Affect regulation in psychoanalytic treatments of patients with a borderline personality disorder–psychoanalysis and psychodynamic psychotherapy–a comparison  

作　　者：Dagmar Steinmair Guoruey Wong Sophie Frantal Christine Rohm Henriette Löffler-Stastka 

机构地区：[1]Department of Psychoanalysis and Psychotherapy,Medical University of Vienna,Wien 1090,Austria [2]Karl Landsteiner University of Health Sciences,Dr.Karl-Dorrek-Straße 30,Krems 3500,Austria [3]Department of Ophtalmology,University Hospital St.Pölten,St.Pölten 3100,Austria [4]Facultéde Médecine,Universitéde Montréal,Montréal H3C 3J7,Québec,Canada

出　　处：《World Journal of Psychiatry》2021年第12期1328-1345,共18页世界精神病学杂志

摘　　要：BACKGROUND A recent meta-analysis has confirmed that the effects of psychotherapy on patients with borderline personality disorders(BPD)are still insufficiently understood.Evidence of differences between different types of therapies has been questioned.AIM To study repetitive interaction patterns in patients with BPD undergoing either psychoanalysis or psychodynamic therapy.METHODS Psychoanalysis(PSA)or psychodynamic psychotherapy(PDT)was administered to 10 patients each,the two groups were matched.Therapy regimens were applied according to care as usual/manualized including quality control and supervision as usual.Randomization to one of the groups was done after baseline assessment.During classical PSA(n=10)and PDT(n=10),semiannually,recordings(audio or video)of five consecutive therapy sessions were taken over three years for an ex-post analysis.The patients'characteristics,such as affect parameters[Affect regulation and experience Q-sort(AREQ)],quality of object relations(quality of object relations scale)and personality traits[Shedler-Westen Assessment Procedure(SWAP-200)]were analyzed retrospectively by independent raters.Therapeutic action(psychotherapy process Q-sort)and affective(re)actions of the patients(AREQ)were then analyzed in relation to changes found in the patients'characteristics.RESULTS During the first year of therapy(PSA:n=10;PDT:n=9),the therapeutic method PSA was associated with significant improvements in the variable"SWAP Borderline",while in PDT change was not significantly different to baseline(PSA:P=0.04;PDT:P=0.33).Long-term results and follow up was available for seven participants in PSA and for five in PDT after three years;change in SWAP borderline for the whole sample was not significant at this time point when confronting to baseline(P=0.545).However,differences between PSA and PDT were significant when analyzing the“mean change”in the SWAP Borderline variable after one year of therapy(P=0.024):PSA led to slightly increased BPD symptoms,while PDT to a decrease;for the long

关 键 词：PSYCHOANALYSIS Psychodynamic psychotherapy Borderline personality disorder Affect regulation Affect regulation and experience Q-sort TRANSFERENCE 

分 类 号：R749.91[医药卫生—神经病学与精神病学]