Open Door Review III

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A$*D$2%&$_!V>_!Q#0&<0%_!i>_!S2CC$<<)_!L>![+,,g^>!=66066$*D!10%6)*2<$(4!7#2*D0!$*!1647#)(#0%214!Z$(#!(#0!QK=/h+,,?! =!7260!6(B&4>! N">#+@B&"!&'%#("+@B),A&/((%(($%+, _! eg [-^_!+PhP+>! K06(0*_!O>_!G!Q#0&<0%_!i>![-\\\2^>!50Y$6$*D!2*&!266066$*D!=c$6!;;_!/2%(!;?!O0Y0<)1$*D!2!7<$*$72<<4!2*&!091$%$72<<4! Y2<$&!26606690*(!90(#)&>! /$%#)?@+&N">#+@B&"!&'(A?-)@,#A _!-.g_!+.bh+d+>!! K06(0*_!O>_!G!Q#0&<0%_!i>![-\\\3^>!50Y$6$*D!2*&!266066$*D!=c$6!;;_!/2%(!;;?!")Z2%&!2*!091$%$72<<4!3260&!2*&! 7<$*$72<<4!B60:B! /$%#)?@+&N">#+@B&"!&'(A?-)@,#A _!-.g_!+dPh+b.>!! W(*&,!>-001(3! Many studies document the efficacy of psychotherapy for acute syndromes such as depression, but less is known about personality change in patients treated for personality pathology. The Shedler – Westen Assessment Procedure (SWAP – 200; Westen & Shedler, 1999a, 1999b) is an assessment tool that measures a broad spectrum of personality constructs and is designed to bridge the gap between the clinical (idiographic) and empirical (nomothetic) traditions in personality assessment. In this single case study, Lingiardi, Shedler and Gazzillo demonstrate the use of the SWAP – 200 as a measure of change in a case study of a patient diagnosed with borderline personality disorder. A total of 10 consecutive therapy sessions from early in the treatment and 10 consecutive therapy sessions from late in treatment were tape recorded and transcribed. Two clinical judges reviewed transcripts of the first 10 psychotherapy sessions and provided SWAP–200 descriptions of the patient based on the information available in the transcripts. After 2 years of psychotherapy, the assessment procedure was repeated. @)15-1.*$#! The findings illustrate the personality processes targeted in intensive psychotherapy for borderline personality. Those findings are highly suggestive and point the way toward research strategies that can reliably address a wide range of clinically relevant personality constructs. The methods the authors described in this article represent one step in the direction of integrating the clinical and empirical traditions in personality assessment. G$#.1/.\!! Jonathan Shedler, Graduate School of Professional Psychology University of Denver, 2460 South Vine Street, Denver, CO 80208 Email: jonathan@shedler.com Website: http://jonathanshedler.com

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