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Vermote, R. Luyten, P. Verhaest, Y. Vandeneede, B. Vertommen, H. Lowyck, B. (2015). A Psychoanalytically Informed Hospitalization-Based Treatment of Personality Disorders. Int. J. Psycho-Anal., 96(3):817-843.

(2015). International Journal of Psycho-Analysis, 96(3):817-843

A Psychoanalytically Informed Hospitalization-Based Treatment of Personality Disorders Language Translation

Rudi Vermote, Patrick Luyten, Yannic Verhaest, Bart Vandeneede, Hans Vertommen and Benedicte Lowyck

(Accepted for publication May 2015)

This study presents a model of psychic change in personality disorders focusing on three dimensions: felt safety, mentalization and self-object relations. Based upon this model a hospitalization-based therapy program was created. Four scales to measure these three dimensions on the Object Relation Interview are discussed: the Felt Safety Scale, the Reflective Functioning Scale and the Bion Grid Scale and the Differentiation-Relatedness Scale. A naturalistic symptom outcome study of the program showed a large effect on both symptoms and personality functioning. Furthermore, trajectory based on pre-treatment patient characteristics (i.e., anaclitic versus introjective personality styles). Importantly, we also found a relation between symptomatic and personality change and change in felt safety and object relations. At 5-year follow-up, patients showed sustained improvement in symptomatic distress and further improvement in terms of personality and interpersonal functioning.

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