Personality disorders and long-term outcome after brief dynamic psychotherapy

In a sample of 45 outpatients treated with dynamic psychotherapy of brief to moderate length (9--53 sessions), the subsample of patients with personality disorders (n = 15) showed significantly less symptomatic and dynamic change 2 years after therapy compared to the subsample of patients without su...

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Bibliographic Details
Published in:Journal of personality disorders 1993-06, Vol.7 (2), p.168-181
Main Author: HØGLEND, P
Format: Article
Language:English
Subjects:
Anxiety Disorders
Behavior Change
Behavior Modification
Biological and medical sciences
Medical sciences
Mental Disorders
Modeling (Psychology)
Patients
Personality
Personality Change
Personality Problems
Predictive Validity
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology
Psychopathology. Psychiatry
Psychotherapies. Psychological and clinical counseling
Psychotherapy
Resistance (Psychology)
Selection Criteria
Social Problems
Treatments
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Description
Summary:In a sample of 45 outpatients treated with dynamic psychotherapy of brief to moderate length (9--53 sessions), the subsample of patients with personality disorders (n = 15) showed significantly less symptomatic and dynamic change 2 years after therapy compared to the subsample of patients without such disorders (n = 30). At 4 years' follow-up, the differences in mean changes between the two subsamples were nonsignificant. However, for patients with personality disorders, the number of treatment sessions was significantly related to acquisition of insight 2 years after therapy and to overall dynamic change 4 years after therapy, whereas for patients without personality disorders, there were no such relationships. For patients with personality disorders, length of treatment seemed more essential for long-term dynamic improvement than patient characteristics such as suitability, cluster category, or initial health-sickness. Very small long-term dynamic changes were observed after a brief, focused treatment approach for patients with personality disorders, but significant long-term dynamic changes were observed after those treatments that lasted 30 sessions or more.
ISSN:0885-579X
1943-2763
DOI:10.1521/pedi.1993.7.2.168