A 27-year follow-up of patients with borderline personality disorder

Paris, Joel; Zweig-Frank, Hallie

doi:10.1053/comp.2001.26271

Cited by 431 publications

(251 citation statements)

References 24 publications

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“…Sixty-four, i.e. one fifth of the original cohort, were available for evaluation (Paris & Zweig-Frank, 2001). Recently, Zanarini et al (2003) completed a 6-year prospective follow-up of patients with BPD, and a comparison group with non-borderline Axis II disorders.…”

Section: Discussionmentioning

confidence: 99%

Five-year outcome of outpatient psychotherapy with borderline patients

2005

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Background. Borderline personality disorder (BPD) is a serious mental illness. Due to scepticism about the effectiveness of its treatment, the care of these patients is neglected. In this study we evaluated the effect of treatment 5 years after its ending, of patients with BPD.Method. Thirty subjects were treated twice weekly for 1 year by psychotherapy based on the 'Conversational Model ' of Hobson. Outcome measures included time in hospital, number of episodes of violence and self-harm, number of medical appointments, drug use and work history. A 'morbidity budget ' made up of these items was collated for the year before treatment, the year following treatment, and for the year preceding the 5-year follow-up. Additional measures included DSM-III criteria and a self-report of symptoms. These outcomes were compared to a hypothetical natural history of BPD constructed from the DSM scores of 150 borderline patients aged between 18 and 52 years.Results. Except for one measure, the improvements evident 1 year following treatment were maintained 4 years later. This improvement was not predicted by the hypothetical natural history. Conclusion.A particular form of treatment of BPD has relatively long-lasting, beneficial effects.

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Section: Discussionmentioning

confidence: 99%

Five-year outcome of outpatient psychotherapy with borderline patients

2005

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“…However, there have been serious changes in this perception after four important retrospective 15-year follow-up studies during 1980s (3)(4)(5)(6). In a 27-year follow-up study by Paris and Zweig-Frank, a lower number of patients who still meet the diagnostic criteria for BPD were observed compared to the 15-year follow-up (7). In other words, the remission rate found to be increased when compared to prior 15-year follow-up studies.…”

Section: Introductionmentioning

confidence: 87%

An Update on Borderline Personality Disorder

Çetin¹,

Köse²

2017

JMOOD

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Several studies have been conducted for a long time to identify the borderline personality and to elucidate its distinctive characteristics from other psychopathologies. However, the different findings obtained in these studies carried out provided findings that this disorder is not yet understood sufficiently. Therefore, studies about the prevalence, the comorbidity, causative factors and treatment approaches of borderline personality disorder are of vital importance. Moreover, studies about suicidality among BPD patients also have a separate importance because repetitive suicidal behaviors complicate the medical care significantly. In this review, we aimed to reevaluate the recent studies conducted on the diagnosis, the prevalence, the comorbidity, causative factors, and treatment of borderline personality disorder.

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“…If a person has a diagnosis of personality disorder, they are likely to suffer more, and for longer, with other illnesses (Duberstein 1997;Paris 2001;Taylor 2006). Almost by definition, you are more likely to have been misunderstood, compared with others and unfavourably judged against community standards.…”

Section: The Interpersonal Impact Of Personality Disordermentioning

confidence: 99%

Personality disorder: its impact on staff and the role of supervision

Moore¹

2012

Adv. psychiatr. treat

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SummaryOver the past decade attention to the provision of healthcare for individuals with personality disorder, particularly those who pose a risk to others, has substantially increased. Keeping pace with such developments with a suitably trained, consistent and motivated workforce, interfacing health and criminal justice systems where necessary, presents an enormous challenge. Staff must be experts in managing conflict at every level, while sustaining an optimistic and therapeutic orientation. Boundaried relationships provide the context for recovery for patients. Key principles and practices likely to promote resilience in personality disorder services, with a focus on the role of supervision, are outlined in order to support staff in keeping themselves afloat, their patients safe, and their services on target.

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A 27-year follow-up of patients with borderline personality disorder

Cited by 431 publications

References 24 publications

Five-year outcome of outpatient psychotherapy with borderline patients

Five-year outcome of outpatient psychotherapy with borderline patients

An Update on Borderline Personality Disorder

Personality disorder: its impact on staff and the role of supervision

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