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3. The Therapeutic Alliance in Schema-Focused Therapy and Transference-Focused Psychotherapy for Borderline Personality Disorder

Author

Spinhoven, Philip, Giesen-Bloo, Josephine, and van Dyck, Richard

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.

Published
2007

7. Two-year course of depressive and anxiety disorders: Results from the Netherlands Study of Depression and Anxiety (NESDA)

Author

Penninx, Brenda W.J.H., Nolen, Willem A., Lamers, Femke, Zitman, Frans G., Smit, Johannes H., Spinhoven, Philip, Cuijpers, Pim, de Jong, Peter J., van Marwijk, Harm W.J., der Meer, Klaas van, Verhaak, Peter, Laurant, Miranda G.H., de Graaf, Ron, Hoogendijk, Witte J., der Wee, Nic van, Ormel, Johan, van Dyck, Richard, and Beekman, Aartjan T.F.

Published
2011
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15. Reply

Author

Bakker, Abraham, Spinhoven, Philip, van der Does, A.J. Willem, van Balkom, Anton J.L.M., and van Dyck, Richard

Published
2003

25. Psychiatric Perspective

Author

van Dyck, Richard, primary, van Balkom, Anton J. L. M., additional, van den Heuvel, Odile A., additional, and Middeldorp, Christel M., additional

Published
2014
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28. Major depressive disorder and hypothalamic-pituitary-adrenal axis activity: results from a large cohort study

Author

Vreeburg, Sophie A., Hoogendijk, Witte J.G., van Pelt, Johannes, DeRijk, Roel H., Verhagen, Jolanda C.M., van Dyck, Richard, Smit, Johannes H., Zitman, Frans G., and Penninx, Brenda W.J.H.

Subjects
Major depressive disorder -- Physiological aspects, Major depressive disorder -- Research, Hypothalamic-pituitary-adrenal axis -- Physiological aspects, Hypothalamic-pituitary-adrenal axis -- Research, Health, Psychology and mental health
Published
2009

30. Association between major depressive disorder and heart rate variability in the Netherlands Study of Depression and Anxiety (NESDA)

Author

Licht, Carmilla M.M., de Geus, Eco J.C., Zitman, Frans G., Hoogendijk, Witte J.G., van Dyck, Richard, and Penninx, Brenda W.J.H.

Subjects
Major depressive disorder -- Research, Heart beat -- Physiological aspects, Heart beat -- Research, Cardiovascular diseases -- Risk factors, Cardiovascular diseases -- Research, Health, Psychology and mental health
Published
2008

31. Can assessors and therapists predict the outcome of long-term psychotherapy in borderline personality disorder?

Author

Spinhoven, Philip, Giesen-Bloo, Josephine, van Dyck, Richard, and Arntz, Arnoud

Subjects
Borderline personality disorder -- Risk factors, Borderline personality disorder -- Diagnosis, Borderline personality disorder -- Care and treatment, Borderline personality disorder -- Patient outcomes, Borderline personality disorder -- Research, Psychotherapy -- Health aspects, Psychotherapy -- Patient outcomes, Psychotherapy -- Research, Psychology and mental health
Abstract

Surprisingly few studies have investigated the accuracy of prognostic assessments of therapy outcome by clinicians. The objective of the present study was to investigate the relationship between clinicians' prognostic assessments and patient characteristics and treatment outcome. Seventy-one patients with a borderline personality disorder randomly allocated to schema-focused therapy (SFT) or transference focused psychotherapy (TFP) were assessed every 3 months for 3 years. Prognostic assessments proved to be unrelated to patients' biographical (i.e., age, gender, education level, and employment level) and clinical characteristics (i.e., number of Axis I and Axis II diagnoses, and severity of psychiatric symptoms or borderline personality pathology). Clinical assessors as well as therapists rated the probability of success for SFT to be higher than for TFP. Prospective assessments of assessors and therapists accurately predicted different indices of outcome above and independent of patient characteristics. The prediction of outcome in the TFP condition in particular proved to be valid. Identifying prognostic markers of treatment outcome as used by clinicians in their prognostic assessments may improve current prediction models and patient-treatment matching.

Published
2008

35. Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs transference-focused psychotherapy

Author

Giesen-Bloo, Josephine, van Dyck, Richard, Spinhoven, Philip, van Tilburg, Willem, Dirksen, Carmen, van Asselt, Thea, Kremers, Ismay, Nadort, Marjon, and Arntz, Arnoud

Subjects
Quality of life -- Evaluation, Borderline personality disorder -- Care and treatment, Psychotherapy -- Research, Ambulatory medical care -- Research, Health, Psychology and mental health
Published
2006

36. Frontal-striatal dysfunction during planning in obsessive-compulsive disorder

Author

van den Heuvel, Odile A., Veltman, Dick J., Groenewegen, Henk J., Cath, Danielle C., van Balkom, Anton J.L.M., van Hartskamp, Julie, Barkhof, Frederick, and van Dyck, Richard

Subjects
Frontal lobes -- Observations, Obsessive-compulsive disorder -- Physiological aspects, Behavioral assessment -- Methods, Health, Psychology and mental health
Published
2005

40. Directed forgetting between, but not within, dissociative personality states

Author

Elzinga, Bernet M., Phaf, R. Hans, Ardon, Angelique M, and van Dyck, Richard

Subjects
Multiple personality -- Research, Memory -- Research, Amnesia -- Research, Psychology and mental health
Abstract

To investigate amnesia between identities in dissociative identity disorder (DID), the authors assessed explicit and implicit memory performance on a directed-forgetting task in 12 DID patients who switched from one state to an 'amnesic' state between presentation and memory testing. DID patients were instructed either to remember or to forget neutral and emotional words. Besides an overall decrease in explicit memory, patients demonstrated selective forgetting of to-be-forgotten, but not of to-be-remembered words in the amnesic state. Patients did not exhibit any directed forgetting within the same state. Implicit memory was fully preserved across states. Independent of state, patients recalled more emotional than neutral information. These results may extend the conceptualization of memory processes in DID, suggesting an important role for retrieval inhibition.

Published
2003

41. From a `State Mental Hospital' to new homes in the city: longitudinal research into the use of intramural facilities by long-stay care-dependent psychiatric clients in Amsterdam

Author

Duurkoop, Pim and van Dyck, Richard

Subjects
Amsterdam, Netherlands -- Research, Health care industry -- Research, Mental health -- Research, Psychiatric hospital care -- Research, Psychiatric hospitals, Health care industry, Psychology and mental health
Abstract

In 1986, the traditional psychiatric hospital where 70% of Amsterdam's intramural (1) treatment took place, was closed down. The progress of two groups of long-stay patients was followed by longitudinal cohort research for five years after their transferral to new small-scale facilities in Amsterdam. The ADL-functioning of the most severely handicapped clients improved and their psychiatric symptoms decreased, while no improvement was seen in the functioning of the more independent and less handicapped clients. Now, thirteen years after closure of the old hospital, the use of the psychiatric facilities by these clients is being evaluated. This evaluation makes clear that the improvement of the severely disabled patients depends on the intensity of care given. Apparently, the improvement in the new facilities is no guarantee for a further development into a less care-intensive environment. The less handicapped and more independent clients, however, could more easily be transferred to less care-intensive facilities. KEY WORDS: long-term care; de-institutionalization; social psychiatry; chronic psychiatric patients; longitudinal cohort research.

Published
2003

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