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Themenschwerpunkt

Kognitive Verzerrungen bei Patienten mit einer Borderline-Persönlichkeitsstörung und deren Behandlung durch das «Metakognitive Training – Borderline»

Published Online:February 28, 2015https://doi.org/10.1024/1661-4747/a000166

Abstract

Dysfunktionale Denkmuster spielen vermutlich eine wichtige Rolle bei der Entstehung und Aufrechterhaltung der Borderline-Persönlichkeitsstörung. Daher erscheint es bedeutsam, derartige (meta-)kognitive Verzerrungen stärker in den Fokus empirischer Untersuchungen zu rücken und vermehrt in Therapiepläne zu integrieren. Ausgehend von bisherigen Befunden der kognitiven Grundlagenforschung wurde von unserer Arbeitsgruppe das «Metakognitive Training – Borderline» (B-MKT) entwickelt. Dieses niedrigschwellige, kognitiv-verhaltenstherapeutisch ausgerichtete Gruppenangebot soll den Patienten dysfunktionale Denkmuster bewusst machen und helfen, diese wirkungsvoll zu verändern. Das B-MKT versteht sich als add-on Therapiebaustein zur stationären oder ambulanten Standardbehandlung. Primäres Ziel ist die Reduktion von dysfunktionalen Denkverzerrungen.


Cognitive biases in patients with borderline personality disorder and their treatment with metacognitive group training for borderline (B-MCT)

Research suggests that the consideration of (meta-)cognitive biases may prove beneficial for the treatment of BPD, as dysfunctional thinking styles may play an important role in the development and maintenance of symptoms. Based on several well-replicated research findings including own studies, our working group developed the Metacognitive Training – Borderline (B-MCT). The objective of this low-threshold cognitive-behaviorally oriented group intervention is to raise the patients' awareness of dysfunctional thinking patterns and to help them reduce cognitive distortions. Hence, the B-MCT represents an add-on intervention for inpatient or outpatient treatment, which specifically targets these issues.

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