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Psychother Res. 2013;23(6):633-45. doi: 10.1080/10503307.2013.791404. Epub 2013 Apr 30.

Change in biased thinking in a 10-session treatment for borderline personality disorder: further evidence of the motive-oriented therapeutic relationship.

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a Department of Psychiatry-CHUV , Institute of Psychotherapy, C├Ędres-Cery , Prilly-Lausanne , Switzerland.


Borderline Personality Disorder (BPD) is characterized by both maladaptive thinking and problematic schemas. Kramer and colleagues (2011) showed that using the motive-oriented therapeutic relationship (MOTR), based on the individualized understanding of the patient according to Plan Analysis (Caspar, 2007), can improve treatment outcomes for BPD. The present process-outcome pilot study aimed to examine the effects of the motive-oriented therapeutic relationship on the cognitive biases of patients with BPD. Change in biased cognitions in N=10 patients who were subject to MOTR was compared to that of N=10 patients who received psychiatric-psychodynamic treatment (Gunderson & Links, 2008). Results show a greater decrease in over-generalizations in patients who received MOTR, compared to the patients who received the psychiatric-psychodynamic treatment. These changes were related to outcome in various ways. These findings underline the importance of an individualized case formulation method in bringing about therapeutic change.

[Indexed for MEDLINE]

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