Stephan Doering

Medical University of Vienna | MedUni Vienna · Department of Psychoanalysis and Psychotherapy

Background Differentiation of borderline personality disorder (BPD) and bipolar I disorder (BD) has been challenging. The assessment of shared symptoms in the context of the overall personality functioning, the patient’s sense of self, and the quality of his object (interpersonal) relations is proposed to be valuable for the differential diagnosis...

Wo Denkverbote, Tabuisierungen oder – ganz konkret – Kriegsbedingungen herrschen, sind Angriffe auf den Denkraum real, droht die Zersetzung des Denkens selbst. Ausgehend von Wilfred R. Bions Erfahrungen im Ersten Weltkrieg stehen dabei zunächst schwierige klinische Behandlungssituationen im Vordergrund: Patient*innen greifen alle Verbindungen an, d...

With Vienna being the historical birthplace of psychoanalysis, the country is deeply connected to the discipline as a whole and holds a specific significance internationally. In Austria itself, psychoanalytic psychotherapies are currently embedded in a prospering and active training and research scene with several internationally connected societie...

Background: Over the last two decades an increasing number of countries have legalized euthanasia and physician-assisted suicide (EAS) leading to considerable debate over the inherent ethical dilemmas. Increasing numbers of people with personality disorders, faced with unbearable suffering, have requested and received assistance in terminating the...

In a mixed-methods approach, this study applies qualitative analysis to Adult Attachment Interview texts of 11 patients with borderline personality disorder, who changed from an insecure attachment representation to security after 1 year of treatment with transference-focused psychotherapy (TFP). Analyses were guided by 3 research questions about c...

The aim of this study was to explore the viability of a bifactor model for the Inventory of Personality Organization (IPO), which is a self-report measure of personality functioning based on Kernberg’s model of personality organization. A heterogeneous, predominantly clinical sample (N = 616) completed the German 83-item version of the IPO. Confirm...

Purpose of review: The alternative model for personality disorders in DSM-5 and the upcoming ICD-11 stimulated an increased interest in the concept of personality functioning for the diagnosis of personality disorders. Furthermore, the impact of personality functioning on other mental disorders has become the focus of recent research efforts. The...

Objective: Borderline personality disorder (BPD) occurs in 0.7-3.5% of the general population. Patients with BPD suffer from excessive comorbidity of psychiatric and somatic diseases and are known to be high utilizers of health care services. Because of a range of challenges related to adverse health behaviors and their interpersonal style, patien...

Personality disorders (PD) are common and burdensome mental disorders. The treatment of individuals with PD represents one of the more challenging areas in the field of mental health and health care providers need evidence-based recommendations to best support patients with PDs. Clinical guidelines serve this purpose and are formulated by expert co...

Fragestellung: Es gibt bisher kein Selbstbeurteilungsinstrument zur Erfassung der Bewältigungsmodi unbewusster Konflikte gemäß der Operationalisierten Psychodynamischen Diagnostik (OPD). Der hier entwickelte OPD-Konfliktfragebogen (OPD-KF) soll diese Lücke schließen. Methode: Zur Auswahl der Items für den OPD-KF wurden Expertenratings und psychomet...

Biased motivated attention towards phobia‐relevant pictures is a typical finding in specific phobia. In the visual system, the allocation of motivated attention is indexed by two event‐related potential components – the Early Posterior Negativity and the Late Positive Potential. Enhanced Early Posterior Negativity and Late Positive Potential amplit...

Evidence is limited regarding whether periodontal treatment improves hemoglobin A1c (HbA1c) among people with prediabetes and periodontal disease, and it is unknown whether improvement of metabolic status persists >3 mo. In an exploratory post hoc analysis of the multicenter randomized controlled trial "Antibiotika und Parodontitis" (Antibiotics an...

Background: The Alternative DSM-5 Model for Personality Disorders as well as the upcoming IDC-11 have established a new focus on diagnosing personality disorders (PD): personality functioning. An impairment of self and interpersonal functioning in these models represents a general diagnostic criterion for a personality disorder. Little is known so...

