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Gregory, R.J. Remen, A.L. Soderberg, M. Ploutz-Snyder, R.J. (2009). A Controlled Trial of Psychodynamic Psychotherapy for Co-Occurring Borderline Personality Disorder and Alcohol use Disorder: Six-Month Outcome. J. Amer. Psychoanal. Assn., 57(1):199-205.

(2009). Journal of the American Psychoanalytic Association, 57(1):199-205

A Controlled Trial of Psychodynamic Psychotherapy for Co-Occurring Borderline Personality Disorder and Alcohol use Disorder: Six-Month Outcome

Robert J. Gregory, Anna L. Remen, Maureen Soderberg and Robert J. Ploutz-Snyder

Borderline personality disorder (BPD) and substance use disorders commonly co-occur. Co-occurrence is associated with increased morbidity and mortality, and decreased treatment response and retention, compared with either condition alone. The primary objective of this poster is to describe the preliminary findings of an ongoing pilot thirty-month controlled study that assesses a modified form of psychodynamic psychotherapy for persons with co-occurring BPD and alcohol use disorders. Alcohol use disorders were targeted for treatment over other substance use disorders due to their high prevalence and the lack of previous controlled treatment trials specific to that population. Although the study is not powered to detect statistically significant between-group differences, a six-month outcome analysis was undertaken to determine whether preliminary findings and effect sizes are sufficiently favorable to warrant further research.

The Investigation Treatment Model

Dynamic deconstructive psychotherapy (DDP; Gregory and Ramen 2008) is a time-limited, manual-based treatment that was developed for patients with borderline personality disorder who are particularly difficult to engage in a therapeutic relationship, including those having co-occurring substance use disorders. The model employs elements of object relations theory, deconstruction philosophy, and neurocognitive research to delineate specific integrative functions of the self that are targeted for treatment over sequential stages (Gregory 2004), including functions of association, attribution, and alterity.

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