Format

Send to

Choose Destination
See comment in PubMed Commons below
J Consult Clin Psychol. 2007 Feb;75(1):104-15.

The therapeutic alliance in schema-focused therapy and transference-focused psychotherapy for borderline personality disorder.

Author information

1
Department of Psychology, Leiden University, Leiden, Netherlands. spinhoven@fsw.leidenuniv.nl

Abstract

This study investigated the quality and development of the therapeutic alliance as a mediator of change in schema-focused therapy (SFT) and transference-focused psychotherapy (TFP) for borderline personality disorder. Seventy-eight patients were randomly allocated to 3 years of biweekly SFT or TFP. Scores of both therapists and patients for the therapeutic alliance were higher in SFT than in TFP. Negative ratings of therapists and patients at early treatment were predictive of dropout, whereas increasingly positive ratings of patients in the 1st half of treatment predicted subsequent clinical improvement. Dissimilarity between therapist and patients in pathological personality characteristics had a direct effect on growth of the therapeutic alliance but showed no relationship with clinical improvement. The authors conclude that the therapeutic alliance and specific techniques interact with and influence one another and may serve to facilitate change processes underlying clinical improvement in patients with borderline personality disorder.

PMID:
17295569
DOI:
10.1037/0022-006X.75.1.104
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for American Psychological Association
    Loading ...
    Support Center