Die aktuelle Orientierungshilfe in 5 Bänden - Vlaamse Vereniging ...

DGPPN Congress 2009 – English Programme
DGPPN Academy for Continuing Medical Education
163 Friday: 15.30 – 19.15 h // Room 32
Saturday: 13.30 – 17.15 h // Room 32
Treatment of Borderline­Personality­Disorder
U. Schweiger, V. Sipos: University of Lübeck, Psychiatry and
Psychotherapy, Germany
Target audience: Psychiatrists and psychotherapists, psychologists
Method: Power point presentation, role play, video
Abstract: Borderline personality disorder (BPS) has a prevalence
of approximately 1 % in the general population.
Because of the severe psychosocial impairment associated
with the disorder and the impulsive behavior, up to 10 % of
outpatients and up to 20 % of the inpa tients in psychiatric
hospitals fulfill the criteria of BPS. Many patients report adverse
childhood conditions. The impulsive and emotionally
unstable behavior typically starts during adolescence and
reaches its maximum during young adulthood. Many patients
suffer from comorbidity with depressive disorders,
anxiety disorders, eating disorders and substance abuse.
Patients with BPS and comorbidity are a special challenge
for psychotherapists. Important questions with respect to
treatment planning arise: What disorder and symptoms
should be addressed first? How can I manage the interaction
between the comorbid disorders? How can I establish
a working therapeutic relationship? The workshop covers
the following aspects: diagnosis, treatment planning, establishing
a therapeutic relationship with patients with BPS,
principles of management of patients with BPS, introduction
into the concepts of manualized treatments for BPS, in
particular Dialectic Behavior Therapy (DBT) and Schema
Therapy (ST).
167 Friday: 15.30 – 19.15 h // Room 36
Saturday: 13.30 – 17.15 h // Room 36
Systematic consideration of dissociative symptoms during
the course of psychotherapy
D. Braakmann: Sigmund Freud University, Dept. Doktoratsstudium,
Vienna, Austria
Target audience: Psychotherapists and psychiatrists who
treat pa tients suffering from mental disorders associated
with dissociative symptoms
Method: Presentation, Role plays, Case studies, Video, Integration
of the participants‘ clinical experiences, Hand out‘s
Abstract: Dissociative symptoms can be an impediment to
the efficacy of a psychotherapeutic treatment. In particular,
patients suffering from borderline personality disorder, posttraumatic
stress disorder, anxiety disorders, obsessive compulsive
disorders, or eating disorders often experience dissociative
symptoms. The workshop initially aims at a deep
110
understanding of the phenomenon dissociation and its
psycho logical function in mental disorders. Subsequently
strategies and techniques for dealing with dissociative symptoms,
independent from the Axis­I or Axis­II diagnoses,
are presented. The transfer to everyday professional situations
is foster ed by a behavioural training of the strategies
and techniques. In particular, the following topics will be
taken into account: Phenomenology and psychological
(positive) function of dissociation – Clinical Diagnostics –
The impact of disscociative symptoms on course and outcome
of psychotherapy – Skills for psychotherapists aiming
at handling dissociative symptoms during therapy
170 Friday: 15.30 – 19.15 h // Room 39
Saturday: 13.30 – 17.15 h // Room 39
Cognitive Behavioral Analysis System of Psychotherapy
(CBASP)
E. Schramm: University Clinic Freiburg, Psychiatry und
Psycho therapy, Germany
Target audience: Psychotherapists and psychiatrists
Method: Lecture, discussion, exercises, role play demonstrations,
video presentations
Abstract: The Cognitive Behavioral Analysis System of Psychotherapy
(CBASP) by James McCullough is the only psychotherapeutic
intervention specifically designed for chronic
forms of depression. CBASP integrates behavioural,
cognitive, and interpersonal strategies. The approach focuses
on problems resulting from an inhibition of maturation
in early childhood (mostly due to early trauma) by using the
therapeutic relationship in a personal, disciplined way. In
addition, other interpersonal strategies such as the Significant
Other History, the proactive Transference Hypothesis,
and the Interpersonal Discrimination Exercise are used to
overcome the patients‘ preoperational thinking. By means
of another specific technique, the Situation Analysis (SA),
pa tients learn to focus on the consequences of their behaviour
and to use efficient so cial problem­solving. In a large
study involving over 600 patients with chronic Major Depression,
CBASP proved to be equally effective as medication.
The combination of nefazodone plus CBASP was the
most beneficial treatment condition. Particularly effective
was CBASP for the subgroup of chronically depressives with
an early childhood trauma.
Please see pages 48 to 65 for the complete programme of the
DGPPN Academy for Continuing Medical Education.