THIS DOI METADATA WAS LAST UPDATED: 2024-01-10 22:42
Full Title
QUADERNI DI PSICOTERAPIA COGNITIVA
Publisher
FrancoAngeli
ISSN
1127-6347 (Printed Journal)
2281-6046 (Online Journal)
Journal Issue Number
33
Journal Issue Designation
33
Journal Issue Date (YYYY/MM)
2013/12
Full Title
La sfida dell'integrazione nel trattamento dei disturbi di personalità
By (author)
First Page
65
Last Page
80
Language of text
Italian
Publication Date
2013/12
Copyright
2013 FrancoAngeli srl
Introduction or preface
In questo articolo si mette in evidenza come il panorama scientifico stia sempre più sottolineando la necessità di proporre modelli integrati di intervento per il trattamento dei disturbi di personalità. L'attenzione è rivolta, soprattutto, al disturbo borderline, l'unico che ha vari studi empirici che dimostrano l'efficacia di trattamenti specialistici. Oggi abbiamo, infatti, a disposizione vari modelli di cura derivanti da scuole di pensiero diverse, tutti con prove di efficacia, ma nessuno di questi ha dati sufficientemente robusti tali da dichiararne una superiorità rispetto agli altri. Nel presente lavoro saranno ripresi i vari trattamenti e le specificità di ciascuno evidenziando l'assenza di un modello onnicomprensivo adatto a tutti i pazienti aventi un disturbo di personalità. La disamina verterà sull'utilità di sviluppare cure efficaci che possano essere flessibili attingendo tecniche da differenti approcci in modo da consentire ai terapeuti di adattare gli interventi sul singolo paziente. In conclusione verrà presentata un'esperienza di integrazione svolta presso un Servizio per il trattamento ospedaliero dei disturbi di personalità con primi risultati di outcome.
Unstructured Citation
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders, fourth edition (text revision).
Washington, DC: Author.
https://doi.org/10.1176/appi.books.9780890423349
Unstructured Citation
Bartels N., Crotty T. (1998). A systems approach to treatment: The borderline personality disorder skills training manual. Winfield, IL: EID Treatment Systems.
Unstructured Citation
Bateman A.W., Fonagy P. (2003a). The development of an attachment-based treatment program for Borderline Personality Disorder.
Bulletin of the Menninger Clinic, 67: 187-211.
https://doi.org/10.1521/bumc.67.3.187.23439
Unstructured Citation
Bateman A.W., Fonagy P. (2003b). Health service utilization costs for Borline Personality Disorder patients treated with psychoanalytically
oriented partial hospitalization versus general psychiatric care. American Journal of Psychiatry, 160: 169-171.
https://doi.org/10.1176/appi.ajp.160.1.169
Unstructured Citation
Bateman A.W., Fonagy P. (2004). Psychotherapy for Borderline Personality Disorder: Mentalization-Based Treatment. Oxford:
Oxford University Press.
https://doi.org/10.1093/med:psych/9780198527664.001.0001
Unstructured Citation
Bateman A.W., Fonagy P. (2006). Mentalization Based Treatment for Borderline Personality Disorder: A Practical Guide, Oxford:
Oxford University Press.
https://doi.org/10.1093/med/9780198570905.001.0001
Unstructured Citation
Bateman A.W., Fonagy P. (2006). Il trattamento basato seulla mentalizzazione. Psicoterapia per il paziente borderline. Milano: Raffaello Cortina.
Unstructured Citation
Bateman A.W., Ryle A., Fonagy P., Kerr I.B. (2007). Psychotherapy for borderline personality disorder: Mentalizationbased
therapy and cognitive analytic therapy compared. International Review of Psychiatry, 19: 51-62.
https://doi.org/10.1080/09540260601109422
Unstructured Citation
Bateman A.W., Fonagy P. (2010). Guida partica al trattamento basato sulla mentalizzazione. Per il disturbo borderline della personalità. Milano: Raffaello Cortina.
