Pattern destabilization and emotional processing in cognitive therapy for personality disorders

Frontiers in Psychology
Adele M Hayes, Carly Yasinski

Abstract

Clinical trials of treatments for personality disorders can provide a medium for studying the process of therapeutic change with particularly entrenched and self-perpetuating systems and might reveal important principles of system transition. We examined the extent to which maladaptive personality patterns were destabilized in a trial of cognitive therapy personality disorders (CT-PD) and how destabilization was associated with emotional processing and treatment outcomes. Dynamic systems theory was used as a theoretical framework for studying change. Participants were 27 patients diagnosed with Avoidant or Obsessive Compulsive Personality Disorder (AVPD or OCPD), who completed an open trial of CT-PD. Raters coded treatment sessions using a coding system that operationalizes emotional processing, as well as cognitive, affective, behavioral, and somatic components of pathological (negative) and more adaptive (positive) patterns of functioning. Pattern destabilization (dispersion) scores during the early phase of treatment (phase 1: session 1-10) and the schema-focused phase (phase 2: session 11-34) were calculated using a program called GridWare. More pattern destabilization and emotional processing in the schema-focused phase of...Continue Reading

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Citations

Nov 14, 2017·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Martin Grosse HoltforthAdele M Hayes
Mar 25, 2019·Social Psychiatry and Psychiatric Epidemiology·Tara BeaulieuUNKNOWN Stop HIV/AIDS in BC Study Group
Jul 2, 2019·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Merlijn OlthofAnna Lichtwarck-Aschoff
May 30, 2019·Clinical Psychology & Psychotherapy·Anna Lichtwarck-Aschoff, Marieke M J W van Rooij
Aug 26, 2017·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Matthew M CarperPhilip C Kendall
Dec 12, 2019·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Carly YasinskiWillem Kuyken
Mar 4, 2021·Child Psychiatry and Human Development·Matthew M CarperPhilip C Kendall
Mar 25, 2021·Clinical Psychological Science : a Journal of the Association for Psychological Science·Elizabeth AlpertEsther Deblinger

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Methods Mentioned

BETA
pharmacotherapy
Cognitive Therapy

Software Mentioned

PD
CHANGE
GridWare
Synergetic Navigation

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