The DBT oriented treatment of Borderline Personality Disorder in Mental Health Services of Modena

Journal title RIVISTA SPERIMENTALE DI FRENIATRIA
Author/s Nicoletta Nigro, Michael Fanizza
Publishing Year 2021 Issue 2021/3
Language Italian Pages 18 P. 93-110 File size 195 KB
DOI 10.3280/RSF2021-003007
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

This article will describe Borderline Personality Disorder (BPD) and its treatment in the Mental Health Centers of the 7 Modena territorial districts. Borderline Disorder represents an important challenge for Mental Health Centers, both for the criticality of the treatment and for the well-being of the treating teams, being a disorder with a strong dramatic component that requires the treating teams to manage countertransference aspects and the need for intervention. That implements the integration of fragmented and dysregulated elements in the patient. In the literature it emerges that to meet these needs, the intervention must include co-therapy; an expression of co-therapy is represented by the double setting, individual and group. A model that meets these requirements is the Dialectical-Behavioral model devised by Marsha Linehan (DBT). The Modenese reality gets involved in taking care of serious personality disorders according to the DBT Model, adapting this intervention to the territorial reality and the needs of Mental Health Centers, also associating group psychoeducational treatment with families. In the pandemic age Mental health Centers agreed to challenge on line DBT treatments.

Keywords: Borderline Personality Disorder, Skills Training, Dialectical Behavioral Therapy, Mental Health Services.

