Cognitive–behavioural therapy for personality disorders

Davidson, K. (2008) Cognitive–behavioural therapy for personality disorders. Psychiatry, 7(3), pp. 117-120. (doi: 10.1016/j.mppsy.2008.01.005)

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Cognitive-behavioural therapy (CBT) has been adapted to treat individuals with personality disorder. The model is biosocial, recognizing that the origins of personality problems are likely to lie in inherent temperament, the internal working model of relationships, self-identity, self-worth, and the emotional availability of the infant's caregivers. To date, there are six randomized controlled trials that suggest that CBT is an effective treatment for patients with borderline and avoidant personality disorder, although some trials have shown more evidence of improvement than others. The therapy is structured, based on an individual formulation of the patient's problems, and uses methods that take into account problems arising in the therapeutic relationship. Although more sessions are needed to change long-standing behavioural patterns and associated core beliefs in individuals with personality disorder, important changes, such as a reduction in self-harm and modification of beliefs, can take place within months rather than years.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Davidson, Professor Kate
Authors: Davidson, K.
College/School:College of Medical Veterinary and Life Sciences
Journal Name:Psychiatry

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