Utilization of psychotherapy in patients with personality disorder: The impact of gender, character traits, affect regulation, and quality of object-relations

Psychology and Psychotherapy: Theory, Research and Practice

Volumn 78, Issue 4, 2005, Pages 531-548

  Löffler Stastka, Henriette ^a   Ponocny Seliger, Elisabeth ^a   Fischer Kern, Melitta ^a   Leithner, Katharina ^a  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AFFECT; AFFECT REGULATION AND EXPERIENCE Q SORT; ARTICLE; BEHAVIOR; CHARACTER; CONTROLLED STUDY; CORRELATION ANALYSIS; FEMALE; GENDER; HUMAN; INTERVIEW; INVENTORY OF INTERPERSONAL PROBLEM; MAJOR CLINICAL STUDY; MALE; NARCISSISM; OBJECT RELATION; OUTPATIENT CARE; PERSONALITY DISORDER; PSYCHOTHERAPY; QUALITY OF OBJECT RELATION SCALE; SCHIZOIDISM; SEX DIFFERENCE; SHEDLER WESTEN ASSESSMENT PROCEDURE 200;

ADULT; AFFECT; CHARACTER; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FEMALE; HUMANS; INTERPERSONAL RELATIONS; MALE; MENTAL HEALTH SERVICES; PERSONALITY DISORDERS; PSYCHOTHERAPY; QUESTIONNAIRES; SEXUAL BEHAVIOR;

EID: 28544450124     PISSN: 14760835     EISSN: None     Source Type: Journal    
DOI: 10.1348/147608305X42217     Document Type: Article

References (36)

