{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:02:51Z","timestamp":1770814971092,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T00:00:00Z","timestamp":1635984000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Problematic interpersonal patterns, as defined by the core conflictual relationship theme (CCRT) method, are part of the clinical presentation of clients with borderline personality disorder (BPD). So far, we do not know whether the pervasiveness of interpersonal patterns changes and if this change explains therapy outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a secondary analysis of a randomized controlled trial on a brief version of psychiatric treatment for BPD, a treatment with a psychodynamic focus, the present study included <jats:italic>N<\/jats:italic>\u2009=\u200939 clients. One early session and one late session of the treatment were transcribed and analyzed using the CCRT method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>It appeared that pervasiveness of the predominant CCRT decreased over the course of the brief treatment; this effect was robust across treatment conditions. Change in pervasiveness in any CCRT component explained a small portion of variance of the decrease in borderline symptoms observed at the end of treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Lessening of pervasiveness of problematic in\u2010session interpersonal patterns may be hypothesized as potential mechanism of effective treatment for BPD which should be tested in controlled designs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23275","type":"journal-article","created":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T17:19:31Z","timestamp":1636046371000},"page":"772-784","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Lessening of the pervasiveness of interpersonal patterns in borderline personality disorder explains symptom decrease after treatment: A process analysis"],"prefix":"10.1002","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5603-0394","authenticated-orcid":false,"given":"Ueli","family":"Kramer","sequence":"first","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, Institute of Psychotherapy University of Lausanne  Lausanne Switzerland"},{"name":"Department of Psychiatry\u2010CHUV, General Psychiatry Service University of Lausanne  Lausanne Switzerland"},{"name":"Department of Psychology University of Windsor  Windsor Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00e9l\u00e8ne","family":"Beuchat","sequence":"additional","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, Institute of Psychotherapy University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loris","family":"Grandjean","sequence":"additional","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, Institute of Psychotherapy University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Seragnoli","sequence":"additional","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, Institute of Psychotherapy University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Slimane","family":"Djillali","sequence":"additional","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, Institute of Psychotherapy University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chloe","family":"Choffat","sequence":"additional","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, Institute of Psychotherapy University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"George","sequence":"additional","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, Institute of Psychotherapy University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean\u2010Nicolas","family":"Despland","sequence":"additional","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, Institute of Psychotherapy University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"St\u00e9phane","family":"Kolly","sequence":"additional","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, General Psychiatry Service University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"de Roten","sequence":"additional","affiliation":[{"name":"Department of Psychiatry\u2010CHUV, Institute of Psychotherapy University of Lausanne  Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.63.1.145"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000173701"},{"key":"e_1_2_7_4_1","first-page":"221","volume-title":"Handbook of psychotherapy case formulations","author":"Caspar F.","year":"2007"},{"key":"e_1_2_7_5_1","first-page":"233","volume-title":"Applications of good psychiatric management for borderline personality disorder: A practical guide","author":"Charbon P.","year":"2019"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000113"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/10250-010"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2009.23.4.425"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1521\/psyc.2009.72.2.143"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2012.26.4.583"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S003329170900600X"},{"key":"e_1_2_7_12_1","volume-title":"Structured clinical interview for DSM\u2010IV","author":"First M. 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