Effects of Motive-Oriented Therapeutic Relationship in the Early-Phase Treatment of Borderline Personality Disorder (MOTR)

Lausanne University Hospital (CHUV)

Status: Completed

Conditions: Borderline Personality Disorder

Treatments: Behavioral: Motive-oriented therapeutic relationship/Plan Analysis; Behavioral: Psychiatric Management

Study type: Interventional

Funder types: Other

Identifiers

NCT01896024

SNSF 100014-134562

Details and patient eligibility

About

The present research aims at examining the effectiveness of a specific set of therapist relational interventions and attitudes, called the Motive-Oriented Therapeutic Relationship (MOTR), based on Plan Analysis (Caspar, 2007) in the early-phase treatment of patients diagnosed with Borderline Personality Disorder.

The investigators intend to include N = 80 outpatients diagnosed with Borderline Personality Disorder, consulting at the Outpatient Personality Disorder Program of the Karl Jaspers Clinical Unit, in collaboration with the Institute of Psychotherapy, at the Department of Psychiatry-CHUV, University of Lausanne and in collaboration with the University of Berne, Switzerland. Patients are assigned by chance to two treatment conditions 1) Control condition (General Psychiatric Management; Gunderson & Links, 2008) and 2) MOTR-condition. The investigators hypothesize better results in the MOTR-condition, as compared to the control condition in terms of symptom reduction pre-post.

The conduct of the study represents a significant contribution to the understanding and enhancement of relationship aspects in the treatment of patients diagnosed with Borderline Personality Disorder which may be of potential benefit for these patients.

Enrollment: 85 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• DSM-IV Borderline Personality Disorder;
• between 18 and 65 yrs of age

Exclusion criteria

• DSM-IV psychotic disorders,
• mental retardation,
• substance abuse in the forefront

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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85 participants in 2 patient groups

General Psychiatric Management (GPM; Gunderson & Links, 2008)

Active Comparator group

Description:

psychodynamic-psychiatric treatment for borderline personality disorder

Treatment:

Behavioral: Psychiatric Management

GPM plus Motive-Oriented Therapeutic Relationship

Experimental group

Description:

use of Plan Analysis and Motive-oriented therapeutic relationship, as add-on variable to GPM

Treatment:

Behavioral: Psychiatric Management

Behavioral: Motive-oriented therapeutic relationship/Plan Analysis