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Biomedical subjects

A Frances

Publications and source records attributed to A Frances.

At least 127 records · Page 7Linked to original sources

Assessing borderline personality disorder with self-report, clinical interview, or semistructured interview.

The authors compared three methods of assessing borderline personality disorders. Test-retest reliability for the self-report Personality Diagnostic Questionnaire was adequate and compared favorably with the interrater reliability of the DSM-III-oriented clinical interview and the semistructured research interview. The overall prevalence of personality disorders scored on the questionnaire was similar to that generated by the clinical interview. The specificity and sensitivity of the questionnaire for the diagnosis of borderline personality disorder were slightly higher than 60%, which suggests that it may be a useful and economical instrument for identifying patients with borderline personality disorder.

Adolescent↗

DSM-III and family therapy.

In its current form, DSM-III is of only limited value to family therapists. The authors suggest several innovations that might render future nomenclatures more useful. Axis II ratings that are interpersonal and dimensional, rather than individual and categorical, might provide important additional data for predicting and planning a family intervention. Several available family classifications suggest ways in which to derive an axis VI rating of family functioning. The authors address a number of conceptual issues that make family classification especially interesting and difficult.

Family↗

Reliability of criteria for borderline personality disorder: a comparison of DSM-III and the Diagnostic Interview for Borderline Patients.

The authors compared the reliability of two methods of distinguishing borderline personality disorder--DSM-III and the Diagnostic Interview for Borderline Patients. The reference group, outpatients with other personality disorders and without major axis I pathology, was more difficult to distinguish from the patients with borderline personality disorder than such groups used in previous samples. The sensitivity and specificity of the Diagnostic Interview for Borderline Patients were calculated, with DSM-III used as a criterion. The findings confirm considerable overlap between borderline and schizotypal personality disorders, more impairment in functioning in borderline patients than in those with other personality disorders, and the high reliability with which borderline personality disorder can be diagnosed.

Adolescent↗

Behavior therapy of anxiety disorders: motivating the resistant patient.

The authors discuss several psychotherapy techniques that mix well and are often indispensable adjuncts in the behavioral therapy of treatment-resistant anxiety-disorder patients. These include psychoeducation, family therapy, psychodynamic interpretations, paradoxical injunctions, and assertiveness training. Multimodal approaches are often indicated with patients who would otherwise not tolerate exposure treatment.

Adult↗

Selection criteria for individual dynamic psychotherapies.

The authors discuss the indications, contraindications, and enabling factors for four types of psychodynamically informed psychotherapy: supportive, focal, exploratory, and psychoanalysis. They outline the inherent and practical difficulties impeding psychotherapy outcome studies and summarize the limited research regarding psychodynamic treatments. The overall efficacy of psychotherapy has been documented, but to date studies have not demonstrated specific differential effectiveness and indications. The authors present the rationale for each of the four approaches and suggest ways of selecting among them.

Conflict, Psychological↗

A comparison of delusional disorders in women and men.

The authors compared delusional disorders in men and women and found that women have more frequent erotic and heterosexual delusions, more affective symptoms, and more interpersonal precipitants and that men have more delusions with a homosexual theme. Perhaps because of these differences in delusional content and affective symptoms, delusional women are more difficult to diagnose within the DSM-III nomenclature than are delusional men. The authors discuss these findings from psychodynamic, ethologic, and sociocultural perspectives and suggest ways of improving DSM-III to make it more representative of female patients.

Adult↗

Transference interpretations in focal therapy.

There are three contradictory positions regarding the usefulness of transference interpretations in focal therapy: they are 1) indispensable, 2) to be avoided, or 3) not important compared with nonspecific therapeutic factors. After a review of the rationale and the uncompelling research supporting each position, the authors suggest tentative indications for transference interpretation in focal therapy and illustrate these with two cases.

Adult↗