Transference-focused psychotherapy in an inpatient setting for borderline personality disorders: changes in symptomatology

This prospective, naturalistic, longitudinal study examined changes in borderline-specific symptoms in a six-month, manualbased transference-focused psychotherapy (TFP) inpatient treatment for patients with borderline personality disorder (BPD) in comparison to a waitlist control group. 74 patients...

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Main Authors: Torvi Abel, Moritz Happel, Franca Daerr, Carsten Spitzer, Cord Benecke, Birger Dulz
Format: Article
Language:English
Published: PAGEPress Publications 2025-01-01
Series:Research in Psychotherapy
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Online Access:https://www.researchinpsychotherapy.org/rpsy/article/view/810
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author Torvi Abel
Moritz Happel
Franca Daerr
Carsten Spitzer
Cord Benecke
Birger Dulz
author_facet Torvi Abel
Moritz Happel
Franca Daerr
Carsten Spitzer
Cord Benecke
Birger Dulz
author_sort Torvi Abel
collection DOAJ
description This prospective, naturalistic, longitudinal study examined changes in borderline-specific symptoms in a six-month, manualbased transference-focused psychotherapy (TFP) inpatient treatment for patients with borderline personality disorder (BPD) in comparison to a waitlist control group. 74 patients with BPD received TFP in a multi-professional inpatient setting, of whom 27 patients represented the waitlist control group. 31 patients completed six months of treatment. Borderline-specific symptoms were measured by means of the Borderline Symptom List (BSL- 23) prior to treatment (waitlist control group), at the beginning, after 3 months, and at the end of it. BSL-23 scores decreased significantly from the beginning to the end of the six-month inpatient therapy program with a medium effect size of d=0.54. There was no change in symptoms for the waitlist control group. Our findings suggest that inpatient TFP is effective in terms of the reduction of borderline-specific symptoms. In terms of this, the duration of the treatment seems to be a meaningful factor. Further research will investigate changes in specific psychodynamic aspects as well as in the follow-up measurement.
format Article
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institution Kabale University
issn 2499-7552
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publishDate 2025-01-01
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series Research in Psychotherapy
spelling doaj-art-cb28e49271094b80ae000621cfee4c2a2025-01-29T02:42:50ZengPAGEPress PublicationsResearch in Psychotherapy2499-75522239-80312025-01-0110.4081/ripppo.2025.810Transference-focused psychotherapy in an inpatient setting for borderline personality disorders: changes in symptomatologyTorvi Abel0https://orcid.org/0009-0009-1337-2720Moritz Happel1https://orcid.org/0009-0004-2435-7335Franca Daerr2https://orcid.org/0009-0004-1531-6910Carsten Spitzer3https://orcid.org/0000-0002-2711-285XCord Benecke4https://orcid.org/0000-0002-7977-5102Birger Dulz5Asklepios Clinic North – Ochsenzoll, Clinic for Personality and Trauma Disorder, Hamburg; Asklepios Proresearch, HamburgAsklepios Proresearch, HamburgAsklepios Clinic North – Ochsenzoll, Clinic for Personality and Trauma Disorder, Hamburg; Asklepios Proresearch, HamburgDepartment of Psychosomatics and Psychotherapeutic Medicine, University of RostockDepartment of Clinical Psychology, University of KasselAsklepios Clinic North – Ochsenzoll, Clinic for Personality and Trauma Disorder, Hamburg; Asklepios Proresearch, Hamburg This prospective, naturalistic, longitudinal study examined changes in borderline-specific symptoms in a six-month, manualbased transference-focused psychotherapy (TFP) inpatient treatment for patients with borderline personality disorder (BPD) in comparison to a waitlist control group. 74 patients with BPD received TFP in a multi-professional inpatient setting, of whom 27 patients represented the waitlist control group. 31 patients completed six months of treatment. Borderline-specific symptoms were measured by means of the Borderline Symptom List (BSL- 23) prior to treatment (waitlist control group), at the beginning, after 3 months, and at the end of it. BSL-23 scores decreased significantly from the beginning to the end of the six-month inpatient therapy program with a medium effect size of d=0.54. There was no change in symptoms for the waitlist control group. Our findings suggest that inpatient TFP is effective in terms of the reduction of borderline-specific symptoms. In terms of this, the duration of the treatment seems to be a meaningful factor. Further research will investigate changes in specific psychodynamic aspects as well as in the follow-up measurement. https://www.researchinpsychotherapy.org/rpsy/article/view/810Borderline personality disorder (BPD)transference-focused psychotherapy (TFP)inpatientborderline-specific symptoms
spellingShingle Torvi Abel
Moritz Happel
Franca Daerr
Carsten Spitzer
Cord Benecke
Birger Dulz
Transference-focused psychotherapy in an inpatient setting for borderline personality disorders: changes in symptomatology
Research in Psychotherapy
Borderline personality disorder (BPD)
transference-focused psychotherapy (TFP)
inpatient
borderline-specific symptoms
title Transference-focused psychotherapy in an inpatient setting for borderline personality disorders: changes in symptomatology
title_full Transference-focused psychotherapy in an inpatient setting for borderline personality disorders: changes in symptomatology
title_fullStr Transference-focused psychotherapy in an inpatient setting for borderline personality disorders: changes in symptomatology
title_full_unstemmed Transference-focused psychotherapy in an inpatient setting for borderline personality disorders: changes in symptomatology
title_short Transference-focused psychotherapy in an inpatient setting for borderline personality disorders: changes in symptomatology
title_sort transference focused psychotherapy in an inpatient setting for borderline personality disorders changes in symptomatology
topic Borderline personality disorder (BPD)
transference-focused psychotherapy (TFP)
inpatient
borderline-specific symptoms
url https://www.researchinpsychotherapy.org/rpsy/article/view/810
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AT carstenspitzer transferencefocusedpsychotherapyinaninpatientsettingforborderlinepersonalitydisorderschangesinsymptomatology
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