Lecture 4 - Treatment of PD

Question 1

Def. Psychotherapy

Answer 1

The systematic use of a human relationship for therapeutic purpose of alleviating emotional distress by effecting enduring changes in a patient thinking, feeling, and behavior

Question 2

Founder of psychotherapy

Answer 2

Wilhelm Wund (1879), first laboratory for therapy

Sigmund Freud, father of psychotherapy

Question 3

Effectivity of psychotherapy

Answer 3

General: effective !

PD: effective !
In: children and youth, adults, and older adults

Question 4

Dodo Bird verdict

Answer 4

When bona find treatments are compared they yield similar outcomes, consistent with common factors or contextual models of psychotherapy

• By Wampold et al. (1997)
• Common factors underlying all the models explain why they are effective

Question 5

Factors responsible for therapeutic change

Answer 5

Common factors explain the most part of effectiveness in regard to PD and Psychotherapy

• Common factors: 30%
• Extra-therapeutic change: 40%
• Expectancy (placebo): 15%
• Techniques: 15%

Question 6

Cristea et al. (2017) - Effectiveness of Psychotherapy

Answer 6

• Conducted a systematic review and meta-analysis of RCTs to assess the efficacy of psychotherapies for BPD
• Significant yet modest benefits of DBT and PD approaches for borderline-relevant outcomes (symptoms, self-harm, suicide) compared to control
• Differences dissipated when considering manualizing of treatment or involvement of study team