PMID: 11314902Apr 21, 2001Paper

Treating personality fragmentation and dissociation in borderline personality disorder: a pilot study of the impact of cognitive analytic therapy

The British Journal of Medical Psychology
A WildgooseG Waller

Abstract

Recent findings suggest that personality fragmentation may be a core component of borderline personality disorder (BPD) and that successful treatment of BPD may depend on the extent to which this is addressed. Cognitive analytic therapy (CAT) can increase integration by strengthening awareness, and hence control, of the dissociative processes maintaining fragmentation. This pilot study aimed to conduct a systematic evaluation of the impact of CAT on BPD severity and personality integration. A patient series within-subject design was used. Five BPD participants completed a series of assessments to evaluate the impact of therapy on BPD severity, fragmentation, dissociation, symptomatology and interpersonal adjustment before, during and following 16-session CAT. By follow-up, CAT had produced reductions in the severity of BPD for all five participants, and three participants showed significant changes in their levels of personality fragmentation. Improvements in comorbid disturbance were less consistent, however. Although the small number of participants involved limits these findings, they have theoretical and clinical interest. They generally support the suggestion that integration should be enhanced with BPD patients, and sugge...Continue Reading

Citations

Jan 30, 2007·Current Psychiatry Reports·Shelley McMain, Alberta E Pos
Jan 30, 2002·Current Psychiatry Reports·Jessica Gerson, Barbara Stanley
Feb 4, 2009·Current Psychiatry Reports·Marilyn I KorzekwaClare Pain
Mar 13, 2014·Psychology and Psychotherapy·Rachel Calvert, Stephen Kellett
Sep 27, 2003·The Australian and New Zealand Journal of Psychiatry·Louisa M C Van Den BoschWim Van Den Brink
Aug 17, 2012·The Cochrane Database of Systematic Reviews·Jutta M StoffersKlaus Lieb
Nov 9, 2005·Expert Review of Neurotherapeutics·Markus ReuberSteven Kemp
Jan 25, 2012·The International Journal of Eating Disorders·Stephen WonderlichLinda Schander

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