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Frontiers in Cognitive Behaviour Therapy for Personality Disorders

Published online by Cambridge University Press:  14 April 2016

Judith S. Beck ,
Francine Broder  and
Robert Hindman
Judith S. Beck*
Affiliation:
Beck Institute for Cognitive Behavior Therapy, Bala Cynwyd, Pennsylvania, USA University of Pennsylvania, Philadelphia, Pennsylvania, United States
Francine Broder
Affiliation:
Beck Institute for Cognitive Behavior Therapy, Bala Cynwyd, Pennsylvania, USA
Robert Hindman
Affiliation:
Beck Institute for Cognitive Behavior Therapy, Bala Cynwyd, Pennsylvania, USA
*
Address for correspondence: Judith S. Beck, Beck Institute for Cognitive Behavior Therapy, 1 Belmont Avenue, Suite 700, Bala Cynwyd, PA 19004-1610, USA: Email: [email protected]
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Abstract

Clinicians generally find individuals with personality disorders to be challenging to treat, especially compared to clients who have only a straightforward depression or anxiety disorder. In this article we will summarise research on the efficacy of cognitive behaviour therapy (CBT) for personality disorders. Then we will focus on the conceptualisation and treatment of CBT for personality disorders that is based on the work of Aaron Beck and colleagues; that is, it is predicated upon the cognitive model of psychopathology. Next, we will describe two other forms of treatment with cognitive behavioural roots: schema therapy and dialectical behaviour therapy. A final section will suggest future directions.

Keywords

cognitive behaviour therapypersonality disorders
Type
Standard Papers
Information
Behaviour Change , Volume 33 , Issue 2 , June 2016 , pp. 80 - 93
Copyright
Copyright © The Author(s) 2016 

