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17 - Cognitive Behavioral Approaches

from Part V - Treatment

Published online by Cambridge University Press:  24 February 2020

By
M. Zachary Rosenthal ,
Kristin P. Wyatt  and
Kibby McMahon
Edited by
Carl W. Lejuez  and
Kim L. Gratz
Carl W. Lejuez
Affiliation:
University of Kansas
Kim L. Gratz
Affiliation:
University of Toledo, Ohio
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Summary

In recent years, several cognitive behavioral therapies have been developed to meet the specific challenges involved in treating personality disorders. Cognitive and behavioral treatment (CBT) is best represented as a family of therapies, including manualized treatment packages (or “branded” CBTs) and principle-driven interventions. This chapter reviews cognitive and behavioral intervention options for patients suffering from personality dysfunction. First, the authors provide an overview of the “branded” CBTs tested with personality disorder populations, including dialectical behavior therapy, schema focused therapy, and cognitive therapy for personality disorders. For clinicians who wish to use a cognitive behavioral approach, they then discuss how CBT case conceptualization can be used to inform a flexible and responsive treatment based on the empirically-supported treatments for personality disorders. In this approach, clinicians would formulate a treatment plan that applies cognitive and behavioral strategies, interventions, and principles of change from these empirically-supported “branded” CBTs. For example, the authors discuss ways in which the CBT principle of exposure may be considered for application across different personality disorders. Finally, they discuss the potential value in application of mindfulness and acceptance strategies with personality disorders.

Keywords

principle-driven CBTprocess-based CBTcase conceptualizationdialectical behavior therapyschema focused therapycognitive therapypersonality disorders
Type
Chapter
Information
The Cambridge Handbook of Personality Disorders , pp. 401 - 417
Publisher: Cambridge University Press
Print publication year: 2020

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References

Abramowitz, J. S. (1996). Variants of exposure and response prevention in the treatment of obsessive-compulsive disorder: A meta-analysis. Behavior Therapy, 27(4), 583–600.Google Scholar
Alden, L. (1989). Short-term structured treatment for avoidant personality disorder. Journal of Consulting and Clinical Psychology, 57(6), 756–764.Google Scholar
Alden, L. E., & Capreol, M. J. (1993). Avoidant personality disorder: Interpersonal problems as predictors of treatment response. Behavior Therapy, 24(3), 357–376.Google Scholar
Andreasson, K., Krogh, J., Wenneberg, C., Jessen, H. K., Krakauer, K., Gluud, C., … Nordentoft, M. (2016). Effectiveness of dialectical behavior therapy versus collaborative assessment and management of suicidality treatment for reduction of self-harm in adults with borderline personality traits and disorder: A randomized observer-blinded clinical trial. Depression and Anxiety, 33(6), 520–530.CrossRefGoogle ScholarPubMed
Ashbaugh, A., Antony, M. M., Liss, A., Summerfeldt, L. J., McCabe, R. E., & Swinson, R. P. (2007). Changes in perfectionism following cognitive-behavioral treatment for social phobia. Depression and Anxiety, 24(3), 169–177.Google Scholar
Athey, A. J., Elias, J. A., Crosby, J. M., Jenike, M. A., Pope, H. G., Hudson, J. I., & Brennan, B. P. (2015). Reduced disgust propensity is associated with improvement in contamination/washing symptoms in obsessive-compulsive disorder. Journal of Obsessive-Compulsive and Related Disorders, 4, 20–24.CrossRefGoogle ScholarPubMed
Bamelis, L. L., Evers, S. M., Spinhoven, P., & Arntz, A. (2014). Results of a multicenter randomized controlled trial of the clinical effectiveness of schema therapy for personality disorders. American Journal of Psychiatry, 171(3), 305–322.CrossRefGoogle ScholarPubMed
