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- Vienna 2016
- INSPIRE 2016 Friday Schedule
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- Hot Topics Panel Friday Morning INSPIRE 2016
- Mode Fluctuation in Avoidant Personality Disorder Hot Topic Friday Morning
PRECONFERENCE SCHEDULE
| CONFERENCE DAY 1 SCHEDULE
| CONFERENCE DAY 2 SCHEDULE
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"is avoidant personality disorder CHARACTERIZED by stability or instability? a study of mode fluctuation in the course of schema therapy sessions"hot topic by ofer peled & eshkol rafaeli  SUMMARY: APD is among the most prevalent personality
disorders, but has received little empirical attention. This study characterize
mode change patterns among APD clients in the course of ST. A newly-developed
client mode rating scale was used to code every 5-minute segment of 60 ST
sessions from 15 clients. The avoidant/detached mode was present in 3/4 of
segments and was the most intense and fluctuating mode. Its great fluctuation
implies that therapists can crack this coping mode and gain access to the
clients' emotional needs. The over-compensator & compliant-surrenderer modes
were less prominent (present only in 1/3 of segments); this implies that
therapists can primarily focus on overcoming avoidance & detachment,
implementing strategies for overcoming dependence or self-absorption less
frequently. The vulnerable child mode was present in more than half of segments
and was the second most intense and unstable mode. The presence of this mode
provides a possible access point for corrective therapeutic experiences, but
its instability may block the chances for healing emotional pain. The
dysfunctional parent mode was present in less than 1/2 of segments, but was the
third most intense and unstable mode. In contrast, the healthy adult mode,
present in 1/3 of segments, was by far the most stable. It seems that APD
clients were more prone to self-punitive criticism than to self-compassion.
This study offers 4 innovations: (a) It
documents the considerable instability of APD, using
mean-square-successive-difference (MSSD) scores; (b) It offers rich data on the
mode-based description of APD and its possible implications for intervention; (c)
It demonstrates the utility of the mode concept as a lexicon for capturing
personality states and their instability; and (d) It illustrates the use of
in-session segment-by-segment ratings to assess client change within psychotherapy. Additional speakers: Eshkol Rafaeli, Bar Ilan University, Ramat Gan, Israel |
Conference Day 1: Friday Morning Selections 10:45 - 12:15