Abstracts
Résumé
L’auteur retrace les étapes d’élaboration de la psychothérapie focalisée sur le transfert : choix d’un modèle théorique, observation et analyse menée par des thérapeutes d’expérience, discussions en équipe des difficultés rencontrées relevant tant de la pathologie elle-même que de la thérapie appliquée, cueillette de données empiriques pour expliquer autant le trouble de la personnalité que ses racines neurologiques et physiologiques, etc. L’auteur passe aussi en revue les efforts pour en arriver à la rédaction d’un manuel sur la psychothérapie focalisée sur le transfert, un manuel répondant aux critères d’une méthode manualisée. Enfin, l’auteur résume les recherches faites pour mesurer l’efficacité psychothérapique de la méthode et les possibilités de généralisation.
Abstract
The author describes the stages of elaboration of Transference Focused Psychotherapy (TFP) : choice of theoretical model, observation and analyses of several sessions of psychotherapy led by experienced therapists, team discussions on problems encountered that rise both from the pathology itself and from the therapeutic approach applied, a quest of empirical data to explain as much the personality disorder as its neurological and psychological roots, etc. The author reviews the efforts made to arrive at the description in writing of a manual on TFP, a manual that meets the criteria of a treatment method. Finally, the author summarizes studies conducted to measure the psychotherapeutic efficacy of the method and the possibilities of generalizability.
Resumen
El autor reconstituye las etapas de elaboración de la psicoterapia focalizada en la transferencia: elección de un modelo teórico, observación y análisis de numerosas sesiones de psicoterapia llevadas a cabo por terapeutas experimentados; discusiones en equipo sobre las dificultades encontradas que provienen tanto de la patología misma como de la terapia aplicada; búsqueda de datos empíricos para explicar tanto el trastorno de la personalidad, así como sus raíces neurológicas, psicológicas, etc. El autor también revisa los esfuerzos para llegar a la redacción de un manual sobre la psicoterapia focalizada en la transferencia, un manual que responde a los criterios de un método manualizado. Finalmente, el autor resume las investigaciones realizadas para medir la eficacia psicoterapéutica del método y las posibilidades de generalización.
Resumo
O autor relata as etapas de elaboração da psicoterapia focada na transferência: escolha de um modelo teórico, observação e análise de várias sessões de psicoterapia dirigidas por terapeutas experientes, discussões em equipe sobre as dificuldades encontradas tanto sobre a patologia quanto a terapêutica aplicada, busca de dados empíricos para explicar tanto o transtorno da personalidade quanto as raízes neurológicas e fisiológicas, etc. O autor passa em revista também os esforços para chegar à redação de um manual sobre a psicoterapia focada na transferência, um manual que responda aos critérios de um método “manualizado”. Finalmente, o autor resume as pesquisas feitas para medir a eficácia psicoterapêutica do método e as possibilidades de generalização.
