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Hope for Sustaining a Positive 3-Year Therapeutic Relationship With Patients With Borderline Personality Disorder
Brin F. S. Grenyer, PhD
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The recent article by Giesen-Bloo and colleagues1 comparing schema-focused and transference-focused psychotherapy for borderline personality disorder is remarkable on 2 accounts. First, it gives hope to psychotherapists that sustaining a positive clinical relationship with patients with borderline personality disorder over 3 years of twice-weekly therapy is both possible and worthwhile. Second, it is one of the very few studies that show differential effectiveness between 2 therapy types, given that research from the past 30 years has consistently failed to find differential effects between treatment types.2 In contrast, research has shown that the therapeutic alliance,3 therapist effectiveness,4 and researcher allegiance5 powerfully relate to clinical changes. In this context, it is surprising that Giesen-Bloo and colleagues do not address these issues in their article. Such data might help readers to understand their findings, including the puzzling but large difference in dropout rates between treatments, and understand the . . . [Full Text of this Article]
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RELATED ARTICLE
Outpatient Psychotherapy for Borderline Personality Disorder: Randomized Trial of Schema-Focused Therapy vs Transference-Focused Psychotherapy
Josephine Giesen-Bloo, Richard van Dyck, Philip Spinhoven, Willem van Tilburg, Carmen Dirksen, Thea van Asselt, Ismay Kremers, Marjon Nadort, and Arnoud Arntz
Arch Gen Psychiatry. 2006;63(6):649-658.
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