The Role of Interactional Agreeableness in Responsive Treatments for Patients With Borderline Personality Disorder

Zufferey, Pauline; Caspar, Franz; Kramer, Ueli (2019). The Role of Interactional Agreeableness in Responsive Treatments for Patients With Borderline Personality Disorder. Journal of personality disorders, 33(5), pp. 691-706. Guilford Press 10.1521/pedi_2019_33_367

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It has been shown that agreeableness of patients with borderline personality disorder (BPD) had an impact on therapy process and outcome (Hirsh, Quilty, Bagby, & McMain, 2012). The goal of our study was to test whether agreeableness affects the therapeutic alliance and outcome assessed after brief treatment for BPD, and whether this link is moderated by therapist responsiveness. We compared two types of interventions (N = 60) in 10-session treatments (Kramer et al., 2014): a general psychiatric management (GPM)-based treatment and the same treatment supplemented with motive-oriented therapeutic relationship (MOTR), based on plan analysis case conceptualizations (PA; Caspar, 1995), as operationalization of therapist responsiveness. The results showed that there was a significant link between agreeableness and outcome for the GPM, but not for the MOTR. No links between agreeableness and the therapeutic alliance were found in both conditions. MOTR enables suppression of the influences of the patient's initial characteristics on the therapeutic results.

Item Type:

Journal Article (Original Article)

Division/Institute:

07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy

UniBE Contributor:

Caspar, Franz

Subjects:

100 Philosophy > 150 Psychology
600 Technology > 610 Medicine & health

ISSN:

1943-2763

Publisher:

Guilford Press

Language:

English

Submitter:

Melanie Best

Date Deposited:

17 Feb 2020 12:46

Last Modified:

30 Mar 2020 14:34

Publisher DOI:

10.1521/pedi_2019_33_367

PubMed ID:

30650009

Uncontrolled Keywords:

agreeableness borderline personality disorder motive-oriented therapeutic relationship psychiatric treatment responsiveness

URI:

https://boris.unibe.ch/id/eprint/140247

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