The second most important finding of our study is the signifi-
cant decrease in the frequency of Axis I and Axis II of diagnoses in
the patients. The patients receiving psychotherapy for longer than
five years were diagnosed with a cluster B personality disorder,
most of them consisting of borderline PD, and none of those diagnosed as borderline PD at the beginning had met the criteria for
borderline PD at the termination phase. Among all of the patients,
only 17.6% (three patients) continued to have an Axis II diagno-
sis. Except for one patient, the patients did not receive any Axis
I diagnosis. In the literature, it is reported that recovery in PD is
not similar among different sub-types of cluster C; patients with
several forms of anxiety achieve recovery faster than borderline
PD patients, and borderline PD patients recover faster than schizotypal
PD patients. Short-term psychotherapy is effective with cluster C
PD, whereas a longer duration is required for severe PD. A good
prognosis is not expected in antisocial PD; however, if there is
comorbid depression, attachment and a positive therapeutic rela-
tionship could develop and contribute to recovery (Bond & Perry,
2004; Perry et al., 1999). In our study, a high level of depression was
observed in the beginning; however, the depressive symptoms had
ameliorated at the termination phase. The patients with borderline
PD needed a longer duration of psychotherapy, and the positive
therapeutic relationship achieved through artwork had a role in
this progress and decreased the dropout rates.