D., Gumley, A., Ford, I., … Crawford, M. J. (2009). Cognitive behaviour therapy for violent men with antisocial personality disorder in the community: An exploratory randomized controlled trial. Psychological Medicine, 39(4), 569–577.Google Scholar
Dixon-Gordon, K. L., Chapman, A. L., & Turner, B. J. (2015). A preliminary pilot study comparing dialectical behavior therapy emotion regulation skills with interpersonal effectiveness skills and a control group treatment. Journal of Experimental Psychopathology, 6(4), 369–388.Google Scholar
Dixon-Gordon, K. L., Turner, B. J., & Chapman, A. L. (2011). Psychotherapy for personality disorders. International Review of Psychiatry, 23(3), 282–302.CrossRefGoogle ScholarPubMed
Doyle, M., Khanna, T., Lennox, C., Shaw, J., Hayes, A., Taylor, J., … Dolan, M. (2013). The effectiveness of an enhanced thinking skills programme in offenders with antisocial personality traits. Journal of Forensic Psychiatry and Psychology, 24(1), 1–15.Google Scholar
Emmelkamp, P. M. G., Benner, A., Kuipers, A., Feiertag, G. A., Koster, H. C., & Van Apeldoorn, J. (2006). Comparison of brief dynamic and cognitive-behavioural therapies in avoidant personality disorder. British Journal of Psychiatry, 189, 60–64.Google Scholar
Evans, K., Tyrer, P., Catalan, J., Schmidt, U., Davidson, K., Dent, J., … Thompson, S. (1999). Manual-assisted cognitive-behaviour therapy (MACT): A randomized controlled trial of a brief intervention with bibliotherapy in the treatment of recurrent deliberate self-harm. Psychological Medicine, 29(1), 19–25.CrossRefGoogle ScholarPubMed
Feliu-Soler, A., Pascual, J. C., Borràs, X., Portella, M. J., Martín-Blanco, A., Armario, A., … Soler, J. (2014). Effects of dialectical behaviour therapy-mindfulness training on emotional reactivity in borderline personality disorder: Preliminary results. Clinical Psychology and Psychotherapy, 21(4), 363–370.Google Scholar
Fok, M. L.-Y., Hayes, R. D., Chang, C. K., Stewart, R., Callard, F. J., & Moran, P. (2012). Life expectancy at birth and all-cause mortality among people with personality disorder. Journal of Psychosomatic Research, 73(2), 104–107.Google Scholar
Fonagy, P., & Bateman, A. (2008). The development of borderline personality disorder: A mentalizing model. Journal of Personality Disorders, 22(1), 4–21.Google Scholar
Giesen-Bloo, J., van Dyck, R., Spinhoven, P., Van Tilburg, W., Dirksen, C. D., Van Asselt, T., … 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.Google Scholar
Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37(1), 25–35.Google Scholar
Gratz, K. L., Lacroce, D. M., & Gunderson, J. G. (2006). Measuring changes in symptoms relevant to borderline personality disorder following short-term treatment across partial hospital and intensive outpatient levels of care. Journal of Psychiatric Practice, 12(3), 153–159.Google Scholar
Gratz, K. L., & Tull, M. T. (2011). Extending research on the utility of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality pathology. Personality Disorders: Theory, Research, and Treatment, 2(4), 316–326.CrossRefGoogle ScholarPubMed
Gratz, K. L., Tull, M. T., & Levy, R. (2014). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Psychological Medicine, 44(10), 2099–2112.Google Scholar
Harvey, R., Black, D. W., & Blum, N. (2010). Systems Training for Emotional Predictability and Problem Solving (STEPPS) in the United Kingdom: A preliminary report. Journal of Contemporary Psychotherapy, 40, 225–232.Google Scholar
Hellerstein, D. J., Rosenthal, R. N., Pinsker, H., Samstag, L. W., Muran, J. C., & Winston, A. (1998). A randomized prospective study comparing supportive and dynamic therapies: Outcome and alliance. Journal of Psychotherapy Practice and Research, 7(4), 261–271.Google Scholar
Horn, E. K., Bartak, A., Meerman, A. M. M. A., Rossum, B. V, Ziegler, U. M., Thunnissen, M., … Verheul, R. (2015). Effectiveness of psychotherapy in personality disorders not otherwise specified: A comparison of different treatment modalities. Clinical Psychology and Psychotherapy, 22(5), 426–442.Google Scholar