Objectives: The study analyzed the interdependence of change in attachment representation and reflective functioning (RF) in psychotherapy. Methods: RF data from 63 female borderline personality disorder (BPD) patients were analyzed with respect to change of attachment representation (from insecure to secure and from unresolved to resolved) from th...

People with personality disorders frequently face stigma, ignorance and pessimism regarding the treatability of their disorders. This is despite substantial progress that has been made in developing a number of effective evidence based psychotherapeutic treatments. However, expertise in how to systematically deliver these treatments in a sustainabl...

Background: Impairment in personality functioning (PF) represents a salient criterion of the DSM-5 alternative diagnostic model for personality disorders (AMPD). The main goal of this study is to analyze the relationship of the borderline personality disorder (BPD) clinical components derived from the DSM-5 categorical diagnostic model (affective...

Mit der Veröffentlichung des Anhangs des DSM-5 (APA 2013) zur Diagnostik der Persönlichkeitsstörungen wird erstmals ein dimensionaler diagnostischer Zugang in einem internationalen Diagnosesystem vorgestellt, der nicht mehr kategorial, anhand symptomorientierter Kriterien, sondern mittels einer Einschätzung des Funktionsniveaus der Persönlichkeit d...

Received: July 25, 2016 Accepted: February 06, 2017 Published online: September 14, 2017 Issue release date: October 2017

Background Maintenance therapy (MT) with pemetrexed has been shown to improve overall and progression-free survival of patients with non-squamous non-small cell lung cancer (NSCLC), without impairing patients’ health-related quality of life (HRQOL) substantially. Comprehensive data on HRQOL under real-life conditions are necessary to enable informe...

This study examines psychopathology and clinical characteristics of patients with borderline personality disorder (BPD) and comorbid narcissistic personality disorder (NPD) from two international randomized controlled trials. From a combined sample of 188 patients with BPD, 25 also fulfilled criteria for a comorbid diagnosis of NPD according to DSM...

Zusammenfassung Fragestellung: Randomisierte kontrollierte Langsschnitt-Studie der Akzeptanz und Evaluation des Erfolges eines psychoonkologischen Gruppenprogramms bei Mannern ab 60 Jahren mit Prostata-Karzinomen oder gastrointestinalen Malignomen Methode: Befragung zu Wunschen nach psychoonkologischen Interventionen mittels eines Fragebogens zur I...

Objectives: Evaluation of the clinical effect of systemic amoxicillin and metronidazole adjunctively to mechanical debridement at furcation sites. Material and methods: This is an exploratory per-protocol collective subanalysis from a prospective, randomized, double-blind, multi-center trial (Clinical Trials gov NCT00707369) on the effect of adj...

Objectives: Including the diagnosis of personality functioning in DSM-5 (American Psychiatric Association 2013) moved the psychoanalytic tradition of diagnosing personality structure into the focus of psychotherapy and psychiatry. Three German-language questionnaires for the assessment of personality structure were cross-validated in this study. Me...

Objectives: Including the diagnosis of personality functioning in DSM-5 (American Psychiatric Association 2013) moved the psychoanalytic tradition of diagnosing personality structure into the focus of psychotherapy and psychiatry. Three German-language questionnaires for the assessment of personality structure were cross-validated in this study. Me...

AimWe investigated the long-term impact of adjunctive systemic antibiotics on periodontal disease progression. Periodontal therapy is frequently supplemented by systemic antibiotics, although its impact on the course of disease is still unclear. Material & Methods This prospective, randomized, double-blind, placebo-controlled multi-centre trial com...

Manualisierte Ansätze der psycho-analytisch orientierten Therapie von Persönlichkeitsstörungen unterschei-den sich von der Psychoanalyse da-hingehend, dass sie ein strukturier-tes Setting, meist mit vertraglich ver-einbarten Rahmenbedingungen vor-sehen und die Behandlungsstrate-gien an Patienten mit strukturellen Defiziten (Borderline-Niveau der Pe...

