Abstracts
Résumé
Six traitements psychothérapiques des troubles de personnalité sont brièvement présentés dans cette revue de la littérature. Ces traitements se basent sur des modèles théoriques différents, les approches cognitive-comportementale, psychodynamique et interpersonnelle et ont déjà fait leurs preuves cliniques et empiriques en termes de leur efficacité. Se centrant sur les processus de changement thérapeutique, les auteurs émettent l’hypothèse que le processus d’activation émotionnelle est l’un des ingrédients les plus intéressants de ces traitements. Les traitements sont discutés sous l’angle de cette hypothèse et de ses implications cliniques.
Abstract
There are at least six psychotherapeutic treatments of personality disorders having received empirical and clinical validation in terms of their efficacy. These treatments are based on different theoretical models, namely the cognitive-behavioural, psychodynamic and interpersonal models. This article briefly presents these treatments, focusing on the process of therapeutic change. It is assumed that the process of emotional activation is one of the most interesting theoretical psychotherapy ingredient in treatments of these patients. The treatments are discussed regarding this hypothesis and its clinical implications.
Resumen
En esta revisión de la literatura se presentan brevemente seis tratamientos psicoterapéuticos de los trastornos de la personalidad. Estos tratamientos se basan en modelos teóricos diferentes, los enfoques cognitivo-comportamentales, psicodinámicos e interpersonales, cuya eficacia ya ha sido probada clínica y empíricamente. Al centrarse en los procesos de cambio terapéutico, los autores plantean la hipótesis de que el proceso de activación emocional es uno de los componentes más interesantes de estos tratamientos. Los tratamientos se discuten bajo el punto de vista de esta hipótesis y sus implicaciones clínicas.
Resumo
Seis tratamentos psicoterápicos dos transtornos de personalidade são apresentados brevemente nesta revista da literatura. Estes tratamentos baseiam-se em modelos teóricos diferentes, abordagens cognitivo-comportamental, psicodinâmica e interpessoal, e já passaram por provas clínicas e empíricas com respeito à sua eficácia. Concentrando-se nos processos de mudança terapêutica, os autores levantam a hipótese de que o processo de ativação emocional é um dos ingredientes mais interessantes destes tratamentos. Os tratamentos são discutidos sob o ângulo desta hipótese e destas implicações clínicas.
Appendices
Références
-
Beck, A. T., 1967, Depression : Clinical, Experimental and Theoretical Aspects, New York, Harper and Row.10.1037/h0037024 Google Scholar Search this bibliographic reference on Google Scholar
-
Beck, A. T., Freeman, A., 2004, Cognitive Therapy of Personality Disorders, New York, Guilford Press.10.1002/jclp.20238 Google Scholar Search this bibliographic reference on Google Scholar
-
Benjamin, L. S., 1974, Structural analysis of social behaviour, Psychological Review, 81, 392-425.10.1037/h0037024 Google Scholar Search this bibliographic reference on Google Scholar
-
Benjamin, L. S., 1993, Interpersonal Diagnosis and Treatment of Personality Disorders, New York, Guilford Press.10.1176/appi.ajp.160.7.1223 Google Scholar Search this bibliographic reference on Google Scholar
-
Clarkin, J. F., 2005, Model of Borderline Pathology and TFP, Conference at the 36th International Meeting of the Society for Psychotherapy Research, June 2005. Montréal.10.1002/jclp.20239 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, Journal of Clinical Psychology, 62, 4, 405-410.10.1002/jclp.20238 Google Scholar Search this bibliographic reference on Google Scholar
-
Gabbard, G. O., 1994, Psychodynamic Psychiatry in Clinical Practice, Washington D. C., American Psychiatric Press.Google Scholar Search this bibliographic reference on Google Scholar
-
Giesen-Bloo, J. Van Dyck, R., Spinhoven, P., Van Tilburg, W., Dirksen, C., Van Asselt, T., Kremers, I., Nadort, M., Arntz, A., Outpatient psychotherapy for borderline personality disorder. Randomized trial of schema-focused therapy vs transference-focused psychotherapy, Archives of General Psychiatry, 63, 646-659.Google Scholar Search this bibliographic reference on Google Scholar
-
Greenberg, L. S., Rice, L., Elliot, R., 1993, Facilitating Emotional Change : The Moment to Moment Process, New York, Guilford.Google Scholar Search this bibliographic reference on Google Scholar
-
Kegan, R., 1986, Die Entwicklungsstufen des Selbst — Fortschritte und Krisen im menschlichen Leben, München, Kindt.Google Scholar Search this bibliographic reference on Google Scholar
-
Kellogg, S. H., Young, J. E., 2006, Schema therapy for borderline personality disorder, Journal of Clinical Psychology, 62, 4, 445-458.10.1002/jclp.20240 Google Scholar Search this bibliographic reference on Google Scholar
-
Kernberg, O. F., 1980, Internal World and External Reality, New York, Jason Aronson.Google Scholar Search this bibliographic reference on Google Scholar
-
Klein, M., 1957, Envy and Gratitude, New York, Basic Books.Google Scholar Search this bibliographic reference on Google Scholar
-
Kohlberg, L., 1974, The Psychology of Moral Development, The Nature and Validity of Moral Stages, New York, Harper and Row.Google Scholar Search this bibliographic reference on Google Scholar
