The assessment of change during the intensive treatment of borderline and schizophrenic young adults.

Abstract

BLATT, FORD, BERMAN, COOK, MEYER lly elaboration of inaccurately perceived human responses on the Rorschach, that is, in decreased investment in inappropriate or autistic fantasies about human relationships.important psychological dimensions that may occur after a substantial period of treatment, with the possibility that different changes may occur : n different types of patients.This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. 130BLATT, FORD, BERMAN, COOK, MEYER therapist. Despite this emphasis placed on the necessity for indepencent including "projective techniques" as a method for obtaining an evaluation of psychotherapy change by an expert, independent, external observer.This document is copyrighted by the American Psychological Association or one of its allied publishers. This article is intended solely for the personal use of the individual user and is not to be disseminated broadly. 132BLATT, FORD, BERMAN, COOK, MEYER system damage. All these patients had 200 or more sessions of individual, psychoanalytically oriented psychotherapy intervening between testings.intelligence. There were 45 women and 45 men in the sample, ranging in ageThis document is copyrighted by the American Psychological Association or one of its allied publishers. This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

Changes in anaclitic–introjective personality dimensions, outcomes and psychoanalytic technique: a multi-case study

“…Thus, on a descriptive level, psychoanalytic treatment technique seems to have fostered changes in latent mental structures in anaclitic rather than introjective cases, while symptomatic changes have been promoted in both groups. This conclusion is consistent with Blatt's (Blatt et al, 1988;Blatt & Ford, 1994;Blatt & Shahar, 2004;Shahar, Blatt, & Ford, 2003) studies of changes in these two types of patients in the Riggs and Menninger investigations, demonstrating that the anaclitic patients improved most in the area of relatedness, whereas therapeutic change in the introjective group was most evident in the area of clinical symptoms.…”

“…(Luyten & Blatt, 2013, p. 175) Empirical studies have demonstrated distinct patterns of change in anaclitic and introjective patients (Blatt, 1995;Blatt & Ford, 1994;Blatt, Ford, Berman, Cook, & Meyer, 1988;Blatt, Sanislow, Zuroff, & Pilkonis 1996;Blatt & Shahar, 2004;Blatt, Zuroff, Bondi, Sanislow, & Pilkonis, 1998;Gabbard & Simonsen, 2007;Vermote et al, 2009Vermote et al, , 2011. However, no previous study has explored the change in degree of anaclitic -introjective organisation over treatment (Blatt, personal communication, 2 May 2013).…”

Impacto de la Personalidad y el Estilo Depresivo en los Resultados Psicoterapéuticos de Pacientes con Depresión

“…En el caso del autocrítico, lo que provoca la depresión son situaciones de humillación, fracaso e injuria a la autoestima y se manifiesta a través de autorreproches, culpa y sentimientos de fracaso y de inferioridad (Blatt, 2008). Estudios que han utilizado esta diferenciación han mostrado que tanto los pacientes autocríticos como los dependientes (Blatt, 1992;Blatt et al, 1994;Blatt, Ford, Berman, Cook & Meyer, 1988) muestran diferentes necesidades, responden de manera distinta a las intervenciones terapéuticas y evidencian diferentes resultados. Por ello es que el funcionamiento de cada estilo depresivo (autocrítico o dependiente) es distinto.…”

Relationships among semantic differential change measures of splitting, self‐fragmentation and object relations in borderline psychopathology

“…Other researchers are focusing attention on theoretically relevant dimensions of psychological change in borderline pathology. Innovative measures of object representations, object relations and primitive defences, ranging in methodology from patient self-report inventories to reconceptualized and revised scoring systems for such established projective tests as the Rorschach, are currently being developed and employed in construct validation studies of borderline pathology (Blatt & H. Lerner, 1983 ;Burke, Summers, Selinger & Polonus, 1986;Gerson, 1984; P. Lerner & H. Lerner, 1980;Marmar & Horowitz, 1986 ;Oldham, Clarkin, Appelbaum, Carr, Kernberg, Lotterman & Haas, 1985) and in psychotherapy outcome studies (Blatt, Ford, Berman, Cook & Meyer, 1988;Kantrowitz, Katz, Paolitto, Sashin & Solomon, 1987;Kavanagh, 1985;Ryan & Bell, 1984) and could eventually be used to explicate the nature of change processes in the psychotherapy of the borderline patient.…”