{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:55:30Z","timestamp":1790999730705,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,12,31]],"date-time":"2014-12-31T00:00:00Z","timestamp":1419984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Many patients with substance abuse problems present with co\u2010occurrent cluster C personality disorders. Focusing on both disorders disrupts the maintenance mechanisms and the vicious cycle between the 2 conditions; however, treatment teams often neglect this issue. In this work, we describe the features of metacognitive interpersonal therapy as applied to a man with avoidant and depressive personality disorders and heroin, cocaine, and alcohol abuse. Psychotherapy proceeded through the following steps: (a) conducting drug therapy to deal with symptoms of abstinence from heroin; (b) forming a therapeutic bond to overcome the patient's severe emotional withdrawal; (c) fostering basic metacognitive capacities such as awareness of emotions and their triggers; (d) sharing formulations of maladaptive interpersonal schemas and descriptions of the associated states of mind; (e) conveying an understanding of the link between interpersonal events (recent ones and traumatic memories) and substance abuse; (f) facilitating the acquisition of critical distance from maladaptive schemas; and (g) promoting the use of adaptive coping skills instead of resorting to substance abuse. Implications for generalizing these procedures to the treatment of other patients with co\u2010occurrent personality disorders and substance abuse are described.<\/jats:p>","DOI":"10.1002\/jclp.22151","type":"journal-article","created":{"date-parts":[[2014,12,31]],"date-time":"2014-12-31T10:14:06Z","timestamp":1420020846000},"page":"157-166","source":"Crossref","is-referenced-by-count":37,"title":["Metacognitive Interpersonal Therapy for Co\u2010Occurrent Avoidant Personality Disorder and Substance Abuse"],"prefix":"10.1002","volume":"71","author":[{"given":"Giancarlo","family":"Dimaggio","sequence":"first","affiliation":[{"name":"Center for Metacognitive Interpersonal Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maddalena","family":"D'Urzo","sequence":"additional","affiliation":[{"name":"Center for Metacognitive Interpersonal Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Pasinetti","sequence":"additional","affiliation":[{"name":"Center for Metacognitive Interpersonal Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giampaolo","family":"Salvatore","sequence":"additional","affiliation":[{"name":"Center for Metacognitive Interpersonal Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul H.","family":"Lysaker","sequence":"additional","affiliation":[{"name":"Richard L. Roudebush VA Medical Center"},{"name":"Indiana University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Catania","sequence":"additional","affiliation":[{"name":"Center for Metacognitive Interpersonal Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"Popolo","sequence":"additional","affiliation":[{"name":"Center for Metacognitive Interpersonal Therapy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,12,31]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2011.583808"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1193"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1348\/147608310X485256"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203855782"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","volume-title":"Metacognitive interpersonal therapy for personality disorders: A treatment manual","author":"Dimaggio G.","DOI":"10.4324\/9781315744124"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2012.26.1.63"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203939536"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1521-0391.2013.00304.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/10250-000"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2013.11.007"},{"key":"e_1_2_8_13_1","volume-title":"Personality\u2010guided therapy","author":"Millon T.","year":"1999"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10879-013-9246-8"},{"key":"e_1_2_8_15_1","volume-title":"Handbook of mentalizing in mental health practice","author":"Philips B.","year":"2012"},{"key":"e_1_2_8_16_1","article-title":"Emotional inhibition in personality disorders","author":"Popolo R.","year":"2014","journal-title":"Psychotherapy and Psychosomatics"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000351784"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503300500536953"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjclp.22151","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.22151","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T19:44:17Z","timestamp":1696448657000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.22151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,31]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1002\/jclp.22151"],"URL":"https:\/\/doi.org\/10.1002\/jclp.22151","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,31]]}}}