Exposure to Shame in Borderline Personality Disorder

Project Details

Description

Description (provided by applicant): The study proposed here seeks to develop
and test an intervention for the experience of shame in borderline personality
disorder (BPD). Although the experience of shame is highly prevalent in this
population, little is understood about how shame functions to maintain the
pathology and even less is known about how to successfully treat it. Past
research has indicated that the experience of shame is directly related to
suicidal behaviors. These results suggest more attention needs to be paid to
developing treatments that attend to the experience of shame. Dialectical
Behavior Therapy (DBT), developed by Linehan, has been shown to reduce suicidal
behavior in BPD. Although DBT encourages the use of exposure and opposite
action techniques applied to negative emotions, such as shame, this component
of DBT has not been previously examined. The current study will evaluate this
component of DBT by enrolling nine women with borderline personality disorder
(including three pilot subjects) in an eight-week exposure/opposite action
treatment for the experience of shame. The study will utilize a multiple
baseline, single-subject design in order to maximize the amount of information
obtained about the efficacy of the intervention. Information obtained from this
pilot project will be instrumental in further developing short, data-driven
treatments for suicidal behavior in BPD.
StatusFinished
Effective start/end date9/16/028/31/03

Funding

  • National Institute of Mental Health: $26,963.00

ASJC

  • Psychiatry and Mental health

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