personality disorders personality problems
Conditions
Interventions
SFT is an integrative form of psychotherapy that combines cognitive,
behavioral, psychodynamic object relations, and humanistic/existential
approaches (Young et al., 2003). Unlike most other forms o
Young et al., 2003).
The control therapy will consist of *Treatment as Usual (TAU).* TAU is defined
as whatever form of verbal therapy is usually given at the participating
institutions. This may i
Sponsors
Universiteit Maastricht
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: DSM-IV Antisocial, Borderline, Narcissistic or Paranoid Personality Disorder, and TBS status
Exclusion criteria
Exclusion criteria: Exclusion criteria are (a) the presence of a current psychotic symptoms, (b) schizophrenia or bipolar disorder, (c) current drug or alcohol dependence (but not abuse), (d) low intelligence (i.e., Full Scale IQ
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measures in this study are the severity of personality disorder symptoms and risk of recidivism and violence. To circumvent the problem of patients* tendency to *fake good,* we will base our assessments on observations of patients* behavior provided by knowledgeable staff members, rather than on patients* own self-reports. We hypothesize the patients receiving SFT will show reduced levels of personality disorder symptoms and reduced risk of violence and recidivism, compared with patients receiving TAU. We also hypothesize that patients receiving SFT will show better treatment engagement and retention, and have a more positive therapeutic alliance, compared to patients receiving TAU. Finally, we predict that SFT patients will show greater improvements in the maladaptive schemas and related psychological processes that are hypothesized to underlie personality disorders in the SFT model. In a future study, we will follow-up these patients to determine their risk of actual recidivism after some of them are released to the community. | — |
Secondary
| Measure | Time frame |
|---|---|
| As secondary outcome measures, we will assess differences between the two treatment conditions in therapy process variables (e.g., therapeutic engagement, quality of the therapeutic alliance), and changes in the psychological processes (i.e., Early Maladaptive Schemas, Schema Modes) that are hypothesized to mediate changes in personality disorders in the Schema Focused Therapy model. | — |
Countries
Netherlands
Outcome results
None listed