-
Leichsenring, F., Leibing, E., 2003, The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders : A meta-analysis, American Journal of Psychiatry, 160, 1223-1232.10.1176/appi.ajp.160.7.1223 Google Scholar Search this bibliographic reference on Google Scholar
-
Levy, K. N., Clarkin, J. F., Yeomans, F. E., Scott, L. N., Wasserman, R. H., Kernberg, O., 2006, The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy, Journal of Clinical Psychology, 62, 4, 481-501.10.1002/jclp.20239 Google Scholar Search this bibliographic reference on Google Scholar
-
Linehan, M. M., 1993a, Cognitive-behavioral Treatment of Borderline Personality Disorder, New York, Guilford Press.Google Scholar Search this bibliographic reference on Google Scholar
-
Linehan, M. M., 1993b, Skills Training Manual for Treating Borderline Personality Disorder, New York, Guilford Press.Google Scholar Search this bibliographic reference on Google Scholar
-
Lynch, T.R., Chapman, A. L., Rosenthal, M. Z., Kuo, J. R., Linehan, M.?M., 2006, Mechanisms of change in dialectical behavior therapy : Theoretical and empirical observations, Journal of Clinical Psychology, 62, 4, 459-480.10.1002/jclp.20243 Google Scholar Search this bibliographic reference on Google Scholar
-
Magnavita, J. J., 2006, The centrality of emotion in unifying and accelerating psychotherapy, Journal of Clinical Psychology : In Session, 62, 5, 585-596.10.1002/jclp.20250 Google Scholar Search this bibliographic reference on Google Scholar
-
Millon, T. H., 1996, Disorders of Personality, DSM-IV and beyond, New York, John Wiley.Google Scholar Search this bibliographic reference on Google Scholar
-
Perry, J. C., 2005, Evidence for recovery following the psychotherapy of personality disorders, A systematic meta-analysis, Conference at the 36th International Meeting of the Society for Psychotherapy Research, June 2005, Montréal.Google Scholar Search this bibliographic reference on Google Scholar
-
Perry, J. C., Banon, E., Ianni, F., 1999, Effectiveness of psychotherapy for personality disorders, American Journal of Psychiatry, 156, 9, 1312-1321.Google Scholar Search this bibliographic reference on Google Scholar
- Piaget, J., Inhelder, B., 1978, La psychologie de l’enfant, Paris, PUF.Google Scholar Search this bibliographic reference on Google Scholar
-
Roder, V., Lächler, M., Zorn, P., Müller, D. R., Thommen, M., Tschacher, W., 2004, Cognitive-behaviour therapy for psychiatric patients with comorbid personality disorder : Evaluation of a new treatment program, European Psychiatry, 19, Suppl. 1, 131-132.Google Scholar Search this bibliographic reference on Google Scholar
-
Sachse, R., 2001, Psychologische Psychotherapie der Persönlichkeitsstörungen, Göttingen, Hogrefe.Google Scholar Search this bibliographic reference on Google Scholar
-
Sachse, R., 2004, Persönlichkeitsstörungen, Göttingen, Hogrefe.Google Scholar Search this bibliographic reference on Google Scholar
-
Sullivan, H. S., 1953, The Interpersonal Theory of Psychiatry, New York, Norton Press.Google Scholar Search this bibliographic reference on Google Scholar
-
Sulz, S. K.D., 1994, Strategische Kurzzeittherapie — Wege zur effizienten Psychotherapie, München, CIP-Medien.Google Scholar Search this bibliographic reference on Google Scholar
-
Turkat, I. D., 1990, The Personality Disorders : A Psychological Approach to Clinical Management, New York, Pergamon Press.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 Inc.Google Scholar Search this bibliographic reference on Google Scholar
-
Young, J. E., 1994, Cognitive Therapy for Personality Disorders : A Schema-focused Approach (rev. ed.), Sarasota, Professional Research Exchange.Google Scholar Search this bibliographic reference on Google Scholar
-
Young, J. E., Klosko, J. S., Weishaar, M., 2003, Schema Therapy, A Practioner’s Guide, New York, Guilford Press.Google Scholar Search this bibliographic reference on Google Scholar
-
Zorn, P., Roder, V., 2005, Berner Integrative Therapie (BIT)-Behandlungsmanual. Unveröffentlichtes Arbeitspapier, Bern, Universitäre Psychiatrische Dienste.Google Scholar Search this bibliographic reference on Google Scholar
-
Zorn, P., Roder, V., 2006, sous presse, Verhaltenstherapeutische Therapieansätze für Patienten mit Persönlichkeitsstörungen : Ueberblick und empirische Ergebnisse, Verhaltenstherapie und Verhaltensmedizin.Google Scholar Search this bibliographic reference on Google Scholar
-
Zorn, P., Roder, V., Müller, D., Lächler, M., Renevey, Y., 2004b, Evaluation eines neuen kognitiv-behavioralen Gruppentherapieprogramms für Patienten mit Persönlichkeitsstörungen (BIT) : erste Ergebnisse, Nervenarzt, 75, suppl.2, 217.Google Scholar Search this bibliographic reference on Google Scholar
-
Zorn, P., Roder, V., Kramer, U., Pomini, V., en prép., La Thérapie Intégrative Bernoise pour les troubles de personnalité : nouvelles stratégies thérapeutiques et premiers résultats empiriques.Google Scholar Search this bibliographic reference on Google Scholar
-
Zorn, P., Roder, V., Thommen, M., Tschacher, W., 2004a, Development and evaluation of a cognitive behaviour therapy program for patients with personality disorders, World Psychiatry, 3, suppl.1, 327.Google Scholar Search this bibliographic reference on Google Scholar