Unstructured Citation
Beck A.T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Hoeber.
Unstructured Citation
Beck A.T., Rush A.J., Shaw B.F., Emery G. (1979). Cognitive Therapy of Depression. New York: Guilford Press.
Unstructured Citation
Beck A.T., Freeman A., Davis D. & Associates (2004). Cognitive therapy of personality disorders (2nd ed.) New York: Guilford Press.
Unstructured Citation
Benjamin L.S. (2003). Interpersonal reconstructive therapy: An integrative, personalitybased treatment for complex cases. New York: Guilford Press.
Unstructured Citation
Biskin R.S., Paris J. (2013). Comorbidities in Borderline Personality Disorder http://www.psychiatrictimes.com/articles/comorbidities-borderline-personality-disorder Blum N., Bartels N., St. John D. et al. (2002). STEPPS: Systems Training for Emotional Predictability and Problem Solvinggroup treatment for borderline personality disorder. Coralville, IA: Blum’s Books.
Unstructured Citation
Blum N., Pfohl B., St. John D., Monahan P., Black D.W. (2002). STEPPS: A cognitive-behavioral systems-based group treatment
for outpatients with borderline personality disorder: A preliminary report. Comprehensive Psychiatry, 43: 301-310.
https://doi.org/10.1053/comp.2002.33497
Unstructured Citation
Blum N., John D., Pfohl B., Stuart S., McCormick B., Allen J., Arndt S., Black D. (2008). Systems Training for Emotional Predictability
and Problem Solving (STEPPS) for Outpatients With Borderline Personality Disorder: A Randomized Controlled Trial and 1-Year
Follow-Up. Am. J. Psychiatry, 165: 468-478.
https://doi.org/10.1176/appi.ajp.2007.07071079
Unstructured Citation
Bohus M., Haaf B., Simms T., Limberger M.F., Schmahl C., Unckel C., Lieb K., Linehan M.M. (2004). Effectiveness of inpatient
dialectical behavioral therapy for borderline personality disorder: a controlled trial. Behav. Res. Ther., 42: 487-499.
https://doi.org/10.1016/S0005-7967(03)00174-8
Unstructured Citation
Bowden-Jones O., Iqbal M.Z., Tyrer P., Seivewright N., Cooper S., Judd A., Weaver T., Cosmic study team (2004). Prevalence
of personality disorder in alcohol and drug services and associated comorbidity. Addiction, 99 (10): 1306-14.
https://doi.org/10.1111/j.1360-0443.2004.00813.x
Unstructured Citation
Clarkin J.F., Yeomans F.E., Kernberg O.F. (1999). Psychotherapy for Borderline Personality. New York: Wiley.
Unstructured Citation
Clarkin J.F., Yeomans F.E., Kernberg O.F. (2000). Psicoterapia della personalità borderline. Milano: Raffaello Cortina.
Unstructured Citation
Clarkin J.F., Foelsch P.A., Levy K.N., Hull J.W., Delaney J.C., Kernberg O.F. (2001). The development of a psychodynamic treatment
for pa tients with borderline personality disorder: A preliminary study of behavioral change. Journal of Personality Disorders,
15: 487-495.
https://doi.org/10.1521/pedi.15.6.487.19190
Unstructured Citation
Clarkin J.F., Levy K.N., Lenzenweger M.F., Kernberg O.F. (2004). The personality disorders institute/borderline personality
disorder research foundation radomized control trial for borderline personality disorder: Rationale, methods, and patient
characteristics. Journal of Personality Disorders, 18: 52-72.
https://doi.org/10.1521/pedi.18.1.52.32769
Unstructured Citation
Clarkin J.F., Levy K.N., Lenzenweger M.F., Kernberg O.F. (2007). Evaluating three treatments for borderline personality disorder:
A multiwave study. American Journal of Psychiatry, 164: 922-928. Clarkin J.F. (2012). An integrated approach to psychotherapy
techniques for patients with personality disorder. Journal of Personality Disorders, 26 (1): 43-62.
