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Psychotherapy (Chic). 2009 Dec;46(4):480-5. doi: 10.1037/a0017947.

Preliminary relationships between adherence and outcome in dynamic deconstructive psychotherapy.

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  • 1Department of Psychology.


This study examined adherence to specific psychotherapeutic techniques as a predictor of outcome in dynamic deconstructive psychotherapy (DDP), a new psychodynamic therapy for treatment-resistant clients with borderline personality disorder (BPD). Ten clients dually diagnosed with BPD and alcohol use disorders underwent 12 months of DDP. Outcome indexes included measures of borderline symptoms, depression, dissociation, social support, alcohol misuse, parasuicide, and institutional care. Independent raters coded videorecorded sessions on adherence to DDP techniques, using a scale developed for this study, as well as therapeutic alliance and standard cognitive-behavioral and psychodynamic techniques. The adherence instrument demonstrated excellent interrater and test-retest reliability. Adherence to DDP techniques was positively related to improvement in BPD symptoms (ρ = .64) and most secondary outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

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