Horn, E. K., Verhuel, R., Thunnissen, M., Delimon, J., Soons, M., Meerman, A. M. M. A., … Busschbach, J. J. V. (2015). Effectiveness of short-term inpatient psychotherapy based on transactional analysis with patients with personality disorders: A matched control study using propensity score. Journal of Personality Disorders, 29(5), 663–683.Google Scholar
Huband, N., McMurran, M., Evans, C., & Duggan, C. (2007). Social problem-solving plus psychoeducation for adults with personality disorder. British Journal of Psychiatry, 190, 307–314.Google Scholar
Kleindienst, N., Limberger, M. F., Schmahl, C., Steil, R., Ebner-Priemer, U. W., & Bohus, M. (2008). Do improvements after inpatient dialectical behavioral therapy persist in the long term? Journal of Nervous and Mental Disease, 196(11), 847–851.Google Scholar
Kröger, C., Harbeck, S., Armbrust, M., & Kliem, S. (2013). Effectiveness, response, and dropout of dialectical behavior therapy for borderline personality disorder in an inpatient setting. Behavior Research and Therapy, 51, 411–416.Google Scholar
Lewis, G., & Appleby, L. (1988). Personality disorder: The patients psychiatrists dislike. British Journal of Psychiatry, 153(1), 44–49.Google Scholar
Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.Google Scholar
Lis, E., & Myhr, G. (2016). The effect of borderline personality pathology on outcome of cognitive behavior therapy. Journal of Psychiatric Practice, 22(4), 270–282.Google Scholar
McMain, S. F., Guimond, T., Barnhart, R., Habinski, L., & Streiner, D. L. (2017). A randomized trial of brief dialectical behaviour therapy skills training in suicidal patients suffering from borderline disorder. Acta Psychiatrica Scandinavica, 135(2), 138–148.Google Scholar
Meaney-Tavares, R., & Hasking, P. (2013). Coping and regulating emotions: A pilot study of a modified Dialectical Behavior Therapy. Journal of American College Health, 61(5), 303–309.CrossRefGoogle ScholarPubMed
Munroe-Blum, H., & Marziali, E. (1995). A controlled trial of short-term group treatment for borderline personality disorder. Journal of Personality Disorders, 9(3), 190–198.Google Scholar
Muran, J. C., Safran, J. D., Samstag, L. W., & Winston, A. (2005). Evaluating an alliance-focused treatment for personality disorders. Psychotherapy: Theory, Research, Practice, Training, 42(4), 532–545.Google Scholar
National Collaborating Centre for Mental Health. (2009). Borderline Personality Disorder: Treatment and Management. British Psychology Society and the Royal College of Psychiatrists.Google Scholar
Nenadić, I., Lamberth, S., & Reiss, N. (2017). Group schema therapy for personality disorders: A pilot study for implementation in acute psychiatric in-patient settings. Psychiatry Research, 253, 9–12.Google Scholar
Ogrodniczuk, J. S., Lynd, L. D., Joyce, A. S., Grubisic, M., Piper, W. E., & Steinberg, P. I. (2011). Predicting response to day treatment for personality disorder. Canadian Journal of Psychiatry, 56(2), 110–117.Google Scholar
Olesek, K. L., Outcalt, J., Dimaggio, G., Popolo, R., George, S., & Lysaker, P. H. (2016). Cluster B personality disorder traits as a predictor of therapeutic alliance over time in residential treatment for substance use disorders. Journal of Nervous and Mental Disease, 204(10), 736–740.Google Scholar
Østby, K. A., Czajkowski, N., Knudsen, G. P., Ystrom, E., Gjerde, L. C., Kendler, K. S., … Reichborn-Kjennerud, T. (2014). Personality disorders are important risk factors for disability pensioning. Social Psychiatry and Psychiatric Epidemiology, 49(12), 2003–2011.Google Scholar
Pabst, A., Schauer, M., Bernhardt, K., Ruf, M., Goder, R., Rosentraeger, R., … Seeck-Hirschner, M. (2011). Treatment of patients with borderline personality disorder and comorbid posttraumatic stress disorder using narrative exposure therapy: A feasibility study. Psychotherapy and Psychosomatics, 81(1), 61–63.Google Scholar
Paris, J. (2013). Stepped care: An alternative to routine extended treatment for patients with borderline personality disorder. Psychiatric Services, 64(10), 1035–1037.Google Scholar
