Research Article
Psychodynamic treatments of self-injury
Kenneth N. Levy,
Frank E. Yeomans, Diana Diamond,
Corresponding Author
Kenneth N. Levy
Pennsylvania State University Weill Medical College of Cornell University
Department of Psychology, Pennsylvania State University, 521 Moore Bldg., University Park, PA 16802Search for more papers by this authorDiana Diamond
City University of New York Weill Medical College of Cornell University
Search for more papers by this authorKenneth N. Levy,
Frank E. Yeomans, Diana Diamond,
Corresponding Author
Kenneth N. Levy
Pennsylvania State University Weill Medical College of Cornell University
Department of Psychology, Pennsylvania State University, 521 Moore Bldg., University Park, PA 16802Search for more papers by this authorDiana Diamond
City University of New York Weill Medical College of Cornell University
Search for more papers by this authorAbstract
The authors address psychodynamic therapies, particularly transference-focused psychotherapy (TFP), in the treatment of patients who present with non-suicidal self-injury. In doing so, they briefly discuss various psychodynamic approaches with empirical evidence for their effectiveness. They describe TFP, including its treatment rationale, putative change mechanisms, and outcome research. They then present a case illustration of a patient with borderline personality disorder who engages in non-suicidal self-injury to demonstrate how TFP can be applied to such cases. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 1105–1120, 2007.
References
- American Psychiatric Association. ( 1994). Diagnostic and statistical manual of mental disorders ( 4th ed.). Washington, DC: Author.
- Bateman, A. W., & Fonagy, P. ( 1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial. American Journal of Psychiatry, 156, 1563–1569.
- Bateman, A. W., & Fonagy, P. ( 2001). Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: An 18-month follow-up. American Journal of Psychiatry, 158, 36–42.
-
Bateman, A. W., &
Fonagy, P. (
2004).
Psychotherapy for borderline personality disorder: Mentalization based treatment.
Oxford:
Oxford University Press.
10.1093/med:psych/9780198527664.001.0001 Google Scholar
- Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F. ( 2007). A mulitwave RCT evaluating three treatments for borderline personality disorder. American Journal Psychiatry, 164, 1–8.
- 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 patients with borderline personality disorders: A preliminary study of behavioral change. Journal of Personality Disorders, 15, 487–495.
- Clarkin, J. F., Yeomans, F. E., & Kernberg, O. F. ( 1999). Psychotherapy for borderline personality. Hoboken, NJ: Wiley.
- Clarkin, J. F., Yeomans, F. E., Kernberg, O. F. ( 2006). Psychotherapy for borderline personality: Focusing on object relations. Washington, DC: American Psychiatric Publishing.
-
Cohen, J. (
1988).
Statistical power analysis for the behavioral sciences ( 2nd ed.).
Hillsdale, NJ:
Lawrence Earlbaum Associates.
10.1046/j.1526-4610.2001.111006343.x Google Scholar
- Fonagy, P., & Bateman, A. W. ( 2006) Mechanisms of change in mentalization-based treatment of BPD. Journal of Clinical Psychology, 62, 411–430.
- Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. ( 2002). Affect regulation, mentalization, and the development of the self. New York: Other Press.
- Fonagy, P., Steele, M., Steele, H., & Target, M. ( 1998). Reflective-function manual: Version 5.0 for application to the adult attachment interview. Unpublished manual, University College, London.
-
Hobson, R. P. (
1985).
Self-representing dreams.
Psychoanalytic Psychotherapy, 1, 43–53.
10.1080/02668738500700221 Google Scholar
- James, W. ( 1890). The principles of psychology. New York: Holt.
- Kernberg, O. F. ( 1984). The couch at sea: Psychoanalytic studies of group and organizational leadership. International Journal of Group Psychotherapy, 34, 5–23.
- Kohut, H. ( 1971). The analysis of the self: A systematic approach to the psychoanalytic treatment of narcissistic personality disorders. New York: International Universities Press.
- Korner, A., Gerull, F., Meares, R., & Stevenson, J. ( 2006). Borderline personality disorder treated with the conversational model: A replication study. Comprehensive Psychiatry, 47, 406–411.
- Levy, K. N., Clarkin, J. F., Foelsch, P. A., & Kernberg, O. F. ( 2007). Transference focused psychotherapy for patients diagnosed with borderline personality disorder: A comparison with a treatment-as-usual cohort. Unpublished manuscript. Weill Medical College of Cornell, Westchester, NY.
- Levy, K. N., Clarkin, J. F., Yeomans, F. E., Scott, L. N., Wasserman, R. H., & Kernberg, O. H. ( 2006). The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy. Journal of Clinical Psychology, 62, 481–501.
- Levy, K. N., Kelly, K. M., Meehan, K. B., Reynoso, J. S., Weber, M., Clarkin, J. F., et al. ( 2006). Change in attachment patterns and reflective function in a randomized control trial of transference focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology, 74, 1027–1040.
- Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D. J., & Heard, H. L. ( 1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 1060–1064.
- Main, M., & Goldwyn, R. (In press). Adult attachment rating and classification systems. In M. Main (Ed.), A typology of human attachment organization assessed in discourse, drawings and interviews (working title). New York: Cambridge University Press.
- Meares, R. ( 2004). The conversational model: An outline. American Journal of Psychotherapy, 58, 51–66.
- Meares, R., Stevenson, J., & Comerford, A. ( 1999). Psychotherapy with borderline patients: I. A comparison between treated and untreated cohorts. Australian and New Zealand Journal of Psychiatry, 33, 467–472.
- Ornstein, P. H. ( 1998). Hidden and overt rage: Their interpretation in the psychoanalytic treatment process. Canadian Journal of Psychoanalysis, 6, 1–14.
-
Steiner, J. (
1993).
Psychic retreats—pathological organisations in psychotic, neurotic and borderline Patients.
London:
Routledge.
10.4324/9780203359839 Google Scholar
- Stevenson, J., & Meares, R. ( 1992). An outcome study of psychotherapy for patients with borderline personality disorder. American Journal of Psychiatry, 149, 358–362.
- Stevenson, J., Meares, R., & D'Angelo, R. ( 2005). Five-year outcome of outpatient psychotherapy with borderline patients. Psychological Medicine, 35, 79–87.
- Yeomans, F. E., Clarkin, J. F., & Kernberg, O. F. ( 2002). A primer of transference-focused psychotherapy for the borderline patient. New York: Aronson.
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