시작하는 정신치료자의 경계선 성격장애 치료를 위한 좋은 정신과적 관리와 정신역동적 정신치료의 통합
Integration Good Psychiatric Management to Psychodynamic Psychotherapy for Fresh Psychotherapists with Treatment of Borderline Personality Disorder
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Many psychotherapists have experienced limitations in the treatment of borderline personality disorder (BPD). Symptoms of BPD patients sometimes worsened when they were treated with traditional psychoanalytic approaches. Consequently, most psychotherapists have suggested modifications of psychoanalytic methodologies. Over 10 years period, a group of patients whom the psychiatric residents have treated with the psychodynamic psychotherapy for training has moved onto the group of BPD from the one of neurotic disorder. The author perceived that a clear and simple guideline, modified from the traditional psychoanalytic approaches is needed for the psychiatric residents and fresh psychotherapists for initiating treatment of BPD patients with psycho- dynamic psychotherapy. Good psychiatric management (GPM) is a manualized psychotherapeutic approach with goals for pri- mary and general management of BPD. It has been proven that GPM resolves the pre-existing misbelief and stigma of BPD and proposes a pragmatic and eclectic methodology to help the therapists treat their BPD patients with a more active, optimistic, and positive attitude. The author has suggested in this article GPM can be integrated into the psychodynamic psychotherapy for BPD in terms of the methodology for modifying the psychodynamic psychotherapy treatment approach for BPD. This article includes the principles of the modified psychodynamic psychotherapy as a form of integrating GPM. It will be a guideline for the psychiat- ric residents and fresh psychotherapists for initiating treatment for BPD patients with psychodynamic psychotherapy.
Abstract
Many psychotherapists have experienced limitations in the treatment of borderline personality disorder (BPD). Symptoms of BPD patients sometimes worsened when they were treated with traditional psychoanalytic approaches. Consequently, most psychotherapists have suggested modifications of psychoanalytic methodologies. Over 10 years period, a group of patients whom the psychiatric residents have treated with the psychodynamic psychotherapy for training has moved onto the group of BPD from the one of neurotic disorder. The author perceived that a clear and simple guideline, modified from the traditional psychoanalytic approaches is needed for the psychiatric residents and fresh psychotherapists for initiating treatment of BPD patients with psycho- dynamic psychotherapy. Good psychiatric management (GPM) is a manualized psychotherapeutic approach with goals for pri- mary and general management of BPD. It has been proven that GPM resolves the pre-existing misbelief and stigma of BPD and proposes a pragmatic and eclectic methodology to help the therapists treat their BPD patients with a more active, optimistic, and positive attitude. The author has suggested in this article GPM can be integrated into the psychodynamic psychotherapy for BPD in terms of the methodology for modifying the psychodynamic psychotherapy treatment approach for BPD. This article includes the principles of the modified psychodynamic psychotherapy as a form of integrating GPM. It will be a guideline for the psychiat- ric residents and fresh psychotherapists for initiating treatment for BPD patients with psychodynamic psychotherapy.
참고문헌 (40)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (1994), American Psychiatric Press
- Bateman AW, "Treating borderline personality disorder in clinical practice", Am J Psychiatry, 169, pp.560~563 (2012)
- Bateman A, "Psychotherapy for borderline personality disorder : mentalization based treatment" (2004), Oxford University Press
- Bateman A, "8-year follow-up of patients treated for borderline personality disorder : mentalization-based treatment versus treatment as usual", Am J Psychiatry, 165, pp.631~638 (2008)
- Bateman A, "Mentalization-based treatment for personality disorders : a practical guide" (2016), Oxford University Press
- Bender DS, "Treatment utilization by patients with personality disorders", Am J Psychiatry, 158, pp.295~302 (2001)
- "Behavioral Tech. Level 3-comprehensive training standard DBT"[URL]
- Choi-Kain LW, "Applications of good psychiatric management for borderline personality disorder : a practical guide" (2019), APA Publishing
- Choi-Kain LW, "Applications of good psychiatric management for borderline personality disorder: a practical guide", pp.xv~xix (2019), APA Publishing
