THE RELATIONSHIP BETWEEN PERSONALITY ORGANIZATION, REFLECTIVE FUNCTIONING, AND PSYCHIATRIC CLASSIFICATION IN BORDERLINE PERSONALITY DISORDER

Psychoanalytic Psychology

Volumn 27, Issue 4, 2010, Pages 395-409

  Fischer Kern, Melitta ^a   Schuster, Peter ^a   Kapusta, Nestor D ^a   Tmej, Anna ^a   Buchheim, Anna ^b   Rentrop, Michael ^c   Buchheim, Peter ^c   Hörz, Susanne ^c,d,e   Doering, Stephan ^e,f   Taubner, Svenja ^g   Fonagy, Peter ^h  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

^b UNIVERSITY OF INNSBRUCK   (Austria)

^c TECHNICAL UNIVERSITY OF MUNICH   (Germany)

^d UNIVERSITY OF MUNICH   (Germany)

^e INNSBRUCK MEDICAL UNIVERSITY   (Austria)

^f UNIVERSITY OF MÜNSTER   (Germany)

^g UNIVERSITY OF KASSEL   (Germany)

^h UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

Borderline personality disorder; Mentalization; Personality organization; Psychic structure; Reflective functioning

Indexed keywords

ADULT; AGGRESSION; ANXIETY DISORDER; ARTICLE; AVOIDANT PERSONALITY DISORDER; BORDERLINE STATE; COMORBIDITY; CONTROLLED STUDY; COPING BEHAVIOR; DEFENSE MECHANISM; DEPRESSION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; DISEASE CLASSIFICATION; DISEASE SEVERITY; EATING DISORDER; EGO; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MENTAL CAPACITY; MENTAL FUNCTION; MOOD DISORDER; MORALITY; OBJECT RELATION; PERSONALITY; PSYCHOTHERAPY; RATING SCALE; SELF CONCEPT; SOMATOFORM DISORDER; STRUCTURED CLINICAL INTERVIEW FOR DSM DISORDERS; STRUCTURED INTERVIEW; TREATMENT OUTCOME; TREATMENT PLANNING;

EID: 78049468661     PISSN: 07369735     EISSN: 19391331     Source Type: Journal    
DOI: 10.1037/a0020862     Document Type: Article

References (43)

