Effects of Motive-Oriented Therapeutic Relationship in a Ten-Session General Psychiatric Treatment of Borderline Personality Disorder: A Randomized Controlled Trial

Kramer, Ueli; Kolly, Stéphane; Berthoud, Laurent; Keller, Sabine; Preisig, Martin; Caspar, Franz; Berger, Thomas; de Roten, Yves; Marquet, Pierre; Despland, Jean-Nicolas (2014). Effects of Motive-Oriented Therapeutic Relationship in a Ten-Session General Psychiatric Treatment of Borderline Personality Disorder: A Randomized Controlled Trial. Psychotherapy and psychosomatics, 83(3), pp. 176-186. Karger 10.1159/000358528

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Background: Motive-oriented therapeutic relationship (MOTR) was postulated to be a particularly helpful therapeutic ingredient in the early treatment phase of patients with personality disorders, in particular with borderline personality disorder (BPD). The present randomized controlled study using an add-on design is the first study to test this assumption in a 10-session general psychiatric treatment with patients presenting with BPD on symptom reduction and therapeutic alliance. Methods: A total of 85 patients were randomized. They were either allocated to a manual-based short variant of the general psychiatric management (GPM) treatment (in 10 sessions) or to the same treatment where MOTR was deliberately added to the treatment. Treatment attrition and integrity analyses yielded satisfactory results. Results: The results of the intent-to-treat analyses suggested a global efficacy of MOTR, in the sense of an additional reduction of general problems, i.e. symptoms, interpersonal and social problems (F 1, 73 = 7.25, p < 0.05). However, they also showed that MOTR did not yield an additional reduction of specific borderline symptoms. It was also shown that a stronger therapeutic alliance, as assessed by the therapist, developed in MOTR treatments compared to GPM (Z 55 = 0.99, p < 0.04). Conclusions: These results suggest that adding MOTR to psychiatric and psychotherapeutic treatments of BPD is promising. Moreover, the findings shed additional light on the perspective of shortening treatments for patients presenting with BPD.

Item Type:

Journal Article (Original Article)

Division/Institute:

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

UniBE Contributor:

Caspar, Franz and Berger, Thomas

Subjects:

600 Technology > 610 Medicine & health
000 Computer science, knowledge & systems

ISSN:

0033-3190

Publisher:

Karger

Funders:

[4] Swiss National Science Foundation

Language:

English

Submitter:

Thomas Berger

Date Deposited:

26 Jun 2014 13:53

Last Modified:

18 Dec 2014 11:35

Publisher DOI:

10.1159/000358528

Uncontrolled Keywords:

Borderline personality disorder, Motive-oriented therapeutic relationship, Plan analysis, General psychiatric management, Randomized controlled trial, Outcome, Therapeutic alliance

URI:

https://boris.unibe.ch/id/eprint/51719

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