Barlow, D. H., Allen, L. B., & Choate, M. L. (2016). Toward a unified treatment for emotional disorders. Behavior Therapy, 47(6), 838–853.Google Scholar
Barlow, D. H., Craske, M. G., Cerny, J. A., & Klosko, J. S. (1989). Behavioral treatment of panic disorder. Behavior Therapy, 20(2), 261–282.Google Scholar
Bateman, A., O’Connell, J., Lorenzini, N., Gardner, T., & Fonagy, P. (2016). A randomized controlled trial of mentalization-based treatment versus structured clinical management for patients with comorbid borderline personality disorder and antisocial personality disorder. BMC Psychiatry, 16, 304.CrossRefGoogle ScholarPubMed
Beck, A. T. (1991). Cognitive therapy: A 30-year retrospective. American Psychologist, 46(4), 368–375.CrossRefGoogle ScholarPubMed
Beck, A. T., Davis, D. D., & Freeman, A. (Eds.) (2015). Cognitive Therapy of Personality Disorders. New York: Guilford Press.Google Scholar
Bender, D. S., Dolan, R. T., Skodol, A. E., Sanislow, C. A., Dyck, I. R., McGlashan, T. H., … Gunderson, J. G. (2001). Treatment utilization by patients with personality disorders. American Journal of Psychiatry, 158(2), 295–302.CrossRefGoogle ScholarPubMed
Bijttebier, P., & Vertommen, H. (1999). Coping strategies in relation to personality disorders. Personality and Individual Differences, 26, 847–856.Google Scholar
Bishop, S. R., Lau, M., Shapiro, S. L., Carlson, L., Anderson, N. D., & Carmody, J. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241.Google Scholar
Black, D. W., Blum, N., Eichinger, L., McCormick, B., Allen, J., & Sieleni, B. (2008). STEPPS: Systems Training for Emotional Predictability and Problem Solving in women offenders with borderline personality disorder in prison: A pilot study. CNS Spectrums, 13(10), 881–886.Google Scholar
Black, D. W., Simsek‐Duran, F., Blum, N., McCormick, B., & Allen, J. (2016). Do people with borderline personality disorder complicated by antisocial personality disorder benefit from the STEPPS treatment program? Personality and Mental Health, 10(3), 205–215.Google Scholar
Blum, N., St. John, D., Pfohl, B., Stuart, S., McCormick, B., Allen, J., … Black, D. W. (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. American Journal of Psychiatry, 165(4), 468–478.Google Scholar
Bouton, M. E. (1988). Context and ambiguity in the extinction of emotional learning: Implications for exposure therapy. Behaviour Research and Therapy, 26(2), 137–149.Google Scholar
Broderick, J., Grisham, J. R., & Weidemann, G. (2013). Disgust and fear responding in contamination-based obsessive-compulsive disorder during pictorial exposure. Behavior Therapy, 44(1), 27–38.Google Scholar
Brown, E. J., Heimberg, R. G., & Juster, H. R. (1995). Social phobia subtype and avoidant personality disorder: Effect on severity of social phobia, impairment, and outcome of cognitive behavioral treatment. Behavior Therapy, 26(3), 467–486.Google Scholar
Brown, G. K., Newman, C. F., Charlesworth, S. E., Crits-Christoph, P., & Beck, A. T. (2004). An open clinical trial of cognitive therapy for borderline personality disorder. Journal of Personality Disorders, 18(3), 257–271.CrossRefGoogle ScholarPubMed
Brown, M. Z., Linehan, M. M., Comtois, K. A., Murray, A., & Chapman, A. L. (2009). Shame as a prospective predictor of self-inflicted injury in borderline personality disorder: A multi-modal analysis. Behaviour Research and Therapy, 47(10), 815–822.Google Scholar
Callaghan, G. M., Summers, C. J., & Weidman, M. (2003). The treatment of histrionic and narcissistic personality disorder behaviors: A single-subject demonstration of clinical improvement using functional analytic psychotherapy. Journal of Contemporary Psychotherapy, 33(4), 321–339.Google Scholar
Carter, G. L., Willcox, C. H., Lewin, T. J., Conrad, A. M., & Bendit, N. (2010). Hunter DBT project: Randomized controlled trial of dialectical behaviour therapy in women with borderline personality disorder. Australian & New Zealand Journal of Psychiatry, 44(2), 162–173.Google Scholar
