Research code: 162350878
Ethics code: IR.SIRUMS.REC.1400.011
Clinical trials code: IR.SIRUMS.REC.1400.011
1- Islamic Azad University of Birjand, Birjand, Iran
2- School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3- Sirjan school of Medical Sciences, Sirjan, Iran
Abstract: (821 Views)
Abstract
Background and Objectives: Borderline personality disorder (BPD) is one of the most common personality disorders in psychiatric situations. The present study aims to determine the effectiveness of transference-focused psychotherapy (TFP) on personality structure in patients with borderline personality disorder.
Method: This study was a semi-experimental, single-subject A-B-A design. Among the clients with borderline personality disorder (BPD) who were referred to the psychotherapy and counseling clinic (Hadi) in Sirjan, 3 persons (qualified volunteers) were selected by available sampling through a clinical interview and the Millon clinical multiaxial inventory III (MCMI-III) and the Personality Organization Questionnaire Kernberg (2002) and were subjected to transference-focused psychotherapy for 12 months. Data were collected using the Personality Organization Questionnaire Kernberg (2002) in three stages: baseline, treatment, and follow-up in 16 months with an interval of 4 months. To analyze the results, indexes of visual analysis, recovery percentage, effect size, and reliable change were used.
Results: The results showed that in the treatment and follow-up stages, Cohen's effect size index for the total score of personality organization, primitive defense mechanisms, identity diffusion, and reality testing in clients was all higher than the average of 1.15. The recovery percentage index for the mentioned variables among clients increased significantly. All results of the reliable change index were greater than 1.96, indicating the treatment's effectiveness and maintenance.
Conclusion: Transference-focused psychotherapy over twelve months could cause significant changes in the personality structure of borderline personality disorder patients. To significantly reduce the use of primitive defense mechanisms and lead to an increase in integrated identity and reality testing in patients with borderline personality disorder. Future research is required for a deeper understanding of the treatment dimensions.