Hintergrund Obwohl ältere Menschen einen Großteil der Krebspatienten ausmachen, wurden ihre speziellen Bedürfnisse und Wünsche bezüglich psychoonkologischer Interventionen bisher wenig erforscht. Ziel der Arbeit Es erfolgen ein Überblick über den Stand der Forschung sowie die Darstellung der Ergebnisse einer Pilotstudie zu Unterstützungswünschen äl...

Borderline personality disorder is associated with deficits in personality functioning and mentalisation. In a randomised controlled trial 104 people with borderline personality disorder received either transference-focused psychotherapy (TFP) or treatment by experienced community therapists. Among other outcome variables, mentalisation was assesse...

Aims: To assess whether trait anxiety as a person's general disposition to be anxious is a risk factor for temporomandibular disorder (TMD) pain. Methods: A total of 320 adult TMD patients with at least one pain-related TMD diagnosis according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were included in the stud...

We investigated attachment representations and the capacity for mentalization in a sample of adult female borderline patients with and without comorbid narcissistic personality disorder (NPD). Participants were 22 borderline patients diagnosed with comorbid NPD (NPD/BPD) and 129 BPD patients without NPD (BPD) from 2 randomized clinical trials. Atta...

Suicide attempts (SA) are common in patients with Borderline Personality Disorder (BPD). Recent studies focus on aspects of personality associated with risk for SA such as deficits in affect regulation including impulse control and aggression. The current study examines associations of dysfunctional personality organization, psychiatric comorbiditi...

Ich wollte »einen Film über den Tod machen, den Tod, den ich weder verstehen noch hinnehmen kann«, so Pedro Almodóvar im Gespräch mit Frédéric Strauss (1998, S. 78). Von dieser ebenso lakonischen wie fulminanten Mitteilung des Filmemachers ausgehend, wollen wir uns dem Vexierbild Matador nähern, einem Film, der sich – wie so oft bei Almodóvar – sch...

Die Liebe stellt das Kultur- und Menschheitsthema schlechthin dar, so ist es auch kein Wunder, dass kein anderes Sujet im Film einen vergleichbaren Stellenwert einnimmt. Ebenso wie in der Literatur sind es immer wieder die klassischen dramatischen Motive wie Eifersucht, Trennung, unerfüllte Liebe, verbotene Liebe, Liebestod oder auch die Spannung v...

Objectives: Dysfunctional parenting styles represent a risk factor for the development of psychological disturbances. The present study investigated the differential validity of the German language Fragebogen zur Erfassung dysfunktionaler Erziehungsstile (FDEB; Measurement of Parental Styles, MOPS) and determined whether different forms of psychol...

It has been hypothesized that treatment specifically focused on resolving memories of negative dental events might be efficacious for the alleviation of anxiety in patients with dental phobia. Thirty-one medication-free patients who met the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria of dental phobia were randomly ass...

Clinical experience involving the treatment of patients with comorbid borderline and narcissistic personality disorders suggests that this patient population is among the more difficult to treat within the personality disorder spectrum. In this article, we present refinements of Transference Focused Psychotherapy (TFP) based on our clinical experie...

Background: The assessment of personality functioning has recently become a focus of psychiatric diagnostics. The interview-based Operationalized Psychodynamic Diagnosis (OPD-2) provides a 'structure axis' for the assessment of personality functioning. Methods: One hundred twenty-four psychiatric patients were diagnosed by means of the Structure...

Previous research has shown an association between certain personality characteristics and suicidality. Methodological differences including small sample sizes and missing adjustment for possible confounding factors could explain the varying results. The aim of this study was to assess the impact of the Big Five personality dimensions on suicidalit...

