Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-76fb5796d-vvkck Total loading time: 0 Render date: 2024-04-26T04:04:23.744Z Has data issue: false hasContentIssue false

18a - Contemporary Psychodynamic Treatments: Commentary on Psychoanalytic/Psychodynamic Approaches to Personality Disorders

from Part V - Treatment

Published online by Cambridge University Press:  24 February 2020

By
Kenneth N. Levy
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
Get access

Summary

In this commentary, the author highlights the contributions from Fonagy and colleagues in their chapter on contemporary psychodynamic treatments. Chief among these contributions are balance between a rich and nuanced historical presentation of the major traditions within the psychodynamic perspective and a focus on contemporary psychodynamic treatments such as Mentalization Based Therapy (MBT) and Transference-Focused Psychotherapy (TFP). Additionally, building on recent findings regarding the equivalence of outcomes for various treatments irrespective of theoretical orientation, Fonagy and colleagues articulate an interesting, timely, and integrative model of personality disorder that is consistent with and integrative of a psychodynamic approach. In an effort to highlight and elaborate the work of Fonagy and colleagues, the author of this commentary focuses on the unique contributions and utility of a psychodynamic approach.

Keywords

psychodynamicpsychoanalyticpersonality disorderstreatmentpsychotherapymentalization based therapytransference-focused psychotherapy
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 440 - 443
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Appelbaum, A. H. (2007). Supportive psychotherapy. In Oldham, J. M., Skodol, A. E., & Bender, D. S. (Eds.), The American Psychiatric Publishing Textbook of Personality Disorders (pp. 311–326). Washington, DC: American Psychiatric Publishing.Google Scholar
Bateman, A., & Fonagy, P. (2007). The use of transference in dynamic psychotherapy. American Journal of Psychiatry, 164, 853-855.Google Scholar
Caspi, A., & Moffitt, T. E. (2018). All for one and one for all: Mental disorders in one dimension. American Journal of Psychiatry, 175, 831–844.Google Scholar
Clarkin, J. F., Levy, K. N., & Ellison, W. D. (2010). Personality disorders. In Horowitz, L. M. & Strack, S. (Eds.), Handbook of Interpersonal Psychology: Theory, Research, Assessment, and Therapeutic Interventions (pp. 383–403). New York: John Wiley.Google Scholar
de Jong, P. J. (2002). Implicit self-esteem and social anxiety: Differential self-favouring effects in high and low anxious individuals. Behaviour Research and Therapy, 40, 501–508.Google Scholar
Fonagy, P., Gergely, G., & Jurist, E. L. (2004). Affect Regulation, Mentalization and the Development of the Self. New York: Other Press.Google Scholar
Gabbard, G. (2007). Do all roads lead to Rome? Findings on Borderline Personality Disorder (editorial). American Journal of Psychiatry, 164, 853–855.Google Scholar
Gelso, C. J. (2010). The Real Relationship in Psychotherapy: The Hidden Foundation of Change. Washington, DC: American Psychological Association.Google Scholar
Gill, M. M. (1979). The analysis of the transference. Journal of the American Psychoanalytic Association, 27, 263–289.Google Scholar
Greenberg, D. M., Kolasi, J., Hegsted, C. P., Berkowitz, Y., & Jurist, E. L. (2017). Mentalized affectivity: A new model and assessment of emotion regulation. PLoS ONE, 12(10), e0185264.Google Scholar
Gregory, R. J., Delucia-Deranja, E., & Mogle, J. A. (2010). Dynamic deconstructive psychotherapy versus optimized community care for borderline personality disorder co-occurring with alcohol use disorders: 30-month follow-up. Journal of Nervous and Mental Disease, 198, 292–298.Google Scholar
Gunderson, J. G., & Links, P. (2008). Borderline Personality Disorder: A Clinical Guide. Washington, DC: American Psychiatric Press.Google Scholar
Gunderson, J. G., & Links, P. (2014). Handbook of Good Psychiatric Management for Borderline Personality Disorder. Washington, DC: American Psychiatric Press.Google Scholar
Huprich, S. K., & Nelson, S. M. (2015). Advancing the assessment of personality pathology with the cognitive-affective processing system. Journal of Personality Assessment, 97, 467–477.Google Scholar
Jurist, E. (2005). Mentalized affectivity. Psychoanalytic Psychology, 22(3), 426–444.Google Scholar
Kernberg, O. F. (1967). Borderline personality organization. Journal of the American Psychoanalytic Association, 15(3), 641–685.CrossRefGoogle ScholarPubMed
Kernberg, O. F. (2001). Object relations, affects, drives: Toward a new synthesis. Psychoanalytic Inquiry, 21(5), 604–619.Google Scholar
Kernberg, O. F., & Caligor, E. (2005). A psychoanalytic theory of personality disorders. In Lenzenweger, M. & Clarkin, J. F. (Eds.), Major Theories of Personality Disorder (2nd ed., pp. 114–156). New York: Guilford Press.Google Scholar
Levy, K. N., & Scala, J. W. (2012). Transference, transference interpretations, and transference-focused psychotherapies. Psychotherapy, 49(3), 391–403.Google Scholar
LeBreton, J. M., Moeller, A., Johnson, B. N., & Levy, K. N. (in press). Conceptualizing and measuring the implicit personality. In Wood, D., Read, S. J., Harms, P. D., & Slaughter, A. (Eds.), Emerging Approaches to Measuring and Modeling the Person and Situation.Google Scholar
McMain, S. F., Links, P. S., Gnam, W. H., Guimond, T., Cardish, R. J., Korman, L., & Streiner, D. L. (2009). A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder. American Journal of Psychiatry, 166(12), 1365–1374.Google Scholar
Mischel, W., & Shoda, Y. (1995). A cognitive-affective system theory of personality: Reconceptualizing situations, dispositions, dynamics, and invariance in personality structure. Psychological Review, 102, 246–268.CrossRefGoogle ScholarPubMed
Sansone, R. A., Kay, J., & Anderson, J. L. (2013). Resident didactic education in borderline personality disorder: Is it sufficient? Academic Psychiatry, 37, 287–288.Google Scholar
Scala, J. W., Levy, K. N., Johnson, B. N., Kivity, Y., Ellison, W. D., Pincus, A. L., … Wilson, S. J. (2018). The role of negative affect and self-concept clarity in predicting self-injurious urges using ecological momentary assessment. Journal of Personality Disorders, 32, 36–57.Google Scholar
Sharp, C., Wright, A. G., Fowler, J. C., Frueh, B. C., Allen, J. G., Oldham, J., & Clark, L. A. (2015). The structure of personality pathology: Both general (‘g’) and specific (‘s’) factors? Journal of Abnormal Psychology, 124(2), 387–398.Google Scholar
Teachman, B. A., & Allen, J. P. (2007). Development of social anxiety: Social interaction predictors of implicit and explicit fear of negative evaluation. Journal of Abnormal Child Psychology, 35, 63–78.Google Scholar
Teachman, B. A., & Woody, S. R. (2002). Automatic processing in spider phobia: Implicit fear associations over the course of treatment. Journal of Abnormal Psychology, 112, 100–109.CrossRefGoogle Scholar
Teachman, B. A., Woody, S. R., & Magee, J. (2006). Implicit and explicit appraisals of the importance of intrusive thoughts. Behaviour Research and Therapy, 44, 785–805.CrossRefGoogle ScholarPubMed
Wright, A. G. C., Hopwood, C. J., Skodol, A. E., & Morey, L. C. (2016). Longitudinal validation of general and specific structural features of personality pathology. Journal of Abnormal Psychology, 135, 1120–1134.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×