Kramer Ueli, Berger Thomas, Kolly Stéphane, Marquet Pierre, Preisig Martin, de Roten Yves, Despland Jean-Nicolas, Caspar Franz
Department of Psychiatry-CHUV, Institute of Psychotherapy, University of Lausanne, Prilly-Lausanne, Switzerland.
J Nerv Ment Dis. 2011 Apr;199(4):244-50. doi: 10.1097/NMD.0b013e3182125d19.
Motive-oriented therapeutic relationship (MOTR, also called complementary therapeutic relationship) was postulated to be a particularly helpful therapeutic ingredient in the early-phase treatment of patients with personality disorders, in particular borderline personality disorder (BPD). The present pilot study of randomized controlled trial using an add-on design aims to investigate the effects of MOTR in early-phase treatment (up to session 10), with BPD patients on therapeutic alliance, session impact, and outcome. In total, N = 25 patients participated in the study. BPD patients were randomly allocated to a manual-based investigation process in 10 sessions or to the same investigation process infused with MOTR. Adherence ratings were performed and yielded satisfactory results. The results suggested a specific effectiveness of MOTR on the interpersonal problem area, on the quality of the therapeutic alliance and the quality of the therapeutic relationship, as rated by the patient. These results may have important clinical implications for the early-phase treatment of patients presenting with BPD.
动机导向治疗关系（MOTR，也称为互补治疗关系）被认为是人格障碍患者，特别是边缘型人格障碍（BPD）患者早期治疗中一种特别有帮助的治疗要素。本项采用附加设计的随机对照试验的初步研究旨在调查MOTR在早期治疗（直至第10次治疗）中对BPD患者治疗联盟、每次治疗的影响及治疗结果的作用。共有N = 25名患者参与了该研究。BPD患者被随机分配至一个基于手册的10次治疗的调查过程，或被分配至融入了MOTR的相同调查过程。进行了依从性评级，结果令人满意。结果表明，就患者所评定的人际问题领域、治疗联盟质量及治疗关系质量而言，MOTR具有特定疗效。这些结果可能对BPD患者的早期治疗具有重要的临床意义。