1. Abramowitz, S. I., Roback, H. B., Schwartz, J. M., Yasuna, A., Abramowitz, C. V., & Gomes, B. (1976). Sex bias in psychotherapy: A failure to confirm. American Journal of Psychiatry, 133, 706-709.
2. Adler, D. A., Drake, R. E., & Teague, G. B. (1990). Clinicians' practices in personality assessment: Does gender influence the use of DSM-III Axis II? Comprehensive Psychiatry, 3, 125-133.
3. American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders (4th ed.). Washington, DC: American Psychiatric Association.
4. Azim, H. F. A., Piper, W. E., Segal, P. M., Nixon, G. W. H., & Duncan, S. C. (1991). The quality of Object Relations Scale. Bulletin of the Menninger Clinic, 55, 323-343.
5. Bender, D. S., Dolan, R. T., Skodol, A. E., Sanislow, C. A., Dyck, I. R., McGlashan, T. H., Shea, M. T., Zanarini, M. C., Olham, J. M., & Gunderson, J. G. (2001). Treatment utilization by patients with personality disorders. American Journal of Psychiatry, 158, 295-302.
6. Bihlar, B., & Carlsson, A. M. (2001). Planned and actual goals in psychodynamic psychotherapies: Do patients' personality characteristics relate to agreement? Psychotherapy Research, 11, 383-400.
7. Carter, J. D., Joyce, P. R., Mulder, R. T., Sullivan, P. F., & Luty, S. E. (1999). Gender differences in the frequency of personality disorders in depressed outpatients. Journal of Personality Disorders, 13, 67-74.
8. Edbril, S. D. (1994). Gender bias in short-term therapy: Toward a new model for working with women patients in managed care settings. Psychotherapy, 31, 601-609.
9. Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Mattoon, G., Target, M., & Gerber, A. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 22-31.
10. Fonagy, P., Target, M., & Gergely, G. (2000). Attachment and borderline personality disorder: A theory and some evidence. Psychiatric Clinics of North America, 3, 103-122.
11. Golomb, M., Fava, M., Abraham, M., & Rosenbaum, J. F. (1995). Gender differences in personality disorders. American Journal of Psychiatry, 152, 579-582.
12. Herpertz, S. C., Kunert, H. J., Schwenger, U. B., & Sass, H. (1999). Affective responsiveness in borderline personality disorder: A psychophysiological approach. American Journal of Psychiatry, 156, 1550-1556.
13. Horowitz, L. M., Strauss, B., & Kordy, H. (1994). Inventar zur Erfassung interpersonaler Probleme - Deutsche Version (IIP-D) [Inventory of interpersonal problems]. Weinheim: Beltz.
14. Jones, E. E., & Zoppel, C. L. (1982). Impact of client and therapist gender on psychotherapy outcome. Journal of Consulting and Clinical Psychology, 50, 259-272.
15. Kernberg, O. F. (1984). Severe personality disorders: Psychotherapeutic strategies. New Haven, CT: Yale University Press.
16. Kernberg, O. F., Dulz, B., & Sachsse, U. (1999). Handbuch der Borderline Störungen. [Handbook of borderline disorders]. Stuttgart: Schattauer.
17. Kirshner, L. A., Genack, A., & Hauser, S. T. (1978). Effects of gender on short-term psychotherapy. Psychotherapy: Theory, Research and Practice, 15, 158-167.
18. Limentani, A. (1977). Affects and the psychoanalytic situation. International Journal of Psycho-Analysis, 58, 171-182.
19. Löffler-Stastka, H., Voracek, M., Leithner, K., Fischer-Kern, M., Presslich, E., Kunz, C., & Meissel, T. (2003). Predicting psychotherapy utilization for patients with borderline personality disorder. Psychotherapy Research, 13, 255-264.
20. Nehls, N. (1998). Borderline personality disorder: Gender stereotypes, stigma, and limited system of care. Issues in Mental Health Nursing, 19, 97-112.
21. Nickell, A. D., Waudby, C. J., & Trull, T. J. (2002). Attachment, parental bonding and borderline personality disorder features in young adults. Journal of Personality Disorders, 16, 148-159.
22. Ogrodniczuk, J., & Staats, H. (2002). Psychotherapie und Geschlechtszugehörigkeit: Brauchen Männer und Frauen unterschiedliche Behandlungen? [Psychotherapy and gender: do men and women require different treatments?]. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 48, 270-285.
23. Seeman, J. (1954). Counselor judgements of therapeutic process and outcome. In C. R. Rogers & R. F. Dymond (Eds.), Psychotherapy and personality change (pp. 99-108). Chicago: University of Chicago Press.
24. Shedler, J., & Westen, D. (1998). Refining the measurement of Axis II: A Q-sort procedure for assessing personality pathology. Assessment, 5, 335-355.
25. Staats, H., May, M., Herrmann, C., Kersting, A., & Konig, K. (1998). Different patterns of change in narratives of men and women during analytical group psychotherapy. International Journal of Group Psychotherapy, 48, 363-380.
26. Titus, M. A., & Smith, W. H. (1992). Contemporary issues in the psychotherapy of women. Bulletin of the Menninger Clinic, 56, 48-61.
27. Tyrer, P., Mitchard, S., Methuen, C., & Ranger, M. (2003). Treatment rejecting and treatment seeking personality disorders: Type R and type S. Journal of Personality Disorders, 17, 263-268.
28. Westen, D., & Muderrisoglu, S. (2003). Assessing personality disorders using a systematic clinical interview: Evaluation of an alternative to structured interviews. Journal of Personality Disorders, 17, 351-369.
29. Westen, D., Muderrisoglu, S., Fowler, C., Shedler, J., & Koren, D. (1997). Affect regulation and affective experience: Individual differences, group differences, and measurement using a Q-sort procedure. Journal of Consulting and Clinical Psychology, 65, 429-439.
30. Westen, D., & Shedler, J. (1999a). Revising and assessing Axis II. Part I. Developing a clinically and empirically valid assessment method. American Journal of Psychiatry, 156, 258-272.
31. Westen, D., & Shedler, J. (1999b). Revising and assessing Axis II. Part II. Toward an empirically based and clinically useful classification of personality disorders. American Journal of Psychiatry, 156, 273-285.
32. Widinger, T. A., & Weissman, M. M. (1991). Epidemiology of borderline personality disorder. Hospital and Community Psychiatry, 42, 1015-1021.
33. Wittchen, H.-U., Zaudig, M., & Fydrich, T. (1997). SKID. Strukturiertes Klinisches Interview für DSM-IV Achse I und II. [SCID. Structured Clinical Interview for DSM-IV Axis I and II]. Göttingen: Hogrefe.
34. Yen, S., Zlotnick, C., & Costello, E. (2002). Affect regulation in women with borderline disorder traits. Journal of Nervous and Mental Disease, 190, 693-696.
35. Zlotnick, C., Rothschild, L., & Zimmermann, M. (2002). The role of gender in the clinical presentation of patients with borderline personality disorder. Journal of Personality Disorders, 16, 277-282.
36. Zlotnick, C., Shea, M. T., Pilkonis, P. A., Elkin, I., & Ryan, C. (1996). Gender, type of treatment, dysfunctional attitudes, social support, life events, and depressive symptoms over naturalistic follow-up. American Journal of Psychiatry, 153, 1021-1027.