The workshop will introduce an innovative and arguably more efficacious than other approaches treatment model for “difficult to engage and treat patients with severe personality disorders”. The model is “multidimensional” and “multivariable” – multiple dimensions of a personality disorder are treated simultaneously by multiple treatment variables within an Intensive Outpatient Program setting. Personality disorders are conceptualized as “enduring disturbances of neurocognitive system regulating patterns of internal experience, behavior and interpersonal adaptation”. Main dimensions targeted in treatment are (1) the attachment system; (2) neurobehavioral circuits underlying personality and temperament; (3) neurocognitve regulation of affects, mood and impulses; (4) psychodynamics of self, object relations and ego-functions; (5) cognitions and mentalization (6) patterns of relating and interpersonal behavior. Main clusters of treatment variables are (1) program structure (2) modality; (3) theoretical approach; (4) therapist (5) peer group dynamics; (6) self-transcendence (Zen mindfulness / meditation). The workshop will introduce the main components of multidimensional / multivariable treatment model, its advantages and challenges and will discuss thought provoking treatment outcome data.
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