Cited by 440Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology Research

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Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: randomised controlled trial

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Doering, Stephan, Hörz, Susanne, Rentrop, Michael, Fischer-Kern, Melitta, Schuster, Peter, Benecke, Cord, Buchheim, Anna, Martius, Philipp, Buchheim, Peter·2010·British Journal of Psychiatry

Abstract

Background: Transference-focused psychotherapy is a manualised treatment for borderline personality disorder. Aims: To compare transference-focused psychotherapy with treatment by experienced community psychotherapists. Method: In a randomised controlled trial (NCT00714311) 104 female out-patients were treated for 1 year with either transference-focused psychotherapy or by an experienced community psychotherapist. Results: Significantly fewer participants dropped out of the transference-focused psychotherapy group (38.5% v. 67.3%) and also significantly fewer attempted suicide (d = 0.8, P = 0.009). Transference-focused psychotherapy was significantly superior in the domains of borderline symptomatology (d = 1.6, P = 0.001), psychosocial functioning (d = 1.0, P = 0.002), personality organisation (d = 1.0, P = 0.001) and psychiatric in-patient admissions (d = 0.5, P = 0.001). Both groups improved significantly in the domains of depression and anxiety and the transference-focused psychotherapy group in general psychopathology, all without significant group differences (d = 0.3–0.5). Self-harming behaviour did not change in either group. Conclusions: Transference-focused psychotherapy is more efficacious than treatment by experienced community psychotherapists in the domains of borderline symptomatology, psychosocial functioning, and personality organisation. Moreover, there is preliminary evidence for a superiority in the reduction of suicidality and need for psychiatric in-patient treatment.

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Citations

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Research works printed but not linked: 14

  1. Chambless, 1998, Update on empirically validated therapies, II, Clin Psychol, 51, 3
  2. Linehan, 1989, Parasuicide History Interview: Comprehensive Assessment of Parasuicidal Behavior
  3. 2009, Transference-Focused Therapy for Borderline Personality Disorder
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Metadata

Authors
Doering, S., Hörz, S., Rentrop, M., Fischer-Kern, M., Schuster, P., Benecke, C., Buchheim, A., Martius, P., & Buchheim, P.
Affiliations
  • Innsbruck Medical University (AT)
  • Technical University of Munich (DE)
  • Medical University of Vienna (AT)
  • Universität Innsbruck (AT)
Corresponding author
Doering, Stephan
Venue
British Journal of Psychiatry
Published
2010-05
Volume
196
Issue
5
Pages
389-395
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
OpenAlex
W2165687185
Cited by
440
References
28
Citations by year
2026: 13 · 2025: 18 · 2024: 24 · 2023: 24 · 2022: 20 · 2021: 23 · 2020: 36 · 2019: 32 · 2018: 28 · 2017: 32 · 2016: 28 · 2015: 28 · 2014: 30 · 2013: 37 · 2012: 34
FWCI
36.29
Type
journal article
Language
en
Open access
Locations
  • The British Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
Funders
  • Oesterreichische Nationalbank (10636)
  • Technische Universität München
Topics
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
Keywords
transference-focused psychotherapy, borderline personality disorder, psychotherapy efficacy, suicidality, psychosocial functioning, treatment discontinuation, self-harm
MeSH terms
Adolescent, Adult, Borderline Personality Disorder, Combined Modality Therapy, Community Mental Health Services, Female, Humans, Middle Aged, Psychiatric Status Rating Scales, Psychotherapy, Psychotropic Drugs, Transference, Psychology, Treatment Outcome, Young Adult

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