Carter, S. A., & Wu, K. D. (2010). Symptoms of specific and generalized social phobia: An examination of discriminant validity and structural relations with mood and anxiety symptoms. Behavior Therapy, 41(2), 254–265.CrossRefGoogle ScholarPubMed
Castilho, P., Martins, M. J., Pinto, A. M., Viegas, R., Carvalho, S., & Madeira, N. (2017). Understanding the effect of attachment styles in paranoid ideation: The mediator role of experiential avoidance. Journal of Contextual Behavioral Science, 6(1), 42–46.CrossRefGoogle Scholar
Chambless, D. L., Baker, M. J., Baucom, D. H., Beutler, L. E., Calhoun, K. S., Crits-Christoph, P., … Johnson, S. B. (1998). Update on empirically validated therapies, II. The Clinical Psychologist, 51(1), 3–16.Google Scholar
Chapman, A. L., Specht, M. W., & Cellucci, T. (2005). Borderline personality disorder and deliberate self‐harm: Does experiential avoidance play a role? Suicide and Life-Threatening Behavior, 35(4), 388–399.CrossRefGoogle ScholarPubMed
Cheavens, J. S., Rosenthal, M. Z., Daughters, S. D., Novak, J., Kossen, D., Lynch, T. R., & Lejuez, C. W. (2005). An analog investigation of the relationships among perceived parental criticism, negative affect, and borderline personality disorder features: The role of thought suppression. Behavior Research and Therapy, 43, 257–268.Google Scholar
Choy, Y., Fyer, A. J., & Lipsitz, J. D. (2007). Treatment of specific phobia in adults. Clinical Psychology Review, 27, 266–286.CrossRefGoogle ScholarPubMed
Clarke, S., Kingston, J., James, K., Bolderston, H., & Remington, B. (2014). Acceptance and commitment therapy group for treatment-resistant participants: A randomized controlled trial. Journal of Contextual Behavioral Science, 3(3), 179–188.CrossRefGoogle Scholar
Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F. (2007). Evaluating three treatments for borderline personality disorder: A multiwave study. American Journal of Psychiatry, 164(6), 922–928.Google Scholar
Cottraux, J., Note, I. D., Boutitie, F., Milliery, M., Genouihlac, V., Yao, S. N., … Djamoussian, D. (2009). Cognitive therapy versus Rogerian supportive therapy in borderline personality disorder. Psychotherapy and Psychosomatics, 78(5), 307–316.Google Scholar
Cox, B. J., Pagura, J., Stein, M. B., & Sareen, J. (2009). The relationship between generalized social phobia and avoidant personality disorder in a national mental health survey. Depression and Anxiety, 26(4), 354–362.CrossRefGoogle Scholar
Craske, M. G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. (2008). Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46(1), 5–27.Google Scholar
Craske, M. G., Rowe, M., Lewin, M., & Noriega‐Dimitri, R. (1997). Interoceptive exposure versus breathing retraining within cognitive‐behavioural therapy for panic disorder with agoraphobia. British Journal of Clinical Psychology, 36(1), 85–99.CrossRefGoogle ScholarPubMed
Cristea, I. A., Gentili, C., Cotet, C. D., Palomba, D., Barbui, C., & Cuijpers, P. (2017). Efficacy of psychotherapies for borderline personality disorder: A systematic review and meta-analysis. JAMA Psychiatry, 74(4), 319–328.CrossRefGoogle ScholarPubMed
Crowell, S. E., Beauchaine, T. P., & Linehan, M. M. (2009). A biosocial developmental model of borderline personality: Elaborating and extending Linehan’s theory. Psychological Bulletin, 135(3), 495–510.CrossRefGoogle ScholarPubMed
Davidson, K., Norrie, J., Tyrer, P., Gumley, A., Tata, P., Murray, H., & Palmer, S. (2006). The effectiveness of cognitive behavior therapy for borderline personality disorder: Results from the borderline personality disorder study of cognitive therapy (BOSCOT) trial. Journal of Personality Disorders, 20(5), 450–465.CrossRefGoogle ScholarPubMed
