Join in on another brilliant episode of Psychotherapy & Applied Psychology. This week, Dan is joined by Dr. Robert Krueger and discuss the ongoing studies of personality disorders.

Dr. Krueger is a clinical psychologist and member of the DSM-5 Personality Disorders Workgroup. Dan and Dr. Krueger discuss the importance of understanding a person's personality in clinical case conceptualization as well as the tension between wanting to make psychiatric classification more scientifically justifiable and clinically beneficial. Dr. Krueger provides an overview of the Alternative Model for Personality Disorders (AMPD) and the criteria for diagnosis, as well as the distinction between criterion A (self-related dysfunction) and criterion B (personality traits).

Stay tuned for Part 2!

Special Guest:
Dr. Rober Krueger

HiTop Website
The Personality Inventory for DSM-5 (PID-5)

Keywords: personality disorders, DSM-5, clinical case conceptualization, alternative model, AMPD, diagnostic criteria, self-related dysfunction, personality traits, psychiatric classification

Takeaways

Understanding a person's personality is important in clinical case conceptualization.

The decision-making process behind the alternative model for personality disorders involved considering the scientific evidence and the impact on individuals who have already been diagnosed.

The Alternative Model for Personality Disorders (AMPD) includes criterion A (self-related dysfunction) and criterion B (personality traits).

There is a tension between making psychiatric classification more scientifically justifiable and clinically beneficial while considering the impact on individuals.

Self-report measures for criterion A may have limitations, and additional perspectives, such as expert judgments and collateral data, can provide a more comprehensive understanding of personality pathology.

Sound Bites

"I find it hard to do clinical case conceptualization without thinking about a person's personality."

"The DSM exerts a strong kind of way of influencing the way people think about cases and in our culture more broadly."

"The DSM-5 Personality Disorders Workgroup had a number of psychologists involved, which is somewhat unusual."

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Welcome to Part 2! Once again, Dan is joined by Dr. James Boswell as they continue to discuss tailoring psychotherapy treatments to clients.

Dan and Dr. Boswell start on topics such as low motivation for therapy, readiness to change, and how diminished outcome expectations are all related concepts in therapy. Dr. Boswell touches on how important it is for therapists to take a non-directive approach and have discussions with clients about their concerns and difficulties with change. Building from there, Dan asks how and if Dr. Boswell as faced any push back from his work and how keen therapists should be to explore ambivalence about change and therapy. The conversation then explores the effectiveness of matching clients with therapists based on preferences and outcomes and how by collecting data on patient outcomes and therapist effectiveness, it is possible to identify patterns of strengths and weaknesses in therapists and match clients accordingly.

Special Guest:
Dr. James Boswell
Society for Psychotherapy Research

Takeaways

• Low motivation and readiness to change are related concepts in therapy.
• Therapists should have discussions with clients about their concerns and difficulties with change.
• Motivational interviewing principles and humanistic principles are important in working with clients who are low on motivation.
• Therapists should explore ambivalence about change and therapy, and work on building motivation and hope.
• Transdiagnostic cognitive behavioral therapy combines different disorder-specific treatments into one approach, providing a more efficient and evidence-based therapy.
• Therapists should tailor their approach based on the client's primary problem and explore their expectations and concerns.
• Bringing the therapeutic process into the room and using the client-therapist relationship can be effective in therapy, even when using a cognitive behavioral approach.
• Matching clients with therapists based on characteristics like race or gender doesn't consistently lead to better outcomes.
• Matching black clients with a strong preference for black therapists can have a positive impact.
• Routine outcome monitoring feedback can be used to identify patterns of therapist effectiveness.
• Matching clients based on therapist outcomes can lead to more effective therapy.
• Therapists have concerns about how outcome data will be used and the potential consequences.
• There is a need for resources and training to help therapists improve in specific areas.
• The use of technology and AI could enha

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In this episode of Psychotherapy and Applied Psychology, Dan is joined by Dr. James Boswell as they chat tailoring psychotherapy treatments to clients.

Dan and Dr. Boswell explore the challenges and strategies of tailoring psychotherapy to individual clients. Dr. Boswell discusses his own experiences as a graduate student, the importance of having a supportive mentor and stresses the growing need for empathy and problem-solving when working with overwhelmed graduate students. Dr. Boswell also highlights the significance of collaboration and client preferences in therapy, as well as the role of outcome and process research in tailoring treatment. The two then discuss the use of routine outcome monitoring and the "if-then" approach of therapy.

Stay tuned for Part 2!

Special Guest:
Dr. James Boswell
Society for Psychotherapy Research

Keywords

• Having a supportive mentor is crucial for graduate students who may feel overwhelmed by the demands of their program.
• Tailoring therapy to individual clients involves considering their preferences, expectations, and unique characteristics.
• Outcome research focuses on what works in therapy, while process research explores how and why therapy works.
• Routine outcome monitoring and the if-then approach can help therapists identify markers and adjust treatment accordingly.
• Collaboration and client feedback are essential in tailoring therapy and ensuring its effectiveness.

💬 Click here to text the show!

☏Leave a voice message on Speakpipe
🎞️Video version of the show@PsychotherapyAppliedPsychology on YouTube
🎧 Listen on your podcast player of choice
Connect with Dan
🔗LinkedIn
🐥@TheAPPod on twitter
📬TheAppliedPsychologyPodcast@gmail.com