Beyond the Borderline: Expanding Our Repertoire to Address Relational Patterns and Power Dynamics Attendant to Diverse Personality Disorders

Critchfield, Kenneth L.; Dobner-Pereira, Julia; Panizo, Mariafé T.; Drucker, Kirstin

doi:10.1007/s10879-018-9409-8

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Metacognitive Interpersonal Therapy (MIT) is a manualized treatment for PDs (Dimaggio, Montano, Popolo, & Salvatore, 2015). It proceeds from the position that people with PDs suffer distress due to one or more dysfunctional domains: maladaptive interpersonal schemas (Bach & Bernstein, 2018;Critchfield et al, 2019), poor metacognition or mentalizing (Karterud & Bateman, 2011;Carcione et al, 2011;Lysaker et al, 2014;Semerari et al, 2014;Dimaggio & Lysaker, 2018), and maladaptive coping, including emotional regulation (Wilson, Stroud, & Durbin, 2017;Dadomo, Panzeri, Caponcello, Carmelita, & Grecucci, 2018).…”

Section: Introductionmentioning

confidence: 99%

Metacognitive Interpersonal Therapy in Group for Personality Disorders: Preliminary Results from a Pilot Study in a Public Mental Health Setting

Inchausti

Moreno-Campos

Prado-Abril

et al. 2020

J Contemp Psychother

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We conducted a pilot study to investigate the feasibility, acceptability and effectiveness of a grouppsychotherapy based on Metacognitive Interpersonal Therapy (MIT-G) for patients with personality disorders (PDs). Ten outpatients with PD diagnoses were offered 16 sessions of MIT-G delivered in group format. Effect sizes were calculated for changes in symptoms, interpersonal difficulties, and metacognition baseline to treatment end.. Nine patients finished the full treatment protocol with nonsignificant large effect sizes obtained for change in depression, metacognition, impulsiveness and interpersonal problems. This is the first study suggesting that MIT-G is acceptable to outpatients across the spectrum of PDs and is associated with improvements in clinical symptoms, social functioning and metacognition. Despite the limitations of a pilot study, evidence of MIT-G effectiveness is sufficient to warrant further investigation.

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Section: Introductionmentioning

confidence: 99%

Metacognitive Interpersonal Therapy in Group for Personality Disorders: Preliminary Results from a Pilot Study in a Public Mental Health Setting

Inchausti

Moreno-Campos

Prado-Abril

et al. 2020

J Contemp Psychother

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Changing Embodied Dialogical Patterns in Metacognitive Interpersonal Therapy

Centonze

Inchausti

MacBeth

et al. 2020

Journal of Constructivist Psychology

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According to proponents of Dialogical Self Theory (DST), the self is made up of a series of I-positions, which continuously interact, negotiating potential courses of action, and attributing meaning to events. Individuals with personality disorders tend to attribute meaning according to stereotyped dialogical relationship patterns which prevent them from achieving social adaptation and fulfillment. These patterns do not just take a discursive form, but are instead embodied and rooted within internalized processes; which are themselves laden with affect, behavioral dispositions and somatic experiences. Using a case study we demonstrate how Metacognitive Interpersonal Therapy (MIT) provides a platform for changing embodied dialogical patterns, via imagery and body work. These techniques enable revision of the embodied component of the dialogical pattern, promoting the emergence of new Ipositions. These new patterns comprise more adaptive aspects and correspondingly impede the enactment of previous maladaptive coping strategies, that were driven by pathological I-positions. Finally, we discuss the implications of experiential work in this context, as a crucial component of dialogical oriented therapies for people experiencing severe interpersonal problems such as personality disorders.

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Interpersonal Wishes and Fears with Regard to Internalized Attachment Figures: Differing Focus of Two Case Formulation Methods that use SASB

Critchfield¹,

Dobner-Pereira²,

Stucker³

2021

PCSP

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This commentary is organized in parallel with Westerman’s (2021b) comparison to include focus on (1) the formulation methods used by IRT and Interpersonal Defense Theory, and then (2) their treatment implications. In each major section, comments center first on comparison of the approaches in general, and then turn to a focus on the details of Sharon’s case. In sum, we wish to underscore the need for continued empirical work in both IRT and Interpersonal Defense Theory traditions as ways to advance our field. We see each method as offering a different scope and focal areas of concern. With a mind toward the advancement of research and application along both lines of thought, our commentary provides an overview of how we see areas of alignment, divergence, and their potential meaning for theory and practice. The two methods share a great deal in terms of assumptive worldviews, prioritization of relational material, and even specific measurement methodology (SASB). Where the methods diverge, we believe it is primarily because they seek answers to different kinds of questions.

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Beyond the Borderline: Expanding Our Repertoire to Address Relational Patterns and Power Dynamics Attendant to Diverse Personality Disorders

Cited by 3 publications

References 15 publications

Metacognitive Interpersonal Therapy in Group for Personality Disorders: Preliminary Results from a Pilot Study in a Public Mental Health Setting

Metacognitive Interpersonal Therapy in Group for Personality Disorders: Preliminary Results from a Pilot Study in a Public Mental Health Setting

Changing Embodied Dialogical Patterns in Metacognitive Interpersonal Therapy

Interpersonal Wishes and Fears with Regard to Internalized Attachment Figures: Differing Focus of Two Case Formulation Methods that use SASB

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