- Clarke M, "Borderline personality disorder : a challenge for mental health services", Aust N Z J Psychiatry, 29, pp.409~414 (1995)
- Davidson KM, "Cognitive therapy v. usual treatment for borderline personality disorder: prospective 6-year follow-up", Br J Psychiatry, 197, pp.456~462 (2010)
- Gabbard GO, "Insight, transference interpretation, and therapeutic change in the dynamic psychotherapy of borderline personality disorder", Am J Psychiatry, 166, pp.517~521 (2009)
- Gunderson JG, "Borderline personality disorder", Nat Rev Dis Primers, 4, pp.18029~ (2018)
- Gunderson JG, "Handbook of good psychiatric management for borderline personality disorder" (2014), American Psychiatric Publishing
- Gunderson JG, "BPD’s interpersonal hypersensitivity phenotype : a gene-environment-developmental model", J Pers Disord, 22, pp.22~41 (2008)
- Gunderson JG, "Ten-year course of borderline personality disorder : psychopathology and function from the Collaborative Longitudinal Personality Disorders study", Arch Gen Psychiatry, 68, pp.827~837 (2011)
- Haskayne D, "The outcome of psychodynamic psychotherapies with individuals diagnosed with personality disorders : a systematic review", Psychoanal Psychother, 28, pp.115~138 (2014)
- Hersh RG, "Applications of good psychiatric management for borderline personality disorder: a practical guide", pp.327~349 (2019), APA Publishing
- Kernberg OF, "Borderline conditions and pathological narcissism" (2004), Jason Aronson
- Kernberg OF, "Borderline personality disorder", Am J Psychiatry, 166, pp.505~508 (2009)
- Kessler RC, "Past-year use of outpatient services for psychiatric problems in the National Comorbidity Survey", Am J Psychiatry, 156, pp.115~123 (1999)
- Knight RP, "Borderline states", Bull Menninger Clin, 17, pp.1~12 (1953)
- Linehan MM, "Cognitive-behavioral treatment of borderline personality disorder" (1993), Guilford Press
- Livesley WJ, "Moving beyond specialized therapies for borderline personality disorder : the importance of integrated domain-focused treatment", Psychodyn Psychiatry, 40, pp.47~74 (2012)
- McMain SF, "A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder", Am J Psychiatry, 166, pp.1365~1374 (2009)
- McMain SF, "Dialectical behavior therapy compared with general psychiatric management for borderline personality disorder : clinical outcomes and functioning over a 2-year follow-up", Am J Psychiatry, 169, pp.650~661 (2012)
- Mercer D, "Applications of good psychiatric management for borderline personality disorder: a practical guide", pp.187~211 (2019), APA Publishing
- Mercer D, "Applications of good psychiatric management for borderline personality disorder: a practical guide", pp.281~304 (2019), APA Publishing
- Narrow WE, "Use of services by persons with mental and addictive disorders. Findings from the National Institute of Mental Health Epidemiologic Catchment Area Program", Arch Gen Psychiatry, 50, pp.95~107 (1993)
- Oldham JM, "Personality disorders in the public sector", Hosp Community Psychiatry, 42, pp.481~487 (1991)
- Olfson M, "Outpatient psychotherapy in the United States, II : patterns of utilization", Am J Psychiatry, 151, pp.1289~1294 (1994)
- Perry JC, "The borderline: current empirical research (No. 1)", pp.19~41 (1985), American Psychiatric Press
- Reichborn-Kjennerud T, "Structure of genetic and environmental risk factors for symptoms of DSM-IV borderline personality disorder", JAMA Psychiatry, 70, pp.1206~1214 (2013)
- Skodol AE, "Is there a characteristic pattern to the treatment history of clinic outpatients with borderline personality", J Nerv Ment Dis, 171, pp.405~410 (1983)
- Stoffers J, "Pharmacological interventions for borderline personality disorder", Cochrane Database Syst Rev, 6, pp.CD005653~ (2010)
- Yeomans FE, "Transference-focused psychotherapy for borderline personality disorder : a clinical guide" (2015), American Psychiatric Publishing
- Zanarini MC, "Axis I comorbidity of borderline personality disorder", Am J Psychiatry, 155, pp.1733~1739 (1998)
- Zanarini MC, "Time to attainment of recovery from borderline personality disorder and stability of recovery : a 10-year prospective follow-up study", Am J Psychiatry, 167, pp.663~667 (2010)
- Zanarini MC, "Attainment and stability of sustained symptomatic remission and recovery among patients with borderline personality disorder and axis II comparison subjects : a 16-year prospective follow-up study", Am J Psychiatry, 169, pp.476~483 (2012)
- Zimmerman M, "Differences between clinical and research practices in diagnosing borderline personality disorder", Am J Psychiatry, 156, pp.1570~1574 (1999)