Corrective Experiences to Enhance Trust: Clinical Wisdom From Good (Enough) Psychiatric Management.

Unstable trust within social interchange underlies the symptom constellation of borderline personality disorder (BPD), resulting in preoccupation with intense dyadic relationships, limited capacity for social collaboration, and constricted social networks. Good Psychiatric Management (GPM) provides...

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Publicado en:Journal of Personality Disorders Vol. 37; no. 5; pp. 559 - 580
Autores principales: Choi-Kain, Lois W., Masland, Sara R., Finch, Ellen F.
Formato: review tables/charts Journal Article
Publicado: Guilford Publications Inc. Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
      vid: 37
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      pub: Guilford Publications Inc.
      place: New York, New York
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        10.1521/pedi.2023.37.5.559
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        atl: Corrective Experiences to Enhance Trust: Clinical Wisdom From Good (Enough) Psychiatric Management.
      aug:
        au:
          Choi-Kain, Lois W.
          Masland, Sara R.
          Finch, Ellen F.
        affil: McLean Hospital, Belmont, Massachusetts, and Harvard Medical School, Boston Massachusetts
      sug:
        subj:
          Psychotherapists
          Interpersonal Relations
          Trust
          Life Experiences
          Social Behavior
          Borderline Personality Disorder Therapy
          Psychotherapy, Psychodynamic
          Professional-Patient Relations
          Psychiatric Care
          Psychoeducation
          Self Concept
          Personal Growth
          Social Networks
          Social Environment
          Behavioral Changes
          Psychoanalysis
          Borderline Personality Disorder Symptoms
          Recovery
          Medical Practice, Evidence-Based
      ab: Unstable trust within social interchange underlies the symptom constellation of borderline personality disorder (BPD), resulting in preoccupation with intense dyadic relationships, limited capacity for social collaboration, and constricted social networks. Good Psychiatric Management (GPM) provides a distilled formulation of how interpersonal hypersensitivities drive the engine of BPD's symptomatic oscillations in both affect and attachment. The authors summarize clinically relevant conclusions from the empirical literature on trust in BPD, synthesize it with selected ideas from other empirically supported interventions, and distill a formulation of how the GPM approach can address problems of trust in BPD with strategies most clinicians can use to improve their work with patients. GPM's clinical management approach utilizes common factors in psychotherapy to structure collaboration with patients to be accountable partners in treatment, rely on themselves more to diminish unrealistic demands on others, and function more effectively in arenas that expand and stabilize their social network.
      pubtype: Academic Journal
      doctype:
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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