  1. Flynn, D., Kells, M., Joyce, M. et al. Standard 12 month dialectical behaviour therapy for adults with borderline personality disorder in a public community mental health setting. bord personal disord emot dysregul 4, 19; 2017.
  2. Liotti G. Il nucleo del Disturbo Borderline di Personalità: un’ipotesi esplicativa; 2001 in -- http://www.psychomedia.it/pm/modther/probpsiter/liotti-1.htm. Kernberg O.F. Borderline Conditions and Pathological Narcissism. New York: Aronson; 1975. trad. it.: Sindromi marginali e Narcisismo patologico. Torino: Boringhieri; 1978.
  3. Adler G. Borderline psychopathology and its treatment. New York: Aronson; 1985.
  4. Fonagy P et al. Attachment, the reflective self, and borderline states In: GOLDBERG S., MUIR R. & KERR J. (eds), Attachment Theory: Social, developmental and clinical perspectives. Hillsdale, NJ: Analytic Press; 1995.
  5. Fonagy P Attaccamento, sviluppo del Sé e sua patologia nei disturbi di personalità; 1996 in -- http://www.psychomedia.it/pm/modther/probpsiter/fonagy-1.htm.
  6. Pretzer J.L. & Beck A.T. . Teoria cognitiva dei disturbi di personalità (1995) In: CLARKIN J.F. & LENZENWEGER M.F. (eds), I disturbi di personalità. Milano: Cortina; 1997.
  7. Linehan MM. Cognitive Behavioral Treatment of Borderline Personality Disorder. New York, London: The Guilford Press 1993. Tr. it.: Trattamento cognitivo-comportamentale del disturbo borderline, Il modello dialettico. Milano: Cortina; 2001.
  8. Bateman A, Fonagy P. Psychotherapy for Borderline Personality Disorder. Mentalization-based treatment. New York: Oxford University Press 2004. Tr. it.: Il trattamento basato sulla mentalizzazione. Psicoterapia con il paziente borderline. Milano: Cortina; 2006.
  9. Clarkin JF, Yeomans FE, Kernberg OF. Psychotherapy for borderline personality focusing on object relations. Washington, DC: American Psychiatric Publishing. Tr. it.: Psicoterapia psicodinamica dei disturbi di personalità: un approccio basato sulle relazioni oggettuali. Roma: Fioriti; 2011.
  10. Young JE, Klosko JS, Weishar EM. Schema Therapy. New York: Guilford Press 2003. Tr. it.: Schema Therapy. La terapia cognitivo-comportamentale integrata per i disturbi di personalità. Firenze: Eclipsi; 2007.
  11. Bohus et al. A research programme to evaluate DBT PTSD, a modular treatment approach for Complex PTSD after childhood abuse. Borderline Personality Disorder and Emotion Dysregulation (2019) 6:7.
  12. Flynn, M.L., Cunningham, T.R., Emily Q Ahonen, E.Q., Fujishiro, K. Flynn et al. Respond., 108(9), pp. e3-e4 American Journal of Public Health AJPH. DOI: 10.2105/AJPH.2018.304579
  13. Storebø, O.J., Stoers-Winterling, J.M., Völlm, B.A., Kongerslev, M.T., at all. Psychological therapies for people with borderline personality disorder (Review). Cochrane Database Syst Rev. 2020 May 4;5(5):CD012955.
  14. Madeddu F, Aquaro P., Preti E. Psychotherapy for borderline personality disorder: a review of literature on the efficacy of four manualized treatments Dipartimento di Psicologia, Università di Milano-Bicocca Journal of Psychopathology 2012;18:196-209. -- https://www.jpsychopathol.it/article/psychotherapy-for-borderline-personality-disorder-a-review-of-literature-onthe-efficacy-of-four-manualized-treatments/.
  15. American Psychiatric Association, DSM-5 Manuale diagnostico e statistico dei disturbi mentali. Milano: Raffaello Cortina; 2014.
  16. Gunderson, J. G., Herpertz, S. C., Skodol, A. E., Torgersen, S. & Zanarini, M. C. Borderline personality disorder. Nat. Rev. Dis. Prim. 2018 41 4, 1-20 (2018).
  17. Siegel, D. J. La mente relazionale. Neurobiologia dell'esperienza interpersonale. Milano: Raffaello Cortina; 2021.
  18. Liotti, G., Monticelli F., a cura di. Teoria e Clinica dell’alleanza terapeutica. Una prospettiva cognitivo-evoluzionista. Milano: Raffaello Cortina; 2014.
  19. NICE Quality standard, Personality disorders: borderline and antisocial, published: 11 June 2015 -- www.nice. org.uk/guidance/qs88.
  20. National Institute for Health and Clinical Excellence. Borderline Disorder: Treatment and Management. CG87. London: National Institute for Health and Clinical Excellence, 2009. -- https://salute.regione.emilia-romagna.it/normativa-e-documentazione/leggi/regionali/delibere/dgr-313-2009.
  21. Fruzzetti AE, Santistiban D, Hoffman PD. Family DBT. In: Dimeff L, Linehan MM (eds). Dialectical behavior therapy adaptations. New York: Guilford Press, 2007.
  22. Whitehurst T, Ridolfi ME, Gunderson J. Multiple family group treatment for borderline personality disorder. In: Hofmann SG, Tompson MC (eds). Treating chronic and severe mental disorders: a handbook of empirically supported nterventions. New York: Guilford Press, 2002.
  23. Cook, J.E., Doyle, C. Working Alliance in Online Therapy as Compared to Face-to-Face Therapy: Preliminary Results. CyberPsychology & Behavior. 2002. DOI: 10.1089/109493102753770480
  24. Backhaus A., Agha Z., Maglione M. L., Repp A., Ross B., Zuest D., Rice-Thorp N. M. (2012). Videoconferencing Psychotherapy: A Systematic Review. Psychological Services, 9(2), 111-131.
  25. Caspar, F. Case Studies of Clinician-Guided, Online Therapy: Towards a Fuller Understanding of How and Under What Conditions Such Therapy Works. Pragmatic Case Studies in Psychotherapy 13(3):265.
  26. Bielinski, L.L., Berger, T. Internet interventions for mental health: current state of research, lessons learned and future directions. Counseling Psychology and Psychotherapy. 28(3), 65-83, 2020.
  27. Yalom, I., & Leszcz, M. The theory and practice of group psychotherapy (6th ed.). New York, NY: Hachette Books; 2020. Mancuso, F. La Terapia online: innovazione e integrazione tecnologica nella pratica clinica. Cognitivismo Clinico 16, 2, 193-207. Roma: Giovanni Fioriti Editori; 2019. DOI: 10.36131/COGNCL20190206
  28. Gunderson, J. G., Links, P.S. (a cura di Maffei C., Smeraldi E.). Il good psychiatric management nel trattamento del disturbo borderline. Milano: Edra; 2015.

  • Salute mentale digitale oltre la pandemia Giancarlo Gibertoni, Michael Fanizza, Stefano Brunello, Sebastiano Pace, Alessio Saponaro, Fabrizio Starace, in RIVISTA SPERIMENTALE DI FRENIATRIA 3/2022 pp.139
    DOI: 10.3280/RSF2022-003008

Nicoletta Nigro, Michael Fanizza, Il Trattamento DBT orientato del Disturbo Borderline di Personalità nei servizi di Salute Mentale di Modena in "RIVISTA SPERIMENTALE DI FRENIATRIA" 3/2021, pp 93-110, DOI: 10.3280/RSF2021-003007