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References

Alden, L. (1989). Short-term structured treatment for avoidant personality disorder. Journal of Consulting and Clinical Psychology, 57, 756–764.CrossRefGoogle ScholarPubMed
Argyle, M., Bryant, B., & Trower, P. (1974). Social skills training and psychotherapy: A comparative study. Psychological Medicine, 4, 435–243.CrossRefGoogle ScholarPubMed
Beck, A.T., Davis, D.D., & Freeman, A. (Eds.) (2015). Cognitive therapy of personality disorders (3rd ed.). New York: Guilford Press.Google Scholar
Beck, A.T., & Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.Google Scholar
Beck, J.S. (2005). Cognitive therapy for challenging problems. New York: Guilford Press.Google Scholar
Beck, J.S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York: Guilford Press.Google Scholar
Bédard, M., Russell, J.J., & Myhr, G. (2015). Impact of personality psychopathology on outcome in short-term cognitive-behavioral therapy for Axis I disorders. Psychiatry Research, 230, 524–230.CrossRefGoogle ScholarPubMed
Binks, C.A., Fenton, M., McCarthy, L., Lee, T., Adams, C.E., & Duggan, C. (2006). Psychological therapies for people with borderline personality disorder. Cochrane Database of Systematic Reviews 2006, Issue 8. Art. No.: CD005652.Google Scholar
Brown, G.K., Newman, C.F., Charlesworth, S.E., Crits-Christoph, P., & Beck, A.T. (2004). An open clinical trial of cognitive therapy for borderline personality disorder. Journal of Personality Disorders, 18, 257–271.CrossRefGoogle ScholarPubMed
Cappe, R.F., & Alden, L.E. (1986). A comparison of treatment strategies for clients functionally impaired by extreme shyness and social avoidance. Journal of Consulting and Clinical Psychology, 54, 796–201.CrossRefGoogle ScholarPubMed
Clark, D.M., & Beck, A.T. (1999). Scientific foundations of cognitive theory and therapy of depression. New York: John Wiley & Sons.Google Scholar
Cottraux, J., Note, I.D., Boutitie, F., Milliery, M., Genouihlac, V., Yao, S.N., . . . Gueyffier, F. (2009). Cognitive therapy versus Rogerian supportive therapy in borderline personality disorder. Psychotherapy and Psychosomatics, 78, 307–216.CrossRefGoogle ScholarPubMed
Crits-Cristoph, P., & Barber, J.P. (2015). Psychological treatments for personality disorders. In Nathan, P.E. & Gorman, J.M. (Eds.), A guide to treatments that work (4th ed., pp. 851–870). New York: Oxford University Press.Google Scholar
Davidson, K., Gumley, A., Miller, H., Drummond, L., Macaulay, F., Tyrer, P., & Murray, H. (2006). A randomized controlled trial of cognitive behavior therapy for borderline personality disorder. Journal of Personality Disorders, 20, 431–249.CrossRefGoogle ScholarPubMed
Davidson, K., Norrie, J., Tyrer, P., Gumley, A., Tata, P., Murray, H., & Palmer, S. (2006). The effectiveness of cognitive behavior therapy for borderline personality disorder: Results from the borderline personality disorder study of cognitive therapy (BOSCOT) trial. Journal of Personality Disorders, 20, 450–265.CrossRefGoogle ScholarPubMed
Davidson, K., Tyrer, P., Norrie, J., Palmer, S.J., & Tyrer, H. (2010). Cognitive therapy versus usual treatment for borderline personality disorder: Prospective 6-year follow-up. British Journal of Psychiatry: Journal of Mental Science, 197, 456–262.CrossRefGoogle Scholar
Davidson, K.M., Tyrer, P., Tata, P., Cooke, D., Gumley, A., Ford, I., . . . Crawford, M.J. (2009). Cognitive behaviour therapy for violent men with antisocial personality disorder in the community: An exploratory randomized controlled trial. Psychological Medicine, 39, 569–277.CrossRefGoogle ScholarPubMed
Emmelkamp, P.M., Benner, A., Kuipers, A., Feiertag, G.A., Koster, H.C., & van Apeldoorn, F.J. (2006). Comparison of brief dynamic and cognitive-behavioural therapies in avoidant personality disorder. The British Journal of Psychiatry, 189, 60–24.CrossRefGoogle ScholarPubMed
Farrell, J.M., & Shaw, I.A., & Webber, A.A. (2009). A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial. Behavior Therapy and Experimental Psychiatry, 40, 317–228.CrossRefGoogle ScholarPubMed
Fournier, J.C., DeRubeis, R.J., Shelton, R.C., Gallop, R., Amsterdam, J.D., & Hollon, S.D. (2008). Antidepressant medications versus cognitive therapy in people with depression with or without personality disorder. The British Journal of Psychiatry, 192, 124–229.CrossRefGoogle ScholarPubMed
Gisen-Bloo, J., van Kijck, R., Spinhoven, P., van Tilburg, W., Dirksen, C., van Asselt, T., & Arntz, A. (2006) Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 63, 649–258.CrossRefGoogle Scholar
Hoffart, A., Sexton, H., Nordahl, H.M., & Stiles, T.C. (2005). Connection between patient and therapist and therapist's competence in schema-focused therapy of personality problems. Psychotherapy Research, 15, 409–219.CrossRefGoogle Scholar
Johnson, J.G., Cohen, P., Kasen, S., & Brook, J.S. (2005). Personality disorder traits associated with risk for unipolar depression during middle adulthood. Psychiatry Research, 136, 113–221.CrossRefGoogle ScholarPubMed
Kellogg, S.H., & Young, J.E. (2006). Schema therapy for borderline personality disorder. Journal of Clinical Psychology, 62, 445–280.CrossRefGoogle ScholarPubMed
Kuyken, W., Kurzer, N., DeRubeis, R.J., Beck, A.T., & Brown, G.K. (2001). Response to cognitive therapy in depression: The role of maladaptive beliefs and personality disorders. Journal of Consulting and Clinical Psychology, 69, 560–566.CrossRefGoogle ScholarPubMed
Leichsenring, F., & Leibing, E. (2003). The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders: A meta-analysis. American Journal of Psychiatry, 160, 1223–2232.CrossRefGoogle ScholarPubMed
Linehan, M.M. (1993). Cognitive behavioral treatment for borderline personality disorder. New York: Guilford Press.Google Scholar