https://doi.org/10.1176/ajp.2007.164.6.922
Unstructured Citation
Cloninger C.R. (2000). Apractical way to diagnosis personality disorder: a proposal. Journal of Personality Disorders, 14
(2): 99-108.
https://doi.org/10.1521/pedi.2000.14.2.99
Unstructured Citation
Cramer V., Torgersen S., Kringlen E. (2006). Personality disorders and quality of life: A population study. Comprehensive
Psychiatry, 47: 178-184.
https://doi.org/10.1016/j.comppsych.2005.06.002
Unstructured Citation
Critchfield K.L., Clarkin J.F., Levy K.N., Kernberg O.F. (2007). Organization of co-occurring Axis II features in borderline
personality disorder. The British Journal of Clinical Psychology/The British Psychological Society, 47 (Pt 2): 185-200. Epub
2007 Sep 7.
https://doi.org/10.1348/014466507X240731
Unstructured Citation
Critchfield K.L., Benjamin L.S. (2006). Integration of therapeutic factors in treating personality disorders. In: Castonguay
L.G., Beutler L.E., editors, Principles of therapeutic change that work. New York: Oxford University Press, pp. 253-271.
https://doi.org/10.1093/med:psych/9780195156843.003.0013
Unstructured Citation
De Groot E.R., Verheul R., Trijsburg W. (2008). An integrative perspective on psychotherapeutic treatments for borderline
personality disorder. Jounal of Personality Disorders, 22 (4): 332-352.
https://doi.org/10.1521/pedi.2008.22.4.332
Unstructured Citation
Didonna F., editor (2008). Clinical Handbook of Mindfulness. New York: Springer.
https://doi.org/10.1007/978-0-387-09593-6
Unstructured Citation
Dimaggio G., Semerari A., a cura di (2003). I disturbi di personalità. Modelli e trattamento. Stati mentali, metarappresentazione, cicli interpersonali. Roma-Bari: Laterza.
Unstructured Citation
Dimaggio G., Semerari A., Carcione A., Nicolò G., Procacci M. (2007). Psychotherapy of Personality Disorders: Metacognition,
States of Mind and Interpersonal Cycles. London: Routledge.
https://doi.org/10.4324/9780203939536
Unstructured Citation
Dimaggio G., Salvatore G., Fiore D., Carcione A., Nicolò G., Semerari A. (2012). General Principles for Treating Personality
Disorder with a prominent Inhibitedness Trait: Towards an Operationalizing Integrated Technique. Journal of personality Disorders.
26 (1): 63-83.
https://doi.org/10.1521/pedi.2012.26.1.63
Unstructured Citation
Ellis A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stewart.
Unstructured Citation
Fernadez-Alvarez H., Clarkin J., del Carmen Salgueiro M., Critchfield K.L. (2006). Participant factors in treating personality
disorders. In: Castonguay L.G., Beutler L.E., Principles of therapeutic change that work. New York: Oxford University Press.
https://doi.org/10.1093/med:psych/9780195156843.003.0010
Unstructured Citation
Fonagy P., Bateman A. (2006). Progress in the treatment of borderline personality disorder. Br. J. Psychiatry, 188: 1-3.
https://doi.org/10.1192/bjp.bp.105.012088
Unstructured Citation
Grant B.F., Chou S.P., Goldstein R.B., Huang B., Stinson F.S., Saha T.D., Smith S.M., Dawson D.A., Pulay A.J., Pickering R.P.,
Ruan W.J. (2008). Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from
the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions. Clin. Psychiatry, 69 (4): 533-45. Gunderson J.G.,
Stout R.L., McGlashan T.H., Shea M.T., Morey L.C., Grilo C.M., Zanarini M.C., Yen S., Markovitz J.C., Sanislow C., Ansell
E., Pinto A., Skodol A.E. (2011). Tenyear course of borderline personality disorder: psychopathology and function from the
collaborative longitudinal personality disorders study. Arch. Gen. Psychiatry, 68: 827-837.