Paris, J. (2015). Stepped care and rehabilitation for patients recovering from borderline personality disorder. Journal of Clinical Psychology, 71(8), 747–752.Google Scholar
Pasieczny, N., & Connor, J. (2011). The effectiveness of dialectical behaviour therapy in routine public mental health settings: An Australian controlled trial. Behaviour Research and Therapy, 49(1), 4–10.Google Scholar
Perroud, N., Uher, R., Dieben, K., Nicastro, R., & Huguelet, P. (2010). Predictors of response and drop-out during intensive dialectical behavior therapy. Journal of Personality Disorders, 24(5), 634–650.Google Scholar
Petersen, B., Toft, J., Christensen, N. B., Foldager, L., Munk-Jorgensen, P., Lien, K., & Valbak, K. (2008). Outcome of a psychotherapeutic programme for patients with severe personality disorders. Nordic Journal of Psychiatry, 62(6), 450–456.Google Scholar
Prunetti, E., Bosio, V., Bateni, M., & Liotti, G. (2013). Three-week inpatient Cognitive Evolutionary Therapy (CET) for patients with personality disorders: Evidence of effectiveness in symptoms reduction and improved treatment adherence. Psychology and Psychotherapy: Theory, Research and Practice, 86(3), 262–279.Google Scholar
Quirk, S. E., Berk, M., Chanen, A. M., Koivumaa-Honkanen, H., Brennan-Olsen, S. L., Pasco, J. A., & Williams, L. J. (2016). Population prevalence of personality disorder and associations with physical health comorbidities and health care service utilization: A review. Personality Disorders: Theory, Research, and Treatment, 7(2), 136–146.Google Scholar
Renner, F., van Goor, M., Huibers, M., Arntz, A., Butz, B., & Bernstein, D. (2013). Short-term group schema cognitive-behavioral therapy for young adults with personality disorders and personality disorder features: Associations with changes in symptomatic distress, schemas, schema modes and coping styles. Behaviour Research and Therapy, 51(8), 487–492.Google Scholar
Rizvi, S. L., Hughes, C. D., Hittman, A. D., & Vieira Oliveira, P. (2017). Can trainees effectively deliver dialectical behavior therapy for individuals with borderline personality disorder? Outcomes from a training clinic. Journal of Clinical Psychology, 73(12), 1599–1611.Google Scholar
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(Pt 2), 197–210.Google Scholar
Sahlin, H., Bjureberg, J., Gratz, K. L., Tull, M. T., Hedman, E., Bjärehed, J., … Hellner, C. (2017). Emotion regulation group therapy for deliberate self-harm: A multi-site evaluation in routine care using an uncontrolled open trial design. BMJ Open, 7(10), 1–12. https://doi.org/10.1136/bmjopen-2017-016220Google Scholar
Samuels, J., Eaton, W. W., Bienvenu, O. J., Brown, C. H., Costa, P. T., & Nestadt, G. (2002). Prevalence and correlates of personality disorders in a community sample. British Journal of Psychiatry, 180, 536–542.Google Scholar
Schanche, E., Stiles, T. C., McCullough, L., Svartberg, M., & Nielsen, G. H. (2011). The relationship between activating affects, inhibitory affects, and self-compassion in patients with Cluster C personality disorders. Psychotherapy, 48(3), 293–303.Google Scholar
Schindler, A., Hiller, W., & Witthöft, M. (2013). What predicts outcome, response, and drop-out in CBT of depressive adults? A naturalistic study. Behavioural and Cognitive Psychotherapy, 41(3), 365–370.Google Scholar
Skewes, S. A., Samson, R. A., Simpson, S. G., & van Vreeswijk, M. (2015). Short-term group schema therapy for mixed personality disorders: A pilot study. Frontiers in Psychology, 6, 1–9.Google Scholar
Soler, J., Pascual, J. C., Tiana, T., Cebrià, A., Barrachina, J., Campins, M. J., … Pérez, V. (2009). Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: A 3-month randomised controlled clinical trial. Behaviour Research and Therapy, 47(5), 353–358.Google Scholar
Soler, J., Valdepérez, A., Feliu-Soler, A., Pascual, J. C., Portella, M. J., Martín-Blanco, A., … Pérez, V. (2012). Effects of the dialectical behavioral therapy-mindfulness module on attention in patients with borderline personality disorder. Behaviour Research and Therapy, 50(2), 150–157.CrossRefGoogle ScholarPubMed
