Terapisnack - Visa ett inlägg - Om DBT och varför det är en alternativ behandlingsmetod

Mikael G · 2008-06-25, 13:12

Ja, precis, EMDR, var det jag syftade till.

Då är vi (i stort sett, förutom att jag tror att eklektiska alternativ är effektivare än renodlad KBT, men då pratar jag ganska generellt om ångestproblematik... för fobier (kanske dock inte komplicerade fobier som social fobi) är dock enbart exponering lika effektivt som KBT, har det visat sig) överens.

Sannolikhet är vad det handlar om. Och om vilka komponenter som är verksamma (och påverkar denna sannolikhet).

Jag har tagit del av några studier om behandling av Borderline som tyder på att en psykodynamisk behandlingsvariant som kallas TFT visat sig vara mer effektiv än DBT:

"Title: Change in Attachment Patterns and Reflective Function in a Randomized Control Trial of Transference-Focused Psychotherapy for Borderline Personality Disorder.
Author: Kenneth N. Levy
Source: Journal of Consulting and Clinical Psychology. Vol. 74(6), December 2006, pp. 1027-1040
Abstract: Changes in attachment organization and reflective function (RF) were assessed as putative mechanisms of change in 1 of 3 year-long psychotherapy treatments for patients with borderline personality disorder (BPD). Ninety patients reliably diagnosed with BPD were randomized to transference-focused psychotherapy (TFP), dialectical behavior therapy, or a modified psychodynamic supportive psychotherapy. Attachment organization was assessed with the Adult Attachment Interview and the RF coding scale. After 12 months of treatment, participants showed a significant increase in the number classified secure with respect to attachment state of mind for TFP but not for the other 2 treatments. Significant changes in narrative coherence and RF were found as a function of treatment, with TFP showing increases in both constructs during treatment. No changes in resolution of loss or trauma were observed across treatments. Findings suggest that 1 year of intensive TFP can increase patients' narrative coherence and RF. Future research should establish the relationship between these 2 constructs and relevant psychopathology, identify treatment components responsible for effecting these changes, and examine the long-term outcome of these changes. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract)"

Så jag vet inte riktigt vilka implikationer det har för DBT.

2008-06-25, 13:12	#16 (permalink)
Mikael G Rating 10 Diamantmedlem Reg.datum: Dec 2007 Inlägg: 353 Krediter: 1 640	Ja, precis, EMDR, var det jag syftade till. Då är vi (i stort sett, förutom att jag tror att eklektiska alternativ är effektivare än renodlad KBT, men då pratar jag ganska generellt om ångestproblematik... för fobier (kanske dock inte komplicerade fobier som social fobi) är dock enbart exponering lika effektivt som KBT, har det visat sig) överens. Sannolikhet är vad det handlar om. Och om vilka komponenter som är verksamma (och påverkar denna sannolikhet). Jag har tagit del av några studier om behandling av Borderline som tyder på att en psykodynamisk behandlingsvariant som kallas TFT visat sig vara mer effektiv än DBT: "Title: Change in Attachment Patterns and Reflective Function in a Randomized Control Trial of Transference-Focused Psychotherapy for Borderline Personality Disorder. Author: Kenneth N. Levy Source: Journal of Consulting and Clinical Psychology. Vol. 74(6), December 2006, pp. 1027-1040 Abstract: Changes in attachment organization and reflective function (RF) were assessed as putative mechanisms of change in 1 of 3 year-long psychotherapy treatments for patients with borderline personality disorder (BPD). Ninety patients reliably diagnosed with BPD were randomized to transference-focused psychotherapy (TFP), dialectical behavior therapy, or a modified psychodynamic supportive psychotherapy. Attachment organization was assessed with the Adult Attachment Interview and the RF coding scale. After 12 months of treatment, participants showed a significant increase in the number classified secure with respect to attachment state of mind for TFP but not for the other 2 treatments. Significant changes in narrative coherence and RF were found as a function of treatment, with TFP showing increases in both constructs during treatment. No changes in resolution of loss or trauma were observed across treatments. Findings suggest that 1 year of intensive TFP can increase patients' narrative coherence and RF. Future research should establish the relationship between these 2 constructs and relevant psychopathology, identify treatment components responsible for effecting these changes, and examine the long-term outcome of these changes. (PsycINFO Database Record (c) 2007 APA, all rights reserved) (journal abstract)" Så jag vet inte riktigt vilka implikationer det har för DBT. __________________ Mikael Glännström Skriver en självhjälpsbok/självbiografi om ångestproblematik. Har ambitioner att forska kring ångestproblematik i framtiden. Tidigare lidit av panikångest och social fobi i åtta år.