ArticleFrontiers in psychology2015
Pattern destabilization and emotional processing in cognitive therapy for personality disorders.
Article in Frontiers in psychology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 57 citations in OpenAlex.
- Using Client Narratives to Identify Predictors of Outcome in Written Exposure Therapy and Cognitive Processing Therapy.Behavior therapy · 2023Trial
- Sudden Gains in Two Trauma-Focused Treatments for Posttraumatic Stress Disorder.Behavior therapy · 2022Trial
- Caregiver Behaviors and Child Distress in Trauma Narration and Processing Sessions of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT).Behavior therapy · 2022Trial
- In-Session Predictors of Treatment Outcome for Intimate Partner Violence: An Examination of Fathers for Change and Treatment as Usual.Traumatology · 2026Article
- Examining the research methods of early warning signals in clinical psychology through a theoretical lens.BMC psychiatry · 2025Review
- Shifting boundaries, extended minds: ambient technology and extended allostatic control.Synthese · 2025Article
- Pattern transitions in diary data of MDD patients: a mixed-methods multiple case study of psychotherapy dynamics.Frontiers in psychology · 2024Article
- Predictors of dropout in cognitive processing therapy for PTSD: An examination of in-session treatment processes.Behaviour research and therapy · 2023Article
- Elevated emotion network connectivity is associated with fluctuations in depression.Proceedings of the National Academy of Sciences of the United States of America · 2023Article
- Agency in avoidant personality disorder: a narrative review.Frontiers in psychology · 2023Review
- Changes in Affective Network Variability Among Youth Treated for Anxiety Disorders.Child psychiatry and human development · 2022Article
- Identification of Dynamic Patterns of Personal Positions in a Patient Diagnosed With Borderline Personality Disorder and the Therapist During Change Episodes of the Psychotherapy.Frontiers in psychology · 2022Article
- Processes of Change in Trauma-Focused Cognitive Behavioral Therapy for Youth: An Emotional Processing Theory Informed Approach.Clinical psychological science : a journal of the Association for Psychological Science · 2021Article
- A complex systems approach to the study of change in psychotherapy.BMC medicine · 2020Article
- Beyond linear mediation: Toward a dynamic network approach to study treatment processes.Clinical psychology review · 2020Review
- Are changes in children's communication patterns predictive of treatment outcomes for children with anxiety?Clinical psychology & psychotherapy · 2019Article
- Treatment processes and demographic variables as predictors of dropout from trauma-focused cognitive behavioral therapy (TF-CBT) for youth.Behaviour research and therapy · 2018Article
- Commentary: Pattern destabilization and emotional processing in cognitive therapy for personality disorders.Frontiers in psychology · 2018Article
- Constructive and Unproductive Processing of Traumatic Experiences in Trauma-Focused Cognitive-Behavioral Therapy for Youth.Behavior therapy · 2017Article
- A Primer on Observational Measurement.Assessment · 2016Article
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2 authors at 1 institution in 1 country.
Funding
Abstract
unlabelledClinical trials of treatments for personality disorders can provide a medium for studying the process of therapeutic change with particularly entrenched and self-perpetuating systems and might reveal important principles of system transition. We examined the extent to which maladaptive personality patterns were destabilized in a trial of cognitive therapy personality disorders (CT-PD) and how destabilization was associated with emotional processing and treatment outcomes. Dynamic systems theory was used as a theoretical framework for studying change.
methodParticipants were 27 patients diagnosed with Avoidant or Obsessive Compulsive Personality Disorder (AVPD or OCPD), who completed an open trial of CT-PD. Raters coded treatment sessions using a coding system that operationalizes emotional processing, as well as cognitive, affective, behavioral, and somatic components of pathological (negative) and more adaptive (positive) patterns of functioning. Pattern destabilization (dispersion) scores during the early phase of treatment (phase 1: session 1-10) and the schema-focused phase (phase 2: session 11-34) were calculated using a program called GridWare.
resultsMore pattern destabilization and emotional processing in the schema-focused phase of CT-PD predicted more improvement in personality disorder symptoms and positive pattern strength at the end of treatment, whereas these variables in phase 1 did not predict outcome.
conclusionIn addition to illustrating a quantitative method for studying destabilization and change of patterns of psychopathology, we present findings that are consistent with recent updates of emotional processing theory and with principles from dynamic systems theory.
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