https://doi.org/10.4088/JCP.v69n0404
Unstructured Citation
Leichsenring F., Leibing E. (2003). The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment
of personality disorders: a meta-analysis. Am. J. Psychiatry, 160 (7): 1223-32.
https://doi.org/10.1176/appi.ajp.160.7.1223
Unstructured Citation
Lieb K., Zanarini M.C., Schmahl C., Linehan M.M., Bohus M. (2004). Borderline personality disorder. Lancet, 364 (9432): 453-61.
https://doi.org/10.1016/S0140-6736(04)16770-6
Unstructured Citation
Linehan M.M., Armstrong H.E., Suarez A., Allmon D., Heard H.L. (1991). Cognitive-Behavioural Treatment of chronically Parasuidal Borderline Patient. Archives of General Psychiatry, 50: 971-974.
Unstructured Citation
Linehan M.M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York: Guilford Press.
Unstructured Citation
Linehan M.M. (1993). Skills Training Manual For Treatment of Borderline Personality Disorder. New York: Guilford Press.
Unstructured Citation
Linehan M.M., Heard H.L., Armstrong H.E. (1993). Naturalistic follow up of a behavioral treatment for chronically parasuicidal
borderline patients. Arch. Gen. Psychiatry, 50: 971-974.
https://doi.org/10.1001/archpsyc.1993.01820240055007
Unstructured Citation
Linehan M.M. (1995). Understanding Borderline Personality Disorder:The Dialectic Approach program manual. New York: Guilford
Press.
https://doi.org/10.1037/e545822004-001
Unstructured Citation
Linehan M.M., Dimeff L.A., Reynolds S.K., Comtois K.A., Welch S.S., Heagerty P., Kivlahan D.R. (2002). Dialectical behavior
therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid-dependent women meeting criteria
for borderline personality disorder. Drug Alcohol Depend., 67: 13-26.
https://doi.org/10.1016/S0376-8716(02)00011-X
Unstructured Citation
Linehan M.M., Comtois K.A., Murray A.M., Brown M.Z., Gallop R.J., Heard H.L., Korslund K.E., Tutek D.A., Reynolds S.K., Lindenboim
N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal
behaviors and borderline personality disorder. Arch. Gen. Psychiatry, 63: 757-766.
https://doi.org/10.1001/archpsyc.63.7.757
Unstructured Citation
Linehan M.M. (2011). I gruppi di skills training. Il trattamento cognitivo comportamentale del disturbo borderline: il modello dialettico. Milano: Raffaello Cortina.
Unstructured Citation
Liotti G. (2004). The inner schema of borderline states and its correction during psychotherapy: A cognitive-evolutionary approach. In: Gilbert P., editor, Evolutionary theory and cognitive psychotherapy. New York: Springer, pp. 137-160.
Unstructured Citation
Liotti G., Monticelli F. (2008). I sistemi motivazionali nel dialogo clinico. Milano: Raffaello Cortina.
Unstructured Citation
Livesley W.J. (2003). Practical management of personality disorder. New York: Guilford
Unstructured Citation
Press. Livesley W.J. (2004). Changing ideas about the treatment of borderline personality disorder. Journal of Contemporary
Psychotherapy, 34: 185-192.
https://doi.org/10.1023/B:JOCP.0000036697.03467.27
Unstructured Citation
Livesley W.J. (2005). Principles and strategies for treating personality disorder. Canadian Journal of Psychiatry, 50: 442-450.
https://doi.org/10.1177/070674370505000803
Unstructured Citation
Livesley W.J. (2007). An integrated approach to the treatment of personality disorder. Journal of Mental Health, 16: 131-148.
https://doi.org/10.1080/09638230601182086
Unstructured Citation
Livesley W.J. (2012). Integrated treatment: a conceptual framework for evidence based approach to the treatment of personality
disorder. Journal of Personality Disorders, 26 (1): 17-42.
https://doi.org/10.1521/pedi.2012.26.1.17
Unstructured Citation
Ogden P., Minton K., Pain C. (2006). Trauma and the Body: A Sensorimotor Approach to Psychotherapy. New York: Norton.