1. Diagnostic and statistical manual of mental disorders 2000, American Psychiatric Association, Author, Washington, DC. 4th ed., text rev.
2. Arnott B., Meins E. Links between antenatal attachment representations, postnatal mind-mindedness, and infant attachment security: A preliminary study of mothers and fathers. Bulletin of the Menninger Clinic 2007, 71:132-149.
3. Bouchard M.A., Lecours S., Tremblay L.M., Target M., Fonagy P., Schachter A., Stein H. Mentalization in adult attachment narratives: Reflective functioning, mental states, and affect elaboration compared. Psychoanalytic Psychology 2008, 25:47-66.
4. Choi-Kain L.W., Gunderson J.G. Mentalization: Ontogeny, assessment, and application in the treatment of borderline personality disorder. The American Journal of Psychiatry 2008, 165:1127-1135.
5. Clarkin J.F., Caligor E., Stern B., Kernberg O.F. Structured Interview of Personality Organization (STIPO) 2004, Weill Medical College of Cornell University, New York.
6. Clarkin J.F., Levy K.N., Lenzenweger M.F., Kernberg O.F. Evaluating three treatments for borderline personality disorder: A multiwave study. The American Journal of Psychiatry 2007, 164:922-928.
7. Critchfield K.L., Clarkin J.F., Levy K.N., Kernberg O.F. Organization of co-occurring Axis II features in borderline personality disorder. British Journal of Clinical Psychology 2008, 47:185-200.
8. Doering S., Hörz S., Rentrop M., Fischer-Kern M., Schuster P., Benecke C., Buchheim P. Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: Randomized controlled trial. British Journal of Psychiatry 2010, 196:389-395.
9. Fischer-Kern M., Mikutta C., Kapusta N.D., Hörz S., Naderer A., Thierry N., Aigner M. The psychic structure of chronic pain patients. Zeitschrift für Psychosomatische Medizin und Psychotherapie 2010, 56:34-46.
10. Fischer-Kern M., Tmej A., Kapusta N.D., Naderer A., Leithner-Dziubas K., Löffler-Stastka H., Springer-Kremser M. The capacity for mentalization in depressive patients: A pilot study. Zeitschrift für Psychosomatische Medizin und Psychotherapie 2008, 54:368-380.
11. Fonagy P., Gergely G., Jurist E.J., Target M. Affect regulation, mentalization, and the development of the self 2002, Other Press, New York.
12. Fonagy P., Leigh T., Steele H., Kennedy R., Mattoon G., Target M., Gerber A. The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology 1996, 64:22-31.
13. Fonagy P., Steele M., Steele H., Leigh T., Kennedy R., Mattoon G., Target M. Attachment, the reflective self and borderline states: The predictive specificity of the Adult Attachment Interview and pathological emotional development. Attachment theory: Social, developmental and clinical perspectives 1995, 233-279. Analytic Press, Hillsdale, NJ. S. Goldberg, R. Muir, J. Kerr (Eds.).
14. Fonagy P., Steele M., Steele H., Moran G., Higgitt A. The capacity for understanding mental states: The reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal 1991, 12:201-218.
15. Fonagy P., Target M. Playing with reality: I. Theory of mind and the normal development of psychic reality. International Journal of Psychoanalysis 1996, 77:217-233.
16. Fonagy P., Target M. Playing with reality: III. The persistence of dual psychic reality in borderline patients. International Journal of Psychoanalysis 2000, 81:853-874.
17. Fonagy, P., Target, M., Steele, H., & Steele, M. (1998). Reflecting functioning manual, Version 5, for application to Adult Attachment Interviews. Unpublished manuscript.
18. Fydrich T., Renneberg B., Schmitz B., Wittchen H.U. SKID-II. Strukturiertes Klinisches Interview für DSM-IV, Achse II: [Structured clinical interview for DSM-IV. Axis-II]. Persönlichkeitsstörungen 1997, Hogrefe, Göttingen.
19. George, C., Kaplan, N., & Main, M. (1985). The Adult Attachment Interview. Unpublished manuscript, Department of Psychology, University of California at Berkeley.
20. Hörz S. A prototype of borderline personality organization-Assessed by the Structured Interview of Personality Organization (STIPO) 2007, Kovač, Hamburg.
21. Hörz S., Rentrop M., Fischer-Kern M., Schuster P., Kapusta N.D., Buchheim P., Doering S. Personality structure and clinical severity of borderline personality disorder. Zeitschrift für Psychosomatische Medizin und Psychotherapie 2010, 56:136-149.
22. Huang Y., Kotov R., De Girolamo G., Preti A., Angermeyer M., Benjet C., Kessler R.C. DSM-IV personality disorders in the WHO World Mental Health Surveys. British Journal of Psychiatry 2009, 195:46-53.
23. Kernberg O.F. Internal world and external reality: Object relations theory applied 1980, Aronson, New York.
24. Kernberg O.F. Structural interviewing. Psychiatric Clinics of North America 1981, 4:169-195.
25. Kernberg O.F. Severe personality disorders: Psychotherapeutic strategies 1984, Yale University Press, New Haven, CT.
26. Kernberg O.F. A psychoanalytic theory of personality disorders. Major theories of personality disorder 1996, 106-140. Guilford Press, New York. J.F. Clarkin, M.F. Lenzenweger (Eds.).
27. Kernberg O.F., Caligor E. A psychoanalytic theory of personality disorders. Major theories of personality disorder 2005, 114-156. Guilford Press, New York. 2nd ed. M.F. Lenzenweger, J.F. Clarkin (Eds.).
28. Krueger R.F. Continuity of Axes I and II: Toward a unified model of personality, personality disorders, and clinical disorders. Journal of Personality Disorders 2005, 19:233-261.
29. Levy K.N. The implications of attachment theory and research for understanding borderline personality disorder. Development and Psychopathology 2005, 17:959-986.
30. Levy K.N., Meehan K.B., Kelly K.M., Reynoso J.S., Weber M., Clarkin J.F., Kernberg O.F. Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. Journal of Consulting and Clinical Psychology 2006, 74:1027-1040.
31. Main M., Kaplan G., Cassidy J. Security in infancy, childhood, and adulthood: A move to the level of representation. Monographs of the Society for Research in Childhood Development 1985, 50:66-104.
32. Müller C., Kaufbold J., Overbeck G., Grabhorn R. The importance of reflective functioning to the diagnosis of psychic structure. Psychology and Psychotherapy: Theory, Research and Practice 2006, 79:485-494.
33. Operationalized Psychodynamic Diagnostics: Foundations and manual 2001, OPD Task Force, Hogrefe & Huber, Seattle.
34. Patrick M., Hobson R.P., Castle D., Howard R., Maughan B. Personality disorder and the mental representation of early social experience. Developmental Psychopathology 1994, 6:375-388.
35. Rudden M., Milrod B., Target M., Ackerman S., Graf E. Reflective functioning in panic disorder patients: A pilot study. Journal of the American Psychoanalytic Association 2006, 54:1339-1343.
36. Skodol A.E., Gunderson J.G., Pfohl B., Widiger T.A., Livesley W.J., Siever L.J. The borderline diagnosis: I. Psychopathology, comorbidity, and personality structure. Biological Psychiatry 2002, 51:936-950.
37. Stern B.L., Caligor E., Clarkin J.F., Critchfield K.L., Hörz S., Maccornack V., Kernberg O.F. Structured Interview of Personality Organization (STIPO): Preliminary psychometrics in a clinical sample. Journal of Personality Assessment 2010, 92:35-44.
38. Tyrer P. The problem of severity in the classification of personality disorder. Journal of Personality Disorders 2005, 19:309-314.
39. Walter M., Berth H., Selinger J., Gerhard U., Küchenhoff J., Frommer J., Dammann G. The lack of negative affects as an indicator for identity disturbance in borderline personality disorder: A preliminary report. Psychopathology 2009, 42:399-404.
40. Ward A., Ramsay R., Turnbull S., Steele M., Steele H., Treasure J. Attachment in anorexia nervosa: A transgenerational perspective. British Journal of Medical Psychology 2001, 74:497-505.
41. Widiger T.A. Personality disorder and Axis I psychopathology: The problematic boundary of Axis I and Axis II. Journal of Personality Disorders 2003, 17:90-108.
42. Widiger T.A., Simonsen E. Alternative dimensional models of personality disorder: Finding a common ground. Journal of Personality Disorders 2005, 19:110-130.
43. Wittchen H.U., Zaudig M., Fydrich T. SKID-I: Strukturiertes Klinisches Interview für DSM-IV, Achse I. [Structured clinical interview for DSM-IV. Axis-I] 1997, Hogrefe, Göttingen.