Psychotherapy with Borderline Patients: I. A Comparison Between Treated and Untreated Cohorts

1999 ◽  
Vol 33 (4) ◽  
pp. 467-472 ◽  
Author(s):  
Russell Meares ◽  
Janine Stevenson ◽  
Anne Comerford
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Clinical Outcome ◽  
Outcome Measure ◽  
Borderline Personality ◽  
Waiting List ◽  
Outpatient Psychotherapy ◽  
Waiting Period ◽  
Therapeutic Principles ◽  
Borderline Patients

Objective: The aim of this study is to compare the clinical outcome of patients with borderline personality disorder (BPD) who had received outpatient psychotherapy for 1 year with BPD patients who received no formal psychotherapy for the same period. Method: Thirty patients with BPD were treated by trainee psychotherapists working according to clearly described therapeutic principles. They received intensive audiotaped supervision. Patients were seen twice weekly for 1 year. They were compared with 30 patients subsequently referred to the clinic, for whom no therapist was available and who remained on a waiting list for 1 year, receiving their usual treatment. The outcome measure was a score derived from DSM criteria. It was taken at the beginning and end of the year's treatment, in the former case, and after at least 1 year on the waiting list in the latter. (The average waiting period was 17.1 months.) Results and Conclusions: Patients who received psychotherapy were significantly improved in terms of the DSM score. Thirty percent of treated patients no longer fulfilled DSM-III criteria for BPD. The untreated patients were unchanged.

scholarly journals Gyermekkori traumatizáció, disszociáció és szándékos fizikai önsértő viselkedés borderline személyiségzavarban

2017 ◽  
Vol 158 (19) ◽  
pp. 740-747 ◽  
Author(s):  
Katalin Merza ◽  
János Harmatta ◽  
Gábor Papp ◽  
Ildikó Kuritárné Szabó
Keyword(s):  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Significant Role ◽  
Borderline Personality ◽  
Cumulative Trauma ◽  
Self Injury ◽  
Borderline Patients ◽  
Trauma Score ◽  
Nonsuicidal Self Injury

Abstract: Introduction: Childhood traumatization plays a significant role in the etiology of borderline personality disorder. Studies found a significant association between childhood traumatization, dissociation, and nonsuicidal self-injurious behavior. Aim: The aim of our study was to assess dissociation and nonsuicidal self-injury among borderline inpatients and to reveal the association between childhood traumatization, dissociation, and self-injurious behavior. Method: The sample consisted of 80 borderline inpatients and 73 depressed control patients. Childhood traumatization, dissociation and self-injurious behavior were assessed by questionnaires. Results: Borderline patients reported severe and multiplex childhood traumatization. Cumulative trauma score and sexual abuse were the strongest predictors of dissociation. Furthermore, we have found that cumulative trauma score and dissociation were highly predictive of self-injurious behavior. Conclusion: Our results suggest that self-injurious behavior and dissociation in borderline patients can be regarded as indicators of childhood traumatization. Orv Hetil. 2017; 158(19): 740–747.

Recovery from Borderline Personality Disorder

2018 ◽  
pp. 117-128 ◽  
Author(s):  
Mary C. Zanarini
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Full Time ◽  
Important Goal ◽  
Symptomatic Recurrence ◽  
Borderline Patients ◽  
Vocational Functioning ◽  
Symptomatic Remission

As important as our findings concerning the high rates of symptomatic remission and low rates of symptomatic recurrence are, the rates of recovery are even more important. This is so because we defined “recovery” as concurrent symptomatic remission and good social and good full-time vocational functioning. After 10 years of prospective follow-up, 50% of borderline patients achieved this important goal. After 16 years of prospective follow-up, 60% of borderline patients achieved this key outcome. In general, recovery is more difficult to achieve and maintain than remission. Two vignettes are presented in this chapter. The first deals with a patient who remitted but never recovered, and the second deals with a patient who both remitted and recovered.

scholarly journals Day hospital versus intensive out-patient mentalisation-based treatment for borderline personality disorder: multicentre randomised clinical trial

