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Cognitive-behavioral therapies for personality disorders.
1Psychology Department, Barnard College, Columbia University & Schema Therapy Institute, New York, New York 10027, USA. erafaeli@barnard.edu
The Israel Journal of Psychiatry and Related Sciences
|July 20, 2010
Summary
Cognitive-behavioral therapy (CBT) models are increasingly used for personality disorders. This review examines influential approaches like schema focused therapy and dialectical behavior therapy, highlighting their effectiveness.
Area of Science:
- Psychology
- Psychiatry
- Clinical Psychology
Background:
- Cognitive-behavioral therapy (CBT) is established for Axis-I disorders.
- Personality disorders involve enduring relational and emotional difficulties.
- CBT models for personality disorders are gaining research attention.
Purpose of the Study:
- To review influential CBT models for personality disorders.
- To present the rationale, components, goals, and evidence for these models.
- To discuss the need for integrative treatment approaches.
Main Methods:
- Literature review of three key CBT models: Beck's Cognitive Therapy (CT), Young's Schema Focused Therapy (SFT), and Linehan's Dialectical Behavior Therapy (DBT).
- Analysis of theoretical underpinnings and treatment mechanisms.
- Synthesis of the supporting evidence base.
Main Results:
- CT, SFT, and DBT offer distinct yet related frameworks for personality disorders.
- Growing evidence supports the effectiveness of these specialized CBT approaches.
- Each model addresses core features of personality pathology through targeted interventions.
Conclusions:
- Specialized CBT models provide valuable frameworks for treating personality disorders.
- Integrative approaches may be necessary to address the complexity of personality pathology.
- Further research is warranted to refine and integrate these therapeutic models.
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