Davidson, K. M., Tyrer, P., Norrie, J., Palmer, S. J., & Tyrer, H. (2010). Cognitive therapy v. usual treatment for borderline personality disorder: Prospective 6-year follow-up. British Journal of Psychiatry, 197(6), 456–462.Google Scholar
Domes, G., Schulze, L., & Herpertz, S. C. (2009). Emotion recognition in borderline personality disorder: A review of the literature. Journal of Personality Disorders, 23(1), 6–19.Google Scholar
Dyck, I. R., Phillips, K. A., Warshaw, M. G., Dolan, R. T., Shea, M. T., Stout, R. L., … Keller, M. B. (2001). Patterns of personality pathology in patients with generalized anxiety disorder, panic disorder with and without agoraphobia, and social phobia. Journal of Personality Disorders, 15(1), 60–71.Google Scholar
Emmelkamp, P. M., Benner, A., Kuipers, A., Feiertag, G. A., Koster, H. C., & van Apeldoorn, F. J. (2006). Comparison of brief dynamic and cognitive–behavioural therapies in avoidant personality disorder. British Journal of Psychiatry, 189(1), 60–64.Google Scholar
Farrell, J. M., Shaw, I. A., & Webber, M. A. (2009). A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), 317–328.Google Scholar
Feigenbaum, J. D., Fonagy, P., Pilling, S., Jones, A., Wildgoose, A., & Bebbington, P. E. (2012). A real‐world study of the effectiveness of DBT in the UK National Health Service. British Journal of Clinical Psychology, 51(2), 121–141.CrossRefGoogle ScholarPubMed
Feske, U., Perry, K. J., Chambless, D. L., Renneberg, B., & Goldstein, A. J. (1996). Avoidant personality disorder as a predictor for treatment outcome among generalized social phobics. Journal of Personality Disorders, 10(2), 174–184.Google Scholar
Foa, E. B., Steketee, G., Turner, R. M., & Fischer, S. C. (1980). Effects of imaginal exposure to feared disasters in obsessive-compulsive checkers. Behaviour Research and Therapy, 18(5), 449–455.Google Scholar
Garyfallos, G., Katsigiannopoulos, K., Adamopoulou, A., Papazisis, G., Karastergiou, A., & Bozikas, V. P. (2010). Comorbidity of obsessive-compulsive disorder with obsessive-compulsive personality disorder: Does it imply a specific subtype of obsessive-compulsive disorder? Psychiatry Research, 177(1), 156–160.Google Scholar
Giesen-Bloo, J., Van Dyck, R., Spinhoven, P., Van Tilburg, W., Dirksen, C., Van Asselt, T., … Arntz, A. (2006). Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs Transference-Focused Psychotherapy. Archives of General Psychiatry, 63(6), 649–658.Google Scholar
Goldstein, T. R., Fersch-Podrat, R. K., Rivera, M., Axelson, D. A., Merranko, J., Yu, H., … Birmaher, B. (2015). Dialectical behavior therapy for adolescents with bipolar disorder: Results from a pilot randomized trial. Journal of Child and Adolescent Psychopharmacology, 25(2), 140–149.CrossRefGoogle ScholarPubMed
Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Chou, S. P., Ruan, W. J., & Huang, B. (2005). Co-occurrence of 12-month mood and anxiety disorders and personality disorders in the US: Results from the National Epidemiologic Survey on Alcohol and Related Conditions. Journal of Psychiatric Research, 39(1), 1–9.Google Scholar
Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37(1), 25–35.Google Scholar
Gratz, K. L., Tull, M. T., & Levy, R. (2014). Randomized controlled trial and uncontrolled 9-month follow-up of an adjunctive emotion regulation group therapy for deliberate self-harm among women with borderline personality disorder. Psychological Medicine, 44(10), 2099–2112.Google Scholar
Greenberg, L. S. (2015). Emotion-Focused Therapy: Coaching Clients to Work through Their Feelings (2nd ed.). Washington, DC: American Psychological Association.Google Scholar
Grodnitzky, G. R., & Tafrate, R. C. (2000). Imaginal exposure for anger reduction in adult outpatients: A pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 31(3–4), 259–279.Google Scholar
Harned, M. S., Ruork, A. K., Liu, J., & Tkachuck, M. A. (2015). Emotional activation and habituation during imaginal exposure for PTSD among women with borderline personality disorder. Journal of Traumatic Stress, 28(3), 253–257.CrossRefGoogle ScholarPubMed
