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Dynamic deconstructive psychotherapy (DDP) is a time-limited manual-based individual treatment for borderline personality disorder (BPD) that incorporates major psychodynamic principles including affect focus, free association, transference, and countertransference (Gregory and Remen 2008). A twelve-month randomized controlled trial (Gregory et al. 2008) and an eighteen-month naturalistic follow-up study (Gregory, DeLucia-Deranja, and Mogle 2010) demonstrated the efficacy of DDP for co-occurring BPD and alcohol use disorders. Five of the six therapists participating in the study were third-year psychiatry residents. Given the success of DDP using psychiatry resident trainees as study therapists, the present analysis attempts to determine whether DDP could be a useful model for meeting residency training program requirements in psychodynamic therapy. To accomplish this task, this study addresses (1) trainee outcomes and treatment adherence as compared with the performance of expert DDP practitioners, and (2) the experience of those residents regarding not only their conduct of this treatment, but also how it influenced their professional development in general.
Treatment model. DDP attempts to remediate three neurocognitive deficits putatively responsible for adaptive processing of emotional experiences by using the following four interventions: (1) Association—fostering