Complex case from volume 4, issue no. 4 'From science to services: Developing a neuroscience-based innovative clinical treatment model to manage severe and repetitive self-harm in a 60-year-old woman with severe personality disorders': A response to the commentaries by the complex case author

Abstract

Reply by the current authors to the comments made by Finn Skårderud (see record 2011-06527-007), Anthony W. Bateman (see record 2011-06527-008) & John Gunderson (see record 2011-06527-009) on the original article (see record 2011-06527-006). While I appreciate the many interesting commentaries, I requested that the editors allow me to reply so that I might re-emphasize and/or clarify some of the points made in my clinical case lest they get lost in the commentaries provided. The neuroscience-based explanatory model proposed explains most phenomenological and behavioral aspects of the patient's lifetime and current disorders, and spans multiaxial diagnoses. Based on mammalian arousal/autonomic system regulation theory, this model offers structure and a shared intervention goal of regulating arousal to an optimal level, which facilitates social engagement. The model underpins delivery of multimodal multidisciplinary interventions. It is, however, not a new psychotherapeutic approach. (PsycINFO Database Record (c) 2016 APA, all rights reserved)