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Differential interventions in psychotherapy of borderline, narcissistic, and schizoid personality disorders: the Masterson approach

โœ Scribed by Donald D. Roberts


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
132 KB
Volume
4
Category
Article
ISSN
1063-3995

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โœฆ Synopsis


Recent years have witnessed an intensified impetus to specify psychotherapy strategies and techniques appropriate to particular psychological disorders. J. F. Masterson has formulated a developmental, self, and object relations theory which proposed diagnosis-specific interventions for the borderline, narcissistic, and schizoid personality disorders: confrontation of maladaptive defences with borderline patients, mirroring interpretation of narcissistic vulnerability with the narcissistic disorder, and interpretation of the `schizoid dilemma' with schizoid patients. This theoretical perspective will be described, and case examples will be used to illustrate the technical differences in the treatment approaches for each.


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## Psychotherapy and pharmacotherapy are each effective in treating borderline personality disorder. In severely symptomatic patients, psychotherapy reduces suicidality and the utilization of inpatient psychiatric care within the first year of treatment, but drop-out rates are high. Pharmacotherapy