Sollberger, D., Gremaud-Heitz, D., Riemenschneider, A., Agarwalla, P., Benecke, C., Schwald, O., … Dammann, G. (2015). Change in identity diffusion and psychopathology in a specialized inpatient treatment for borderline personality disorder. Clinical Psychology and Psychotherapy, 22(6), 559–569.Google Scholar
Springer, T., Lohr, N. E., Buchtel, H. A., & Silk, K. R. (1996). A preliminary report of short-term cognitive-behavioral group therapy for inpatients with personality disorders. Journal of Psychotherapy Practice and Research, 5(1), 57–71.Google Scholar
Stanley, B., Brodsky, B., Nelson, J. D., & Dulit, R. (2007). Brief dialectical behavior therapy (DBT-B) for suicidal behavior and non-suicidal self injury. Archives of Suicide Research, 11(4), 337–341.Google Scholar
Svartberg, M., Stiles, T. C., & Seltzer, M. H. (2004). Randomized, controlled trial of the effectiveness of short-term dynamic psychotherapy and cognitive therapy for cluster C personality disorders. American Journal of Psychiatry, 161, 810–817.Google Scholar
Thylstrup, B., Schrøder, S., Fridell, M., & Hesse, M. (2017). Did you get any help? A post-hoc secondary analysis of a randomized controlled trial of psychoeducation for patients with antisocial personality disorder in outpatient substance abuse treatment programs. BMC Psychiatry, 17(1), 7. https://doi.org/10.1186/s12888–016-1165-2Google Scholar
Thylstrup, B., Schrøder, S., & Hesse, M. (2015). Psycho-education for substance use and antisocial personality disorder: A randomized trial. BMC Psychiatry, 15(1), 283. https://doi.org/10.1186/s12888–015-0661-0Google Scholar
Trull, T. J., Distel, M. A., & Carpenter, R. W. (2011). DSM-5 borderline personality disorder: At the border between a dimensional and a categorical view. Current Psychiatry Reports, 13(1), 43–49.Google Scholar
Ulvenes, P. G., Berggraf, L., Hoffart, A., Stiles, T. C., Svartberg, M., McCullough, L., & Wampold, B. E. (2012). Different processes for different therapies: Therapist actions, therapeutic bond, and outcome. Psychotherapy, 49(3), 291–302.Google Scholar
Vinnars, B., Barber, J. P., Norén, K., Gallop, R., & Weinryb, R. M. (2005). Manualized supportive-expressive psychotherapy versus therapy for patients with personality disorders: Bridging efficacy and effectiveness. American Journal of Psychiatry, 162(17), 1933–1940.Google Scholar
Weinberg, I., Gunderson, J. G., Hennen, J., & Cutter, C. J. Jr. (2006). Manual assisted cognitive treatment for deliberate self-harm in borderline personality disorder patients. Journal of Personality Disorders, 20(5), 482–492.Google Scholar
Weinberg, I., Ronningstam, E., Goldblatt, M. J., Schechter, M., & Maltsberger, J. T. (2011). Common factors in empirically supported treatments of borderline personality disorder. Current Psychiatry Reports, 13(1), 60–68.Google Scholar
Westerman, M. A., Foote, J. P., & Winston, A. (1995). Change in coordination across phases of psychotherapy and outcome: Two mechanisms for the role played by patients’ contribution to the alliance. Journal of Consulting and Clinical Psychology, 63(4), 672–675.Google Scholar
Winston, A., Laikin, M., Pollack, J., Samstag, L. W., McCullough, L., & Muran, J. C. (1994). Short-term psychotherapy of personality disorders. American Journal of Psychiatry, 151(2), 190–194.Google Scholar
Winston, A., Pollack, J., McCullough, L., Flegenheimer, W., Kestenbaum, R., & Trujillo, M. (1991). Brief psychotherapy of personality disorders. Journal of Nervous and Mental Disease, 179(4), 188–193.Google Scholar
Yen, S., Johnson, J., Costello, E., & Simpson, E. B. (2009). A 5-day dialectical behavior therapy partial hospital program for women with borderline personality disorder: Predictors of outcome from a 3-month follow-up study. Journal of Psychiatric Practice, 15(3), 173–182.Google Scholar
Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of DSM-IV personality disorder in psychiatric outpatients. American Journal of Psychiatry, 162, 1911–1918.Google Scholar

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