Borderline Personality Disorder Clinical Trial
Official title:
Cognitive Therapy Versus Supportive Therapy in Borderline Personality Disorder
This is a randomised trial comparing cognitive therapy and supportive therapy administered
along one year in borderline personality disorder. The follow-up is one year after
treatments end.
The therapists were the same in the two groups. Patients received one session a week during
six months and one session every two weeks during the next six months
- Cognitive Therapy
- Structured session
- Conceptualization of the case with the patient
- Cognitive methods
- Guided discovery of the schemas
- Work on life-scenarios
- From scenarios to schemas
- Empathic confrontation to the schemas
- Building new schemas (Core belief work-sheet)
- Affective methods: role playing
- Interpersonal methods: counter transference issues
- Behavioral experiment
- Problem solving
- Consolidation methods
- Patients and therapists had manuals
- Supportive Therapy
- Therapist: active listening (face to face)
- Empathy
- Unconditional positive regard
- Reformulation and clarification
- Reflection of the patient’s feelings
- Reassurance
- Therapist emphasizes the importance to ventilate problems
- Therapist answers some factual questions
- Therapist politely ignore or refuse requests for advice and directive attitudes
- Therapist demonstrates warmth and genuineness
- Patients and therapists had manuals
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind
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