Hawton, K., Witt, K. G., Salisbury, T. L. T., Arensman, E., Gunnell, D., Hazell, P., … van Heeringen, K. (2016). Psychosocial interventions following self-harm in adults: A systematic review and meta-analysis.  Lancet Psychiatry, 3(8), 740–750.Google Scholar
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change. New York: Guilford Press.Google Scholar
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change (2nd ed.). New York: Guilford Press.Google Scholar
Heimberg, R. G. (1991).A Manual for Conducting Cognitive-Behavioral Group Therapy for Social Phobia (2nd ed.). Unpublished manuscript available from the Center for Stress and Anxiety Disorders, Pine West Plaza, Bldg. 4, Washington Avenue Extension, Albany, NY 12205.Google Scholar
Herbert, J. D., Hope, D. A., & Bellack, A. S. (1992). Validity of the distinction between generalized social phobia and avoidant personality disorder. Journal of Abnormal Psychology, 101(2), 332–339.Google Scholar
Hoffart, A., Versland, S., & Sexton, H. (2002). Self-understanding, empathy, guided discovery, and schema belief in schema-focused cognitive therapy of personality problems: A process–outcome study. Cognitive Therapy and Research, 26(2), 199–219.Google Scholar
Hope, D. A., Herbert, J. D., & White, C. (1995). Diagnostic subtype, avoidant personality disorder, and efficacy of cognitive-behavioral group therapy for social phobia. Cognitive Therapy and Research, 19(4), 399–417.Google Scholar
Huppert, J. D., Strunk, D. R., Ledley, D. R., Davidson, J. R., & Foa, E. B. (2008). Generalized social anxiety disorder and avoidant personality disorder: Structural analysis and treatment outcome. Depression and Anxiety, 25(5), 441–448.Google Scholar
Kaiser, D., Jacob, G. A., Domes, G., & Arntz, A. (2017). Attentional bias for emotional stimuli in borderline personality disorder: A meta-analysis. Psychopathology, 49(6), 383–396.CrossRefGoogle Scholar
Kliem, S., Kröger, C., & Kosfelder, J. (2010). Dialectical behavior therapy for borderline personality disorder: A meta-analysis using mixed-effects modeling. Journal of Consulting and Clinical Psychology, 78(6), 936–951.Google Scholar
Kohlenberg, R. J., & Tsai, M. (1991). Functional Analytic Psychotherapy: Creating Intense and Curative Therapeutic Relationships. New York: Plenum Press.Google Scholar
Kolla, N. J., Meyer, J. H., Bagby, R. M., & Brijmohan, A. (2017). Trait anger, physical aggression, and violent offending in antisocial and borderline personality disorders. Journal of Forensic Sciences, 62(1), 137–141.Google Scholar
Koons, C. R., Robins, C. J., Tweed, J. L., Lynch, T. R., Gonzalez, A. M., Morse, J. Q., … Bastian, L. A. (2001). Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder. Behavior Therapy, 32(2), 371–390.CrossRefGoogle Scholar
Kose, S., Solmaz, M., Celikel, F. C., Citak, S., Ozturk, M., Tosun, M., … Sayar, K. (2009). Comorbidity of avoidant personality disorder in generalized social phobia and its impact on psychopathology. Klinik Psikofarmakoloji Bülteni, 19, 340–346.Google Scholar
Kruedelbach, N., McCormick, R.A., Schulz, S.C., & Grueneich, R. (1993). Impulsivity, coping styles, and triggers for craving in substance abusers with borderline personality disorders. Journal of Personality Disorders, 7, 214–222.Google Scholar
Lampe, L., & Sunderland, M. (2015). Social phobia and avoidant personality disorder: Similar but different? Journal of Personality Disorders, 29(1), 115–130.Google Scholar
Langkaas, T. F., Hoffart, A., Øktedalen, T., Ulvenes, P. G., Hembree, E. A., & Smucker, M. (2017). Exposure and non-fear emotions: A randomized controlled study of exposure-based and rescripting-based imagery in PTSD treatment. Behaviour Research and Therapy, 97, 33–42.Google Scholar
Lejuez, C. W., Hopko, D. R., Acierno, R., Daughters, S. B., & Pagoto, S. L. (2011). Ten year revision of the brief behavioral activation treatment for depression: Revised treatment manual. Behavior Modification, 35(2), 111–161.Google Scholar
Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.Google Scholar
Linehan, M. M. (2014). DBT Skills Training Manual (2nd ed.). New York: Guilford Press.Google Scholar
Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48(12), 1060–1064.Google Scholar
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., … Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63(7), 757–766.CrossRefGoogle ScholarPubMed
Linehan, M. M., Dimeff, L. A., Reynolds, S. K., Comtois, K. A., Welch, S. S., Heagerty, P., & Kivlahan, D. R. (2002). Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. Drug and Alcohol Dependence, 67(1), 13–26.Google Scholar
Linehan, M. M., Korslund, K. E., Harned, M. S., Gallop, R. J., Lungu, A., Neacsiu, A. D., … Murray-Gregory, A. M. (2015). Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: A randomized clinical trial and component analysis. JAMA Psychiatry, 72(5), 475–482.Google Scholar
Linehan, M. M., Schmidt, H., Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug‐dependence. American Journal on Addictions, 8(4), 279–292.Google Scholar
Lobbestael, J., Arntz, A., Cima, M., & Chakhssi, F. (2009). Effects of induced anger in patients with antisocial personality disorder. Psychological Medicine, 39(4), 557–568.Google Scholar
Lynch, T. R., Cheavens, J. S., Cukrowicz, K. C., Thorp, S. R., Bronner, L., & Beyer, J. (2007). Treatment of older adults with co‐morbid personality disorder and depression: A dialectical behavior therapy approach. International Journal of Geriatric Psychiatry, 22(2), 131–143.Google Scholar
Lynch, T. R., Robins, C. J., Morse, J. Q., & Krause, E. D. (2001). A mediation model relating affect intensity, emotion inhibition, and psychological distress. Behavior Therapy, 32 , 519–536.Google Scholar
Malleson, N. (1959). Panic and phobia: A possible method of treatment. Lancet, 1, 225–227.Google Scholar
Marques, L., Porter, E., Keshaviah, A., Pollack, M. H., Van Ameringen, M., Stein, M. B., & Simon, N. M. (2012). Avoidant personality disorder in individuals with generalized social anxiety disorder: What does it add? Journal of Anxiety Disorders, 26(6), 665–672.Google Scholar
McClintock, A. S., & Anderson, T. (2015). The application of mindfulness for interpersonal dependency: Effects of a brief intervention. Mindfulness, 6(2), 243–252.CrossRefGoogle Scholar
McMain, S., Korman, L. M., & Dimeff, L. (2001). Dialectical behavior therapy and the treatment of emotion dysregulation. Journal of Clinical Psychology, 57(2), 183–196.Google Scholar
McMain, S. F., Links, P. S., Gnam, W. H., Guimond, T., Cardish, R. J., Korman, L., & Streiner, D. L. (2009). A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder. American Journal of Psychiatry, 166(12), 1365–1374.Google Scholar
Mehlum, L., Tørmoen, A. J., Ramberg, M., Haga, E., Diep, L. M., Laberg, S., … Grøholt, B. (2014). Dialectical behavior therapy for adolescents with repeated suicidal and self-harming behavior: A randomized trial. Journal of the American Academy of Child & Adolescent Psychiatry, 53(10), 1082–1091.Google Scholar
Miller, A. L., Rathus, J. H., & Linehan, M. M. (2006). Dialectical Behavior Therapy with Suicidal Adolescents. New York: Guilford Press.Google Scholar
Morton, J., Snowdon, S., Gopold, M., & Guymer, E. (2012). Acceptance and commitment therapy group treatment for symptoms of borderline personality disorder: A public sector pilot study. Cognitive and Behavioral Practice, 19(4), 527–544.Google Scholar
Neacsiu, A. D., Eberle, J. W., Kramer, R., Wiesmann, T., & Linehan, M. M. (2014). Dialectical behavior therapy skills for transdiagnostic emotion dysregulation: A pilot randomized controlled trial. Behaviour Research and Therapy, 59, 40–51.Google Scholar
Neacsiu, A. D., Rizvi, S. L., & Linehan, M. M. (2010). Dialectical behavior therapy skills use as a mediator and outcome of treatment for borderline personality disorder. Behaviour Research and Therapy, 48(9), 832–839.Google Scholar