Appendices
Références
-
Binks, C. A., Fenton, M., McCarthy, L., Lee, T., Adams, C.E., Duggan, C., 2006, Psychological therapies for people with borderline personality disorder, Cochrane Database Syst Rev., 25, CD005652.Google Scholar Search this bibliographic reference on Google Scholar
-
Blatt, S. J., Levy, K. N., 2003, Attachment theory, psychoanalysis, personality development, and psychopathology, Psychoanalytic Inquiry, 23, 102-150.10.1080/07351692309349028 Google Scholar Search this bibliographic reference on Google Scholar
-
Bowlby, J., 1969, Attachment and Loss : Vol. 1 : Attachment, New York, Basic Books.Google Scholar Search this bibliographic reference on Google Scholar
-
Bowlby, J., 1973, Attachment and Loss : Vol. 2, Separation, Anxiety and Anger, New York, Basic Books.Google Scholar Search this bibliographic reference on Google Scholar
-
Caligor, E., Clarkin, J. F., Kernberg, O. F., sous presse, Handbook of Dynamic Psychotherapy Treating Higher Level Personality Pathology, Washington, D.C., American Psychiatric Press.Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., Kernberg, O. F., 2004, The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder : Rationale, Methods and Patient Characteristics, Journal of Personality Disorders, 18, 1, 52-72.10.1521/pedi.18.1.52.32769 Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., 1998, Intervention research : Development and manualization, in Bellack, A.S., Hersen, M., eds., Comprehensive Clinical Psychology, vol. 3, Oxford, Pergamon, 189-200.10.1016/B0080-4270(73)00222-4 Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., 2006, Conceptualization and treatment of personality disorders, Psychotherapy Research, 16, 1-11.10.1080/10503300500395889 Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Caligor, E., Stern, B., Kernberg, O. F., 2006, Structured Interview for Personality Organization (STIPO), New York, Personality Disorders Institute, unpublished manuscript.Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Foelsch, P. A., Levy, K. N., Hull, J. W., Delaney, J. C., Kernberg, O. F., 2001, The development of a psychodynamic treatment for patients with borderline personality disorder : A preliminary study of behavioral change, Journal of Personality Disorders, 15, 6, 487-495.10.1521/pedi.15.6.487.19190 Google Scholar Search this bibliographic reference on Google Scholar
- Clarkin, J.F., Hull, J.W., Hurt, S.W., 1993, Factor structure of borderline personality disorder criteria, Journal of Personality Disorders, 7, 2, 137-143.10.1521/pedi.1993.7.2.137 Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Lenzenweger, M. F., Yeomans, F., Levy, K. N., Kernberg, O. F., sous presse, An object relations model of borderline pathology, Journal of Personality Disorders.Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Levy, K. N., 2006, Psychotherapy for patients with borderline personality disorder : Focusing on the mechanisms of change, Special issue Journal of Clinical Psychology, 62, 405-516.10.1002/jclp.20238 Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., Kernberg, O. F., 2004, The Personality Disorders Institute/Borderline Personality Disorder Research Foundation Randomized Control Trial for Borderline Personality Disorder : Rationale, Methods, and Patient Characteristics, Journal of Personality Disorders, 18, 1, 52-72.10.1521/pedi.18.1.52.32769 Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., Kernberg, O. F., sous presse, Evaluating three treatments for borderline personality disorder : A multiwave study, American Journal of Psychiatry.Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Widiger, T., Frances, A., Hurt, S. W., Gilmore, M., 1983, Prototypic typology and the borderline personality disorder, Journal of Abnormal Psychology, 92, 263-275.10.1037/0021-843X.92.3.263 Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Yeomans, F., Kernberg, O. F., 1999, Psychotherapy for Borderline Personality, New York, Wiley.Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., Yeomans, F., Kernberg, O. F., 2006, Psychotherapy of Borderline Personality : Focusing on Object Relations, Washington, D.C., American Psychiatric Publishing Inc.Google Scholar Search this bibliographic reference on Google Scholar
-
