TY - JOUR
T1 - Future Challenges in Psychotherapy Research for Personality Disorders
AU - Kramer, Ueli
AU - Eubanks, Catherine F.
AU - Bertsch, Katja
AU - Herpertz, Sabine C.
AU - McMain, Shelley
AU - Mehlum, Lars
AU - Renneberg, Babette
AU - Zimmermann, Johannes
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/11
Y1 - 2022/11
N2 - Purpose of Review: Individuals with personality disorders are frequently seen in mental health settings. Their symptoms typically reflect a high level of suffering and burden of disease, with potentially harmful societal consequences, including costs related to absenteeism at work, high use of health services, ineffective or harmful parenting, substance use, suicidal and non-suicidal self-harming behavior, and aggressiveness with legal consequences. Psychotherapy is currently the first-line treatment for patients with personality disorders, but the study of psychotherapy in the domain of personality disorders faces specific challenges. Recent Findings: Challenges include knowing what works for whom, identifying which putative mechanisms of change explain therapeutic effects, and including the social interaction context of patients with a personality disorder. By following a dimensional approach, psychotherapy research on personality disorders may serve as a model for the development and study of innovative psychotherapeutic interventions. Summary: We recommend developing the following: (a) an evidence base to make treatment decisions based on individual features; (b) a data-driven approach to predictors, moderators, and mechanisms of change in psychotherapy; (c) methods for studying the interaction between social context and psychotherapy.
AB - Purpose of Review: Individuals with personality disorders are frequently seen in mental health settings. Their symptoms typically reflect a high level of suffering and burden of disease, with potentially harmful societal consequences, including costs related to absenteeism at work, high use of health services, ineffective or harmful parenting, substance use, suicidal and non-suicidal self-harming behavior, and aggressiveness with legal consequences. Psychotherapy is currently the first-line treatment for patients with personality disorders, but the study of psychotherapy in the domain of personality disorders faces specific challenges. Recent Findings: Challenges include knowing what works for whom, identifying which putative mechanisms of change explain therapeutic effects, and including the social interaction context of patients with a personality disorder. By following a dimensional approach, psychotherapy research on personality disorders may serve as a model for the development and study of innovative psychotherapeutic interventions. Summary: We recommend developing the following: (a) an evidence base to make treatment decisions based on individual features; (b) a data-driven approach to predictors, moderators, and mechanisms of change in psychotherapy; (c) methods for studying the interaction between social context and psychotherapy.
KW - Challenges
KW - Dimensional conception
KW - Methodology
KW - Personality disorders
KW - Psychotherapy research
KW - Recommendation
UR - http://www.scopus.com/inward/record.url?scp=85141889628&partnerID=8YFLogxK
U2 - 10.1007/s11920-022-01379-4
DO - 10.1007/s11920-022-01379-4
M3 - Article
C2 - 36227450
AN - SCOPUS:85141889628
SN - 1523-3812
VL - 24
SP - 613
EP - 622
JO - Current Psychiatry Reports
JF - Current Psychiatry Reports
IS - 11
ER -