Neziroglu, F., Hickey, M., & McKay, D. (2010). Psychophysiological and self-report components of disgust in body dysmorphic disorder: The effects of repeated exposure. International Journal of Cognitive Therapy, 3(1), 40–51.Google Scholar
Öst, L. G. (2008). Efficacy of the third wave of behavioral therapies: A systematic review and meta-analysis. Behaviour Research and Therapy, 46(3), 296–321.Google Scholar
Ougrin, D., Tranah, T., Stahl, D., Moran, P., & Asarnow, J. R. (2015). Therapeutic interventions for suicide attempts and self-harm in adolescents: Systematic review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 54(2), 97–107.Google Scholar
Panos, P. T., Jackson, J. W., Hasan, O., & Panos, A. (2014). Meta-analysis and systematic review assessing the efficacy of dialectical behavior therapy (DBT). Research on Social Work Practice, 24(2), 213–223.Google Scholar
Pinto, A., Liebowitz, M. R., Foa, E. B., & Simpson, H. B. (2011). Obsessive compulsive personality disorder as a predictor of exposure and ritual prevention outcome for obsessive compulsive disorder. Behaviour Research and Therapy, 49(8), 453–458.Google Scholar
Pistorello, J., Fruzzetti, A. E., MacLane, C., Gallop, R., & Iverson, K. M. (2012). Dialectical behavior therapy (DBT) applied to college students: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 80(6), 982–994.Google Scholar
Priebe, S., Bhatti, N., Barnicot, K., Bremner, S., Gaglia, A., Katsakou, C., … Zinkler, M. (2012). Effectiveness and cost-effectiveness of dialectical behaviour therapy for self-harming patients with personality disorder: A pragmatic randomised controlled trial. Psychotherapy and Psychosomatics, 81(6), 356–365.Google Scholar
Rathus, J. H., & Miller, A. L. (2002). Dialectical behavior therapy adapted for suicidal adolescents. Suicide and Life-Threatening Behavior, 32(2), 146–157.Google Scholar
Reger, G. M., Koenen-Woods, P., Zetocha, K., Smolenski, D. J., Holloway, K. M., Rothbaum, B. O., & … Gahm, G. A. (2016). Randomized controlled trial of prolonged exposure using imaginal exposure vs. virtual reality exposure in active duty soldiers with deployment-related posttraumatic stress disorder (PTSD). Journal of Consulting and Clinical Psychology, 84(11), 946–959.Google Scholar
Rizvi, S. L., Hughes, C. D., Hittman, A. D., & Vieira Oliveira, P. (2017). Can trainees effectively deliver dialectical behavior therapy for individuals with borderline personality disorder? Outcomes from a training clinic. Journal of Clinical Psychology, 73(12), 1599–1611.Google Scholar
Rizvi, S. L., & Linehan, M. M. (2005). The treatment of maladaptive shame in borderline personality disorder: A pilot study of “opposite action.” Cognitive and Behavioral Practice, 12(4), 437–447.Google Scholar
Rosenthal, M. Z., Cheavens, J. S., Lejuez, C. W., & Lynch, T. R. (2005). Thought suppression mediates the relationship between negative affect and borderline personality disorder symptoms. Behaviour Research and Therapy, 43(9), 1173–1185.Google Scholar
Rosenthal, M. Z., Gratz, K. L., Kosson, D. S., Cheavens, J. S., Lejuez, C. W., & Lynch, T. R. (2008). Borderline personality disorder and emotional responding: A review of the research literature. Clinical Psychology Review, 28(1), 75–91.Google Scholar
Sachse, S., Keville, S., & Feigenbaum, J. (2011). A feasibility study of mindfulness‐based cognitive therapy for individuals with borderline personality disorder. Psychology and Psychotherapy: Theory, Research and Practice, 84(2), 184–200.CrossRefGoogle ScholarPubMed
Sadri, S. K., McEvoy, P. M., Egan, S. J., Kane, R. T., Rees, C. S., & Anderson, R. A. (2017). The relationship between obsessive compulsive personality and obsessive compulsive disorder treatment outcomes: Predictive utility and clinically significant change. Behavioural and Cognitive Psychotherapy, 45(5), 524–529.Google Scholar