Diamond, D., Stovall-McClough, C., Clarkin, J. F., Levy, K. N., 2003, Patient-therapist attachment in the treatment of borderline personality disorder, Bulletin of the Menninger Clinic, 67, 3, 224-257.10.1521/bumc.67.3.227.23433 Google Scholar Search this bibliographic reference on Google Scholar
-
Diamond, D., Clarkin, J. F., Stovall-McClough, K. C., Levy, K. N,, Foelsch, P., Levine, H., Yeomans, F., 2003, Patient-therapist attachment : Impact on therapeutic process and outcome, in Cortina, M., Marrone, M., eds., Attachment Theory and the Psychoanalytic Process, London, Whurr Press, 179-203.Google Scholar Search this bibliographic reference on Google Scholar
-
Gunderson, J. G., 1996, The borderline patient’s intolerance of aloneness : Insecure attachments, and therapist availability, American Journal of Psychiatry, 153, 752-758.Google Scholar Search this bibliographic reference on Google Scholar
-
Hurt, S. W., Clarkin, J. F., 1990, Borderline personality disorder : Prototypic typology and the development of treatment manuals, Psychiatric Annals, 20, 1, 1-6.Google Scholar Search this bibliographic reference on Google Scholar
-
Kazdin, A. E., 2004, Psychotherapy for children and adolescents, in Lambert, M., J., ed., Bergin and Garfield’s Handbook of Psychotherapy and Behavior Change, New York, Wiley, 5th edition, 543-589.Google Scholar Search this bibliographic reference on Google Scholar
-
Kernberg, O. F., 1981, Structural interviewing, in Stone, M. H., ed., The Psychiatric Clinics of North America, Vol. 4, Philadelphia, Saunders.Google Scholar Search this bibliographic reference on Google Scholar
-
Kernberg, O. F., 2004, Contemporary Controversies in Psychoanalytic Theory, Techniques, and Their Applications, New Haven, Yale University Press.Google Scholar Search this bibliographic reference on Google Scholar
-
Kernberg, O. F., 2006, Identity : Recent findings and clinical implications, Psychoanalytic Quarterly, 75, 969-1004.Google Scholar Search this bibliographic reference on Google Scholar
-
Kernberg, O. F., Selzer, M. A., Koenigsberg, H. W., Carr, A. C., Appelbaum, A. H., 1989, Psychodynamic Psychotherapy of Borderline Patients, New York, Basic Books.Google Scholar Search this bibliographic reference on Google Scholar
-
Korfine, L., Hooley, J. M., 2000, Directed forgetting of emotional stimuli in borderline personality disorder, Journal of Abnormal Psychology, 109, 214-221.10.1037/0021-843X.109.2.214 Google Scholar Search this bibliographic reference on Google Scholar
-
Lenzenweger, M. F., Clarkin, J. F., 2005, Major Theories of Personality Disorder, 2nd edition, New York, Guilford.Google Scholar Search this bibliographic reference on Google Scholar
-
Lenzenweger, M. F., Clarkin, J. F., Yeomans, F. E., Kernberg, O. F., Levy, K., Refining the borderline personality disorder phenotype : Resolving heterogeneity with finite mixture modeling (manuscript in preparation).Google Scholar Search this bibliographic reference on Google Scholar
-
Lenzenweger, M. F., Jensen, S., Rubin, D. B., 2003, Finding the “genuine” schizotype : A model and method for resolving heterogeneity in performance on laboratory measures in experimental psychopathology research, Journal of Abnormal Psychology, 112, 457-468.10.1037/0021-843X.112.3.457 Google Scholar Search this bibliographic reference on Google Scholar
-
Lenzenweger, M. F., McLachlan, G., Rubin, D. B., sous presse, Resolving the latent structure of schizophrenia endophenotypes using EM-based finite mixture modeling, Journal of Abnormal Psychology.Google Scholar Search this bibliographic reference on Google Scholar
-
Lenzenweger, M. F., Clarkin, J. F., Fertuck, E. A., Kernberg, O. F., 2004, Executive neurocognitive functioning and neurobehavioral systems indicators in borderline personality disorder, A preliminary study, Journal of Personality Disorders, 18, 421-438.10.1521/pedi.18.5.421.51323 Google Scholar Search this bibliographic reference on Google Scholar
-
Levy, K. N., Blatt, S. J., 1999, Attachment theory and psychoanalysis : Further differentiation within insecure attachment patterns, Psychoanalytic Inquiry, 19, 541-575.10.1080/07351699909534266 Google Scholar Search this bibliographic reference on Google Scholar
-
