Preliminary relationships between adherence and outcome in dynamic deconstructive psychotherapy

Department of Psychology.
Psychotherapy Theory Research & Practice (Impact Factor: 3.01). 12/2009; 46(4):480-5. DOI: 10.1037/a0017947
Source: PubMed


This study examined adherence to specific psychotherapeutic techniques as a predictor of outcome in dynamic deconstructive psychotherapy (DDP), a new psychodynamic therapy for treatment-resistant clients with borderline personality disorder (BPD). Ten clients dually diagnosed with BPD and alcohol use disorders underwent 12 months of DDP. Outcome indexes included measures of borderline symptoms, depression, dissociation, social support, alcohol misuse, parasuicide, and institutional care. Independent raters coded videorecorded sessions on adherence to DDP techniques, using a scale developed for this study, as well as therapeutic alliance and standard cognitive-behavioral and psychodynamic techniques. The adherence instrument demonstrated excellent interrater and test-retest reliability. Adherence to DDP techniques was positively related to improvement in BPD symptoms (ρ = .64) and most secondary outcomes. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

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    • "Adherence to DDP techniques correlate strongly with positive outcomes (r ϭ .64), supporting the effectiveness and specificity of DDP interventions (Goldman & Gregory, 2009). Dynamic Deconstructive Psychotherapy theory combines the translational neuroscience of emotion processing with object relations theory and deconstruction philosophy (Gregory & Remen, 2008). "
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