The Treatment of Histrionic and Narcissistic Personality Disorder Behaviors: A Single-Subject Demonstration of Clinical Improvement Using Functional Analytic Psychotherapy

@article{Callaghan2004TheTO,
  title={The Treatment of Histrionic and Narcissistic Personality Disorder Behaviors: A Single-Subject Demonstration of Clinical Improvement Using Functional Analytic Psychotherapy},
  author={Glenn M. Callaghan and C. J. Summers and Michael L. Weidman},
  journal={Journal of Contemporary Psychotherapy},
  year={2004},
  volume={33},
  pages={321-339}
}
This article presents single-subject data for the treatment of histrionic and narcissistic personality disorder behaviors using a relatively brief course of an interpersonal therapy, Functional Analytic Psychotherapy (Kohlenberg & Tsai, 1991). The treatment produced significant changes in these behaviors both statistically and qualitatively. Empirical methods for analyzing the changes across sessions and for determining that the therapist engaged in the proposed mechanism of clinical change are… Expand

Figures and Tables from this paper

[Hysteria I. Histrionic personality disorder. A psychotherapeutic challenge].
  • S. Sulz
  • Psychology, Medicine
  • Der Nervenarzt
  • 2010
TLDR
What is left of Freud's hysteria in modern diagnostics is the histrionic personality, characterized by dramatization, suggestibility, superficial changing affects, impressionist cognitive style, preoccupation with outward appearance, seductive behavior and the wish to take centre stage. Expand
Treating the “Mischances of Character,” Simply and Effectively
Cluster B personality disorders, particularly borderline personality disorder (BPD) and narcissistic personality disorder (NPD), are simultaneously among the most disruptive and impairing and amongExpand
Treatment of a Disorder of Self through Functional Analytic Psychotherapy.
This paper presents a clinical case study of a depressed female, treated by means of Functional Analytic Psychotherapy (FAP) based on the theory and techniques for treating an “unstable self”Expand
A micro-process analysis of Functional Analytic Psychotherapy's mechanism of change.
TLDR
Results support FAP's purported mechanisms of change and highlight the advantages of utilizing molecular coding systems to explore these mechanisms. Expand
Recent Studies in Functional Analytic Psychotherapy.
Functional Analytic Psychotherapy (FAP), based on the principles of radical behaviorism, emphasizes the impact of eventualities that occur during therapeutic sessions, the therapist-clientExpand
A comprehensive review of research on Functional Analytic Psychotherapy.
TLDR
It is concluded that current research support for FAP is promising but not sufficient to justify claims that FAP's mechanism of therapist-as-social reinforcer is research-supported for specific psychiatric disorders. Expand
The Impact of Pathological Narcissism on Psychotherapy Utilization, Initial Symptom Severity, and Early-Treatment Symptom Change: A Naturalistic Investigation
TLDR
Results indicated that grandiosity, but not vulnerability, was negatively related to the use of adjunctive services and positively predicted client-initiated termination of psychotherapy, highlighting the clinical utility of assessing pathological narcissism in a real-world psychotherapeutic context. Expand
The effectiveness of cognitive behavioral therapy for personality disorders.
TLDR
Research generally supports the conclusion that CBT is an effective treatment modality for reducing symptoms and enhancing functional outcomes among patients withPDs, thereby making it a useful framework for clinicians working with patients with PD symptomatology. Expand
A time series evaluation of the treatment of histrionic personality disorder with cognitive analytic therapy.
  • S. Kellett
  • Psychology, Medicine
  • Psychology and psychotherapy
  • 2007
TLDR
Graphing of data indicated that a 'sudden deterioration' occurred at the point of termination, with eventual recovery and maintenance of the progress made during the intervention, with potential utility of CAT in the treatment of HPD presentations. Expand
A Single-Case Experimental Demonstration of Functional Analytic Psychotherapy with Two Clients with Severe Interpersonal Problems
Functional Analytic Psychotherapy (FAP) is emerging as an effective psychotherapy for psychiatric clinical cases. However, there is little research demonstrating the process of change of FAP. TheExpand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 42 REFERENCES
Psychotherapy of the narcissistic personality disorder patient: two contrasting approaches.
  • G. Adler
  • Psychology, Medicine
  • The American journal of psychiatry
  • 1986
The differences in the theoretical and clinical approaches that Kernberg and Kohut have defined are used to discuss the psychodynamics and psychotherapy of the narcissistic personality disorderExpand
Borderline, Narcissistic, and Histrionic Personality Disorders
This chapter focuses on three of the four personality disorders included in the dramatic, emotional, and impulsive cluster defined by DSM-III-R (American Psychiatric Association, 1987). TheExpand
A Character in Search of Character: Narcissistic Personality Disorder and Ego State Therapy
  • S. McNeal
  • Medicine, Psychology
  • The American journal of clinical hypnosis
  • 2003
TLDR
Current theories concerning the development and treatment of Narcissistic Personality Disorder are reviewed, the use of Ego State Therapy is introduced, and the ego state model of treatment is described and demonstrated. Expand
Survey of psychotherapeutic approaches to narcissistic personality disorder.
  • H. Nurnberg
  • Psychology, Medicine
  • The Hillside journal of clinical psychiatry
  • 1984
TLDR
In Kohut's view, more cohesive reorganized personality is characterized by increased empathy within interpersonal relationships and toward the self; previous rebuffs, failures, and separations of fragmenting consequences and turmoil are experienced with minimal reversible regression. Expand
Psychotherapy for histrionic personality disorder.
  • M. Horowitz
  • Psychology, Medicine
  • The Journal of psychotherapy practice and research
  • 1997
TLDR
A prototype of formulation for the histrionic personality disorder is presented, using theories for formulation about states of mind, defensive control processes, and person schemas, and a phase-oriented prototype of a treatment plan is linked to these levels of formulation. Expand
Effectiveness of psychotherapeutic treatment of personality disorder
TLDR
New research strategies are needed to show that personality change is both measurable and clinically meaningful and that effective treatment should be long-term, integrated, theoretically coherent and focused on compliance. Expand
Psychodynamic theory and narcissistically related personality problems: Support from case study research.
  • S. Hingley
  • Medicine, Psychology
  • The British journal of medical psychology
  • 2001
TLDR
A psychodynamic formulation is described for a 45-year-old woman experiencing depression, anxiety and despair following a severe rift in her previously enmeshed/merged relationship with her teenage daughter, producing data supportive of psychodynamic theory and therapy. Expand
Radical behavioral psychotherapy: Two contemporary examples
Abstract Two new systems of adult outpatient psychotherapy based on Skinner's radical behaviorism are described. They do not resemble traditional behavior therapy. Functional analytic psychotherapyExpand
Effectiveness of psychotherapy for personality disorders.
TLDR
Psychotherapy is an effective treatment for personality disorders and may be associated with up to a sevenfold faster rate of recovery in comparison with the natural history of disorders. Expand
A radical behavioral understanding of the therapeutic relationship in effecting change
This paper presents a behavior analytic understanding of the functional components of the therapeutic relationship. Whereas other models of understanding therapy have offered interpretations of theExpand
...
1
2
3
4
5
...