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Updated: Jun 12, 2026

Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
A pilot study of Manual-Assisted Cognitive Therapy with a Therapeutic Assessment augmentation for Borderline
Leslie C Morey1, Sara E Lowmaster, Christopher J Hopwood
1Department of Psychology, Texas A&M University, College Station, Texas 77843-4235, USA. lmorey@psych.tamu.edu
Abstract:
This study examined the efficacy of Manual Assisted Cognitive Therapy (MACT) as a stand-alone treatment for Borderline Personality Disorder (BPD) with suicidal ideation, and piloted a Therapeutic Assessment (TA) intervention among 16 patients randomly assigned to MACT or MACT+TA. Although MACT was associated with significant reductions in BPD features and suicidal ideation, less than half of the sample completed the treatment. The TA augmentation did not improve treatment retention but it was associated with somewhat greater clinical improvement. Although findings associate MACT with symptom reduction among persisting patients, attrition rate was problematically high in the overall sample.
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