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2013). Mindfulness-Based Cognitive Therapy for Depression (2nd ed.). New York: Guilford Press.Google Scholar
Spinhoven, P., Bamelis, L., Molendijk, M., Haringsma, R., & Arntz, A. (2009). Reduced specificity of autobiographical memory in Cluster C personality disorders and the role of depression, worry, and experiential avoidance. Journal of Abnormal Psychology, 118(3), 520–530.Google Scholar
Standish, A. J., Benfield, J. A., Bernstein, M. J., & Tragesser, S. (2014). Characteristics of borderline personality disorder and disgust sensitivity. The Psychological Record, 64(4), 869–877.CrossRefGoogle Scholar
Stoffers, J. M., Voellm, B. A., Rücker, G., Timmer, A., Huband, N., & Lieb, K. (2012). Psychological therapies for people with borderline personality disorder. The Cochrane Library. doi: 10.1002/14651858.CD005652.pub2CrossRefGoogle Scholar
Tafrate, R. C., & Kassinove, H. (1998). Anger control in men: Barb exposure with rational, irrational, and irrelevant self-statements. Journal of Cognitive Psychotherapy, 12(3), 187–211.Google Scholar
Tillfors, M., Furmark, T., Ekselius, L., & Fredrikson, M. (2004). Social phobia and avoidant personality disorder: One spectrum disorder? Nordic Journal of Psychiatry, 58(2), 147–152.Google Scholar
Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: Gender, prevalence, and comorbidity with substance dependence disorders. Journal of Personality Disorders, 24(4), 412–426.Google Scholar
Tsai, M., Kohlenberg, R. J., Kanter, J. W., Kohlenberg, B., Follete, W. C., & Callaghan, G. M. (2009). A Guide to Functional Analytic Psychotherapy: Awareness, Courage, Love and Behaviorism. New York: Springer.Google Scholar
Tsai, M., Yard, S., & Kohlenberg, R. J. (2014). Functional analytic psychotherapy: A behavioral relational approach to treatment. Psychotherapy, 51(3), 364–371.Google Scholar
Turner, S. M., Beidel, D. C., & Townsley, R. M. (1992). Social phobia: A comparison of specific and generalized subtypes and avoidant personality disorder. Journal of Abnormal Psychology, 101(2), 326–331.Google Scholar
Van Wel, E. B., Bos, E. H., Appelo, M. T., Berendsen, E. M., Willgeroth, F. C., & Verbraak, M. M. (2009). The efficacy of the systems training for emotional predictability and problem solving (STEPPS) in the treatment of borderline personality disorder: A randomized controlled trial. Tijdschrift Voor Psychiatrie, 51(5), 291–301.Google ScholarPubMed
Verheul, R., Van Den Bosch, L. M., Koeter, M. W., De Ridder, M. A., Stijnen, T., & Van Den Brink, W. (2003). Dialectical behaviour therapy for women with borderline personality disorder. British Journal of Psychiatry, 182(2), 135–140.Google Scholar
Watson, J. P., & Marks, I. M. (1971). Relevant and irrelevant fear in flooding: A crossover study of phobic patients. Behavior Therapy, 2(3), 275–293.CrossRefGoogle Scholar
Wheaton, M. G., & Pinto, A. (2017). The role of experiential avoidance in obsessive-compulsive personality disorder traits. Personality Disorders: Theory, Research and Treatment, 8(4), 383–388.Google Scholar
Widiger, T. A. (1992). Generalized social phobia versus avoidant personality disorder: A commentary on three studies. Journal of Abnormal Psychology, 101(2), 340–343.Google Scholar
Wolpe, J. (1961). The systematic desensitization treatment of neuroses. Journal of Nervous and Mental Disease, 132(3) 189–203.Google Scholar
Young, J. E. (1990). Cognitive Therapy for Personality Disorders: A Schema-Focused Approach. Sarasota, FL: Professional Resource Exchange,Google Scholar
Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema Therapy: A Practitioner's Guide. New York: Guilford Press.Google Scholar
Zorn, P., Roder, V., Thommen, M., Müller, D., & Tschacher, W. (2007). Evaluation of a new integrative therapy program for patients with personality disorder-results of a multi-center study. European Psychiatry, 22, S59–S60.Google Scholar

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