Unstructured Citation
Ridolfi M.E. (2006). Linee guida per i familiari: Programma di Gruppo Multifamiliare McLean Hospital (trad. it.: Gunderson J., Berkowitz C.), New England Personality Disorder Association, (617): 855-2680.
Unstructured Citation
Ryle A., Kerr I.B. (2002). Introducing cognitive analytic therapy: Principles and practice. Chichester: John Wiley & Sons.
https://doi.org/10.1002/9780470713587
Unstructured Citation
Roth A., Fonagy P. (2005). What Works for Whom? Second edition. London: Guilford Press.
Unstructured Citation
Safran J.D., Muran J.C. (2000). Negotiating the therapeutic alliance: A relational treatment guide. New York: Guilford Press.
Unstructured Citation
Smith T.L., Barrett M.S., Benjamin L.S., Barber J.P. (2006). Relationship factors in treating personality disorders. In: Castonguay
L.G., Beutler L.E., editors, Principles of therapeutic change that work. New York: Oxford University Press, pp. 219-238.
https://doi.org/10.1093/med:psych/9780195156843.003.0011
Unstructured Citation
Sollberger D., Walter M. (2010). Psychotherapy of borderline personality disorder: similarities and differences in evidence-based
disorder-specific treatment approaches. Fortschritte der Neurologie-Psychiatrie, 78 (12): 698-708.
https://doi.org/10.1055/s-0029-1245626
Unstructured Citation
Stoffers J.M., Völlm B.A., Rücker G., Timmer A., Huband N., Lieb K. (2012). Psychological therapies for people with borderline personality disorder (Review). The Cochrane Collaboration and published in The Cochrane Library, Issue 2.
Unstructured Citation
Verheul R., van den Bosch L.M.C., Koeter M.W.J., De Ridder M.A.J., Stijnen T., van den
Unstructured Citation
Brink W. (2003). A12-month randomized clinical trial of dialectical behavior therapy for women with borderline personality
disorder in Netherlands. British Journal of Psychiatry, 182: 135-140.
https://doi.org/10.1192/bjp.182.2.135
Unstructured Citation
Yeomans F.E., Clarkin J.F., Kernberg O.F. (2002). A primer of transference focused psychotherapy for the borderline patient. New York: Jason Aronson.
Unstructured Citation
Yeomans F.E. (2007). Questions Concerning the Randomized Trial of Schema-Focused Therapy vs. Transference-Focused Psychotherapy.
Arch. Gen. Psychiatry, 64: 609-10.
https://doi.org/10.1001/archpsyc.64.5.609-c
Unstructured Citation
Young J.E. (1999). Cognitive therapy for personality disorders: A schema-focused approach (3rd ed.). Sarasota, FL: Pro-fessional Resource Press.
Unstructured Citation
Young J.E. (2002). Schema-focused therapy. In: Simos G., editor, Cognitive behaviour therapy: A guide for the practising clinician. Sussex: Brunner-Routledge, pp. 201-222.
Unstructured Citation
Young J.E., Klosko J.S., Weishaar M.E. (2003). Schema Therapy: A Practitioner’s Guide. New York: Guilford Press.
Unstructured Citation
Young J.E., Klosko J.S., Weishaar M.E. (2007). Schema Therapy. La terapia cognitiva-comportamentale integrata per i disturbi della personalità. Firenze: Eclipsi.