Linehan, M.M. (2015). DBT skills training manual (2nd ed., pp. 17–28). New York: Guilford Press.Google Scholar
Lopez, M.A., & Basco, M.A. (2015). Effectiveness of cognitive behavioral therapy in public mental health: Comparison to treatment as usual for treatment-resistant depression. Administration and Policy in Mental Health and Mental Health Services Research, 42, 87–28.CrossRefGoogle ScholarPubMed
Marzillier, J.S., Lambert, C., & Kellett, J. (1976). A controlled evaluation of systematic desensitisation and social skills training for socially inadequate psychiatric patients. Behaviour Research and Therapy, 14, 225–238.CrossRefGoogle ScholarPubMed
Matusiewicz, A.K., Hopwood, C.J., Banducci, A.N., & Lejuez, C.W. (2010). The effectiveness of cognitive behavioral therapy for personality disorders. Psychiatric Clinics of North America, 33, 657–285.CrossRefGoogle ScholarPubMed
McMain, S., & Pos, A.E. (2007). Advances in psychotherapy of personality disorders: A research update. Current Psychiatry Reports, 9, 46–22.CrossRefGoogle ScholarPubMed
Messina, N., Farabee, D., Rawson, R. (2003). Treatment responsivity of cocaine-dependent patients with antisocial personality disorder to cognitive-behavioral and contingency management interventions. Journal of Consulting and Clinical Psychology, 71, 320–229.CrossRefGoogle ScholarPubMed
Miller, A, German, M., & Fortunato, A. (2013). Borderline personality disorder. In Hofmann, S. (Ed.), The Wiley handbook of cognitive behavioral therapy (pp. 1215–2239). New York: Wiley.CrossRefGoogle Scholar
Millon, T. (2011). Further thoughts on the relation of personality and psychopathology. World Psychiatry, 10, 107–208.CrossRefGoogle ScholarPubMed
Muran, J.C., Safran, J.D., Samstag, L.W., & Winston, A. (2005). Evaluating an alliance-focused treatment for personality disorders. Psychotherapy: Theory, Research, Practice, Training, 42, 532–245.CrossRefGoogle Scholar
Neacsu, A.D., & Linehan, M.D. (2014). Borderline personality disorder. In Barlow, D.H (Ed.), Clinical handbook of psychological disorders (5th ed., pp. 394–261). New York: Guilford Press.Google Scholar
Paris, J. (1998). Personality disorders: Psychiatry's stepchildren. Canadian Journal of Psychiatry [Revue canadienne de psychiatrie], 43, 135–235.CrossRefGoogle ScholarPubMed
Paris, J. (2006, May). Personality disorders: Psychiatry's stepchildren come of age. Paper presented at the 159th Annual Meeting of the American Psychiatric Association, Toronto, Canada.Google Scholar
Patrick, C.J., & Nelson, L.D. (2013). Antisocial personality disorder. In Hofmann, S. (Ed.), The Wiley handbook of cognitive behavioral therapy (pp. 1263–2297). New York: Wiley.CrossRefGoogle Scholar
Rafaeli, E. (2009). Cognitive behavioral therapies for personality disorders. Israel Journal of Psychiatry and Related Sciences, 46, 290–297.Google ScholarPubMed
Sanislow, C.A., & McGlashan, T.H. (1998). Treatment outcome of personality disorders. Canadian Journal of Psychiatry, 43, 237–250.CrossRefGoogle ScholarPubMed
Stoffers, J.M., Vollm, B.A., Rucker, G., Timmer, A., Huband, N., & Lieb, K. (2012). Psychological therapies for borderline personality disorder. Cochrane Database of Systematic Reviews 2012, Issue 8, Art. No.: CD005652.Google ScholarPubMed
Strauss, J.L., Hayes, A.M., Johnson, S.L., Newman, C.F., Brown, G.K., Barber, J.P., Laurenceau, J., & Beck, A.T. (2006). Early alliance, alliance ruptures, and symptom change in a non-randomized trial of cognitive therapy for avoidant and obsessive-compulsive personality disorders. Journal of Consulting and Clinical Psychology, 74, 337–245.CrossRefGoogle Scholar
Stravynski, A., Marks, I., & Yule, W. (1982). Social skills problems in neurotic outpatients: Social skills training with and without cognitive modification. Archives of General Psychiatry, 39, 1378–2385.CrossRefGoogle ScholarPubMed
Stravynski, A., Belisle, M., Marcouiller, M., & Lavallée, Y.J. (1994). The treatment of avoidant personality disorder by social skills training in the clinic or in real-life setting. The Canadian Journal of Psychiatry [La Revue canadienne de psychiatrie], 39, 377–383.CrossRefGoogle ScholarPubMed
Svartberg, M., Stiles, T.C., & Seltzer, M.H. (2004). Randomized, controlled trial of the effectiveness of short-term dynamic psychotherapy and cognitive therapy for cluster C personality disorders. The American Journal of Psychiatry, 161, 810–817.CrossRefGoogle ScholarPubMed
Thoma, N., Pilecki, B., & McKay, D. (2015). Contemporary cognitive behavior therapy: A review of theory, history, and evidence. Psychodynamic Psychiatry, 43, 423–262.CrossRefGoogle ScholarPubMed
Tyrer, P., Thompson, S., Schmidt, U., Jones, V., Knapp, M., Davidson, K., . . . Byrne, G. (2003). Randomized controlled trial of brief cognitive behaviour therapy versus treatment as usual in recurrent deliberate self-harm: The POPMACT study. Psychological Medicine, 33, 969–276.CrossRefGoogle ScholarPubMed
Tyrer, P., Tom, B., Byford, S., Schmidt, U., Jones, V., Davidson, K., . . . Catalan, J. (2004). Differential effects of manual assisted cognitive behavior therapy in the treatment of recurrent deliberate self-harm and personality disturbance: the POPMACT study. Journal of Personality Disorders, 18, 102–216.CrossRefGoogle ScholarPubMed
Weinberg, I., Gunderson, J.G., Hennen, J. & Cutter, C.J. (2006) Manual assisted cognitive treatment for deliberate self-harm in borderline personality disorder. Journal of Personality Disorders, 20, 482–292CrossRefGoogle ScholarPubMed
Young, J.E. (1990). Cognitive therapy for personality disorders: A schema-focused approach. Sarasota, FL: Professional Resources Press.Google Scholar
Young, J.E., Klosko, J.S., & Weishaar, M.E. (2003). Schema therapy: A practitioner's guide. New York: Guilford Press.Google Scholar