The assessment of personality organization and its observable behavioral manifestations, i.e. personality functioning, has a long tradition in psychodynamic psychiatry. Recently, the DSM-5 Levels of Personality Functioning Scale has moved it into the focus of psychiatric diagnostics. Based on Kernberg's concept of personality organization the Struc...

In the revised Diagnostic and Statistical Manual DSM-5 the definition of personality disorder diagnoses has not been changed from that in the DSM-IV-TR. However, an alternative model for diagnosing personality disorders where the construct "identity" has been integrated as a central diagnostic criterion for personality disorders has been placed in...

Transference-focused Psychotherapy (TFP) is an empirically validated treatment for borderline personality disorder (BPD). TFP is a modified psychoanalytic outpatient individual treatment with two sessions per week. TFP combines 1) a treatment frame with limit setting and containment of affects with 2) exploration of the intense affects that are in...

Recent neuroscience studies explored the neuronal mechanisms underlying our sense of self. Thereby the cortical midline structures and their anterior and posterior regions have been shown to be central. What remains unclear though is how both, self and cortical midline structures, are related to the identity of the self which is of central importan...

Die Psychotherapie stellt eine wirksame Behandlung für alle Angststörungen dar. Die Kombination mit einer (antidepressiven) Pharmakotherapie dürfte oft sinnvoll sein, ist jedoch nur bei der Panikstörung empirisch untermauert. Bei allen Angststörungen sind verhaltenstherapeutische Ansätze am besten in ihrer Wirksamkeit belegt. Inzwischen sind – auße...

To test whether patients with temporomandibular disorder (TMD) pain differ from subjects from the general population with regard to their stress-related coping styles. Consecutive adult TMD patients (n = 70) and adult subjects of a regional general population sample (n = 868), examined according to the German version of the Research Diagnostic Crit...

A key ingredient in the current proposal of the DSM–5 Work Group on Personality and Personality Disorders is the assessment of overall severity of impairment in personality functioning: the Levels of Personality Functioning Scale (LPFS). The aim of this article is to contribute a conceptual and empirical discussion of the LPFS from the perspective...

The Reflective Functioning Scale (RFS) was developed to assess individual differences in the ability to mentalize attachment relationships. The RFS assesses mentalization from transcripts of the Adult Attachment Interview (AAI). A global score is given by trained coders on an 11-point scale ranging from antireflective to exceptionally reflective. C...

Sleep bruxism is assumed to be triggered by a dysfunctional subcortical and cortical network. This study investigates sensorimotor cortical activation in patients with sleep bruxism during clenching and chewing. Nine polysomnographically diagnosed patients and nine healthy control subjects underwent magnetoencephalography (MEG). During clenching an...

Zusammenfassung Fragestellung: Akzeptanz und Pradiktoren der Inanspruchnahmebereitschaft fur psychoonkologische Angebote bei uber 60-jahrigen Krebspatienten eines Universitatsklinikums. Methoden: 292 stationare und ambulante Patienten (51%weiblich, 51.7%60 Jahre und alter) des interdisziplinaren Krebszentrums des Universitatsklinikums Munster wurde...

Abstract Objectives. Borderline personality disorder (BPD) is characterized by a pervasive affective dysregulation. While recent imaging studies demonstrated the neural correlates of abnormal emotion processing in BPD and recently one study reported alterations of the reward circuit in this patient group, the exact neural mechanisms underlying the...

To determine the acceptance of psychooncological interventions and predictors of subjective needs in cancer patients over 60 years of age. We examined 292 in- and outpatients (51% female, 51.7% aged over 60 years) from the Interdisciplinary Cancer Center of the University Hospital of Münster with a questionnaire designed to assess their wish to par...

Reports an error in "The relationship between personality organization, reflective functioning, and psychiatric classification in borderline personality disorder" by Fischer-Kern et al. ( Psychoanalytic Psychology, 2010[Oct], Vol 27[4], 395-409). The order of authorship was printed incorrectly because of a production error. The correct order of aut...