2019 ◽  
Vol 216 (2) ◽  
pp. 79-84 ◽  
Author(s):  
Maaike L. Smits ◽  
Dine J. Feenstra ◽  
Hester V. Eeren ◽  
Dawn L. Bales ◽  
Elisabeth M. P. Laurenssen ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Outcome Measures ◽  
Primary Outcome ◽  
Outcome Measure ◽  
Primary Outcome Measure ◽  
Borderline Personality ◽  
Treatment Intensity ◽  
Day Hospital ◽  
Secondary Outcomes

BackgroundTwo types of mentalisation-based treatment (MBT) have been developed and empirically evaluated for borderline personality disorder (BPD): day hospital MBT (MBT-DH) and intensive out-patient MBT (MBT-IOP). No trial has yet compared their efficacy.AimsTo compare the efficacy of MBT-DH and MBT-IOP 18 months after start of treatment. MBT-DH was hypothesised to be superior to MBT-IOP because of its higher treatment intensity.MethodIn a multicentre randomised controlled trial (Nederlands Trial Register: NTR2292) conducted at three sites in the Netherlands, patients with BPD were randomly assigned to MBT-DH (n = 70) or MBT-IOP (n = 44). The primary outcome was symptom severity (Brief Symptom Inventory). Secondary outcome measures included borderline symptomatology, personality functioning, interpersonal functioning, quality of life and self-harm. Patients were assessed every 6 months from baseline to 18 months after start of treatment. Data were analysed using multilevel modelling based on intention-to-treat principles.ResultsSignificant improvements were found on all outcome measures, with moderate to very large effect sizes for both groups. MBT-DH was not superior to MBT-IOP on the primary outcome measure, but MBT-DH showed a clear tendency towards superiority on secondary outcomes.ConclusionsAlthough MBT-DH was not superior to MBT-IOP on the primary outcome measure despite its greater treatment intensity, MBT-DH showed a tendency to be more effective on secondary outcomes, particularly in terms of relational functioning. Patients receiving MBT-DH and MBT-IOP, thus, seem to follow different trajectories of change, which may have important implications for clinical decision-making. Longer-term follow-up and cost-effectiveness considerations may ultimately determine the optimal intensity of specialised treatments such as MBT for patients with BPD.

Predictors of Suicide in Borderline Personality Disorder

1989 ◽  
Vol 34 (1) ◽  
pp. 8-9 ◽  
Author(s):  
Joel Paris ◽  
David Nowlis ◽  
Ronald Brown
Keyword(s):  
Higher Education ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Completed Suicide ◽  
Borderline Patients

One hundred patients with borderline personality disorder who were followed for a mean of 15 years were compared with 14 borderline patients who committed suicide. The most significant predictors of completed suicide were previous attempts and higher education.

scholarly journals Outpatient Psychotherapy for Borderline Personality Disorder

2006 ◽  
Vol 63 (6) ◽  
pp. 649 ◽  
Author(s):  
Josephine Giesen-Bloo ◽  
Richard van Dyck ◽  
Philip Spinhoven ◽  
Willem van Tilburg ◽  
Carmen Dirksen ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Outpatient Psychotherapy

Dysphoria in Borderline Persons

2018 ◽  
pp. 826-838 ◽  
Author(s):  
Mario Rossi Monti ◽  
Alessandra D’Agostino
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Lived Experience ◽  
Psychiatric Symptoms ◽  
Borderline Personality ◽  
Patient’S Experience ◽  
Borderline Patients ◽  
Situational Triggers ◽  
Borderline Psychopathology

This article on dysphoria as a psychopathological organizer in borderline patients examines the borderline personality disorder (BPD) from a contemporary psychopathological perspective, focusing on the dimension of lived experience rather than on the description of psychiatric symptoms. It presents dysphoria as a process which structures the borderline patient’s experience in multiple, psychopathological pathways moving from basic lived experience to symptomatic disturbances (and vice versa), through here-and-now lived experience. It describes the psychopathological features characterizing the BPD basic lived experience (background dysphoria and negative interpersonal disposition) as well as the temporary affect related to situational triggers saturating the BPD here-and-now lived experience (situational dysphoria). It also discusses two specific pathways of situational dysphoria, one organizing and another disorganizing, each ending up in different, acute phenomena. A final paragraph of this article is dedicated to the role of shame in borderline psychopathology.

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