2022年6月30日木曜日

パーソナリティ障害 概論 3

 書き写すだけで一回分!

 境界パーソナリティ障害の治療として有効性が確かめられているのは、ギャバードさんの本によると7つあるという。ここはそのまま写したくなってしまう。それらはメンタライゼーションに基づく治療 mentalization-based therapy (MBT, Bateman and Fonagy, 2009),転移焦点づけ療法 transference-focused therapy (TFP, Clarkin et al. 2007),弁証法的行動療法 dialectical behavior therapy (DBT, Linehan 2006),スキーマ焦点づけ療法 schema-focused therapy (Giesen-Bloo et al. 2006),情緒予見性と問題解決のためのシステムトレーニング Systems Training for Emotional Predictability and Problem Solving (STEPPS, Blum et al. 2008),一般精神科マネジ メント general psychiatric management (GPM, McMain et al. 2012), 力動的脱構築精神療法 dynamic deconstructive psychotherapy (DDP, Gregory et al. 2010)が含まれる。

Bateman A, Fonagy P (2009) Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. Am J Psychiatry166:1355-1364.
Clarkin, JF, Levy KN, Lenzenweger MF et al (2007) Evaluating three treatments with borderline personality disorder: a preliminary mu1ti-wave study of behavioral change. Am J Psychiatry 164:922-92.
Giesen-Bloo J, van Dyck R, Spinhoven, P. et al (2006) Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs. transference-focused therapy. Arch Gen Psychiatry 63:649-658.
Blum N, St.John D, Pfohl B et al (2008)
Systems Training for Emotional Predictability and Problem Solving (STEPPS) for Outpatients With Borderline Personality Disorder: A Randomized Controlled Trial and 1-Year Follow-Up. Am J Psychiatry. 165: 468–478. 
McMain SF, Guimond,T, Streiner, DL., et al. (2012) Dialectical behavior therapy compared with general psychiatric management for borderline personality disorder: clinical outcomes and functioning over a two-year follow-up. Am J Psychiatry 169:650-661.
Gregory RJ, Delucia-Deranja, E, Mogle JA (2010) Dynamic deconstructive psychotherapy versus optimized community care for borderline personality disorder co-occurring with alcohol use disorders: 30 months follow-up. J Nerv Ment Dis 198:292-298.
Linehan MM, Comtois, KA, Murray, AM. et al. (2006) Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs. therapy by experts for suicidal behaviors and borderline personality disorder. Arch Gen Psychiatry 63:757-766.