Levy, K. N., Clarkin, J. F., Foelsch, P. A., Kernberg, O. F., 2006, Transference focused psychotherapy for patients diagnosed with borderline personality disorder : A comparison with a treatment-as-usual cohort, manuscript submitted for publication.Google Scholar Search this bibliographic reference on Google Scholar
-
Levy, K. N., Clarkin, J. F., Yeomans, F. E., Scott, L., Wasserman, R., Kernberg, O. F., 2006, The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy, Journal of Clinical Psychology, 62, 481-501.10.1002/jclp.20239 Google Scholar Search this bibliographic reference on Google Scholar
-
Levy, K. N., Meehan, K. B., Kelly, K. M., Reynoso, J., Weber, M., Clarkin, J. F., Kernberg, O. F., 2006, Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder, Journal of Consulting and Clinical Psychology, 74, 1027-1040.10.1037/0022-006X.74.6.1027 Google Scholar Search this bibliographic reference on Google Scholar
-
Levy, K. N., Meehan, K. B., Reynoso, J. S., Lenzenweger, M. F., Clarkin, J. F., Kernberg, O. F., 2005, The relation of reflective function to neurocognitive functioning in patients with borderline personality disorder, Journal of the American Psychoanalytic Association, 53, 1305-1309.Google Scholar Search this bibliographic reference on Google Scholar
-
Main, M., Kaplan, N., Cassidy, J., 1985, Security in infancy, childhood, and adulthood : A move to the level of representation, Monographs of the Society for Research in Child Development, 50, 66-104.10.2307/3333827 Google Scholar Search this bibliographic reference on Google Scholar
-
Patrick, M., Hobson, P. Castle, D., Howard, R., Maughan, B., 1994, Personality disorder and the mental representation of early social experience, Development and Psychopathology, 6, 375-388.10.1017/S0954579400004648 Google Scholar Search this bibliographic reference on Google Scholar
-
Posner, M. I., Rothbart, M. K., 2000, Developing mechanisms of self-regulation, Development and Psychopathology, 12, 427-441.10.1017/S0954579400003096 Google Scholar Search this bibliographic reference on Google Scholar
-
Posner, M. I., Rothbart M. K., Vizueta, N., Levy, K., Thomas, K. M., Clarkin, J., 2002, Attentional mechanisms of borderline personality disorder, Proceedings of the National Academy of Sciences, USA, 99, 16366-16370.10.1073/pnas.252644699 Google Scholar Search this bibliographic reference on Google Scholar
-
Silbersweing, D., Clarkin, J., Goldstein, M., Kernberg, O., Tuescher, K., Levy, K., Brendel, G., Pan, H., Beutel, M., Epstein, J., Lenzenweger, M., Thomas, K., Posner, M., Stern, E., under review, Failure of fronto-limbic inhibitory function in the context of negative emotion in borderline personality disorder.Google Scholar Search this bibliographic reference on Google Scholar
-
Stalker, C. A., Davies, F., 1995, Attachment organization and adaptation in sexually-abused women, Canadian Journal of Psychiatry, 40, 234-240.Google Scholar Search this bibliographic reference on Google Scholar
-
Westen, D., 1997, Divergences between clinical and research methods for assessing personality disorders : Implications for research and the evolution of Axis II, American Journal of Psychiatry, 154, 895-903.Google Scholar Search this bibliographic reference on Google Scholar
-
Westen, D., 2006, Commentary on Trull : Drizzling on the 5 +- factor parade, in Widiger, T., Simonsen, E., Sirovatka, P., Regier, D., eds., Dimensional models of personality disorders : Refining the research agenda for DSM-V, Washington, D.C., American Psychiatric Association, 189-204.Google Scholar Search this bibliographic reference on Google Scholar
-
Yeomans, F. E., Clarkin, J. F., Kernberg, O. F., 2002, A Primer of Transference-focused Psychotherapy for the Borderline Patient, Northvale, N.J., Jason Aronson.Google Scholar Search this bibliographic reference on Google Scholar
-
Yeomans, F., sous presse, Letter to the editor, Archives.Google Scholar Search this bibliographic reference on Google Scholar
-
Yeomans, F., Selzer, M., Clarkin, J. F., 1992, The Treatment Contract : Framing Dynamic Therapy with Borderline Patients, New York, Basic Books.Google Scholar Search this bibliographic reference on Google Scholar
-
Widiger, T., Hurt, S., Frances, A., Clarkin, J. F., Gilmore, M., 1984, Diagnostic efficiency and DSM-III, Archives of General Psychiatry, 41, 1005-1012.10.1001/archpsyc.1984.01790210087011 Google Scholar Search this bibliographic reference on Google Scholar