Cambios en la psicopatología del trastorno limítrofe de la personalidad, en los pacientes tratados con psicoterapia psicodinámica
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| Format: | Artículo científico |
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Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
2000
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| author | José Camacho |
| author_facet | José Camacho |
| contents | Cambios en la psicopatología del trastorno limítrofe de la personalidad, en los pacientes tratados con psicoterapia psicodinámica José Camacho Rodolfo Mejía Ivonne Rosario Ramón Parres Josefina Mendoza David López Pablo Cuevas Medicina methods psychotherapy psychodynamic psychotherapy Borderline personality disorder There are very few studies on the changes in patients withborderline personality disorder (BPD) treated with psychodynamicpsychotherapy, around the world, and as far as we know, this is the first report in Mexico on this subject. Themain features of this disorder appear at 18 years of age (75% females; 25% males) and are frequent crises characterized by impulsivity (physical figths, substance abuse, suicide or selfmutilating behavior), affective instability (episodes ofdepression, anxiety and anger) and alterations in identity(sudden changes in values, vocational or laboral goals) that consume a lot of health resources and contribute to many failures in academic and work performance. Its treatmentalways needs some form of individual or group psychotherapy, with medication at times. In most of the clinical settings this disorder is considered as untractable or to take years to produce beneficial modifications. According to the epidemiological studies of several countries, this disorder appears in 1.1 to 4.6% in the general population, in 10% of the patients in ambulatory mental health centers, in 20% of the hospitalized psychiatric patients and in 30 to 60% of the patients withpersonality disorders. In a clinical psychiatric population in theCentral Military Hospital (Mexico City) the prevalence was35.7%. This paper reports changes observed in the psychopathology of borderline personality disorder treated by therapists trained in the Kernbergs manualized psychodynamicpsychotherapy, delivered in two weekly 45 minutes sessions, videorecorded and supervised once a week byexperts. As for the therapists that participated in the study,four were psychoanalysts with a mean experience of 12 years(D.E. = 1.15) and 10 psychotherapists with a mean experienceof 4.67 years (D.E. = 4.23). The experience of both groups oftherapists was significately different (U = 7.5, p,.002).Nineteen patients were treated: four males and 15 femaleswho met the DSM IV borderline personality disorder criteria.Measurements of the psychopathology and global functioningwere made at the beginning of the treatment, and every 24 sessions during a two years period, using the Clarkins Dimensional Scale of the DSM IV Borderline Personality Disorder, and the DSM IV Global Assessment of Functioning. The results were: a) Eleven patients no longer met the DSM IV borderline personality disorder criteria at the 72nd session measurement, b) there was a positive change in the severity of thepsychopathology in all criteria along time, c) the impulsivity criteria disappeared at the 24th session evaluation; affective instability criteria almost disappeared at the 48th session evaluation, while identity alterations criteria had only minimal changes even in those patients that remained in treatment foralmost two years, d) the gaining in the Global Assessment ofFunctioning from the beginning to the 72nd session measurementwas 70% and, f) there were no sign 2000 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58262301 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.6 Vol.23 |
| format | Artículo científico |
| id | redalyc_58262301 |
| institution | Redalyc |
| language | en |
| publishDate | 2000 |
| publisher | Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz |
| spellingShingle | Cambios en la psicopatología del trastorno limítrofe de la personalidad, en los pacientes tratados con psicoterapia psicodinámica José Camacho Medicina methods psychotherapy psychodynamic psychotherapy Borderline personality disorder Cambios en la psicopatología del trastorno limítrofe de la personalidad, en los pacientes tratados con psicoterapia psicodinámica José Camacho Rodolfo Mejía Ivonne Rosario Ramón Parres Josefina Mendoza David López Pablo Cuevas Medicina methods psychotherapy psychodynamic psychotherapy Borderline personality disorder There are very few studies on the changes in patients withborderline personality disorder (BPD) treated with psychodynamicpsychotherapy, around the world, and as far as we know, this is the first report in Mexico on this subject. Themain features of this disorder appear at 18 years of age (75% females; 25% males) and are frequent crises characterized by impulsivity (physical figths, substance abuse, suicide or selfmutilating behavior), affective instability (episodes ofdepression, anxiety and anger) and alterations in identity(sudden changes in values, vocational or laboral goals) that consume a lot of health resources and contribute to many failures in academic and work performance. Its treatmentalways needs some form of individual or group psychotherapy, with medication at times. In most of the clinical settings this disorder is considered as untractable or to take years to produce beneficial modifications. According to the epidemiological studies of several countries, this disorder appears in 1.1 to 4.6% in the general population, in 10% of the patients in ambulatory mental health centers, in 20% of the hospitalized psychiatric patients and in 30 to 60% of the patients withpersonality disorders. In a clinical psychiatric population in theCentral Military Hospital (Mexico City) the prevalence was35.7%. This paper reports changes observed in the psychopathology of borderline personality disorder treated by therapists trained in the Kernbergs manualized psychodynamicpsychotherapy, delivered in two weekly 45 minutes sessions, videorecorded and supervised once a week byexperts. As for the therapists that participated in the study,four were psychoanalysts with a mean experience of 12 years(D.E. = 1.15) and 10 psychotherapists with a mean experienceof 4.67 years (D.E. = 4.23). The experience of both groups oftherapists was significately different (U = 7.5, p,.002).Nineteen patients were treated: four males and 15 femaleswho met the DSM IV borderline personality disorder criteria.Measurements of the psychopathology and global functioningwere made at the beginning of the treatment, and every 24 sessions during a two years period, using the Clarkins Dimensional Scale of the DSM IV Borderline Personality Disorder, and the DSM IV Global Assessment of Functioning. The results were: a) Eleven patients no longer met the DSM IV borderline personality disorder criteria at the 72nd session measurement, b) there was a positive change in the severity of thepsychopathology in all criteria along time, c) the impulsivity criteria disappeared at the 24th session evaluation; affective instability criteria almost disappeared at the 48th session evaluation, while identity alterations criteria had only minimal changes even in those patients that remained in treatment foralmost two years, d) the gaining in the Global Assessment ofFunctioning from the beginning to the 72nd session measurementwas 70% and, f) there were no sign 2000 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58262301 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.6 Vol.23 |
| title | Cambios en la psicopatología del trastorno limítrofe de la personalidad, en los pacientes tratados con psicoterapia psicodinámica |
| topic | Medicina methods psychotherapy psychodynamic psychotherapy Borderline personality disorder |
| url | https://www.redalyc.org/articulo.oa?id=58262301 |