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Psychotherapy Supportive Practice For Borderline Personality Disorder (A Clinical Module Development) Wardani, SpKJ, Natalia Dewi; Widiastuti, M I; Sudiyanto, Aris -; Hardian, Hardian -; Lukman, Petrin Redayani; Septiawan, Debree -; Primada, Lyla Fitrania; Uminah, Uminah -; Rasyad, Ula Faza Nayli
Journal of Biomedicine and Translational Research Vol 10, No 2 (2024): August 2024
Publisher : Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jbtr.v10i2.19628

Abstract

ABSTRACTBackground: Handling patients with Borderline Personality Disorder (BPD) who are hypersensitive to rejection, have unstable interpersonal relationships, self-image, affect, and behavior is a challenge for a psychiatrist. Supportive psychotherapy is one of the most widely mastered psychotherapy modalities in psychiatric education in Indonesia and is most widely practiced in psychiatric services.Objective: It is hoped that the development of a supportive psychotherapy clinical practice module for Borderline Personality Disorder will be helpful for psychiatrists in the handling of Borderline Personality Disorder patient.Methods: This research was conducted in three stages. Stage 1 was preparing the supportive psychotherapy module for 13 weeks. Stage 2 was for the module validation using face validity and content validity by two psychotherapy consultants. Stage 3 was the trials of the developed modules, where 2 interrater therapists applied the modules to treat 5 patients.Result: The face validity of the two experts for the supportive psychotherapy module for Borderline Personality Disorder in Indonesian language was 3.269, meaning that it mostly was done correctly. The results of the content validity of the two experts for the supportive psychotherapy module for Borderline Personality Disorder in Indonesian language was 81.165. The results of the two experts' face validity and content validity scores inferred that the supportive psychotherapy module for Borderline Personality Disorder in Indonesian language was suitable for use in services.Conclusion: Supportive psychotherapy module in Indonesian language for BPD is acceptable to be applied to treat Borderline Personality Disorder patients.
Membedakan Antara Suasana Berkabung dengan Depresi pada Skizofrenia Paranoid Kemunduran Stabil Mardiyah, Afiyatul; Sofia, Annada; Putra, Afid Brilliana; Lukman, Petrin Redayani
Majalah Kedokteran Indonesia Vol 74 No 2 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.2-2024-1107

Abstract

Introduction: Schizophrenic patients with a bereaved history of close family members can develop depressive affect which is often misinterpreted as depressive episodes or even schizoaffective.Case: A 45-year-old woman was diagnosed as a paranoid schizophrenic (F20.02). During the last month, the patient also often felt tired and unenthusiastic. He thought it was only a matter of time before he could catch up with his parents who had died. The patient had no suicidal intentions and had never attempted suicide. There were two differential diagnoses in this patient, such as schizoaffective depressive type (F25.1) and major depressive episode with psychotic symptoms (F32.3).Discussion: The topic of conversation in this patient’s affective disorder was always related to the mood of mourning: the death of both parents. The response to a significant loss, such as bereavement, might very well resemble a depressive episode.Conclusion: Bereavement can be distinguished from depressive episodes by looking at some of the characteristic symptoms. The correct diagnosis aims to provide appropriate management so that it can help patients reach their best state.
Praktik Psikoterapi Mengenai Pelatihan Keterampilan Terapi Kelompok Perilaku Dialektika di Indonesia: Pengembangan Modul dalam Bahasa Indonesia Wardani, Natalia Dewi; Widiastuti, Maria Immaculata; Sudiyanto, Aris; Hardian, Hardian; Subagio, Hertanto Wahyu; Tugasworo, Dodik; Maharatih, Gusti Ayu; Lukman, Petrin Redayani; Septiawan, Debree; Suprapti, Rini; Susilo, Kezia Natalia Daniast; Atmaja, Diana; Dewi, Amalia Andansari
Majalah Kedokteran Indonesia Vol 73 No 5 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.5-2023-1126

Abstract

Introduction: There is an increasing number of suicides in Indonesia. A high risk of suicide is often associated with borderline personality disorder (BPD). To address this issue, dialectical behavior therapy (DBT) has been specifically designed for patients with frequent suicidal behavior and BPD. This study aims to develop DBT skills modules in Indonesian language for groups therapy and implement in clinical practice.Methods: This research was conducted in three stages. Stage 1 involved preparing the DBT skills module for 13 weeks, including the adding of TIPP (Temperature, Intense exercise, Paced Breathing, Paired Muscle Relaxation) distress tolerance skills and chain analysis. Stage 2 focused on module validation using face validity and content validity assessment conducted by two psychotherapy consultants. Stage 3 involved modules trials, both of whom had completed DBT training, practicing the prepared modules with two groups of 10 patients.Result: The face validity scores from the two experts for the DBT module on BPD in Indonesian was 3.188, indicating a high level of correctness. The content validity results from the two experts for the DBT module on BPD in Indonesian language were 84.06, indicating that almost everything was done correctly. After practicing DBT group skills training, two psychotherapists achieved a very good interrater score of 0.969 (p=0.003; 95% CI 0.746-0.997).Conclusion: Based on the face validity and content validity scores by the two experts, it was concluded that the DBT module for BPD in Indonesian language is suitable for use in clinical services.