Dialectical behavior therapy in the treatment of persons with borderline personality disorder

Hampton, Michelle DeCoux

doi:10.1016/s0883-9417(97)80058-1

Cited by 8 publications

(11 citation statements)

References 21 publications

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“…Interestingly, in contrast, Hampton [2] stated that the completion of suicide in borderline personality disordered patients was often unrelated to a comorbid mood disorder [33], and to degree of suicidal ideation [50]. Similarly, Heikkinen et al [51] found that personality disorder patients who had died from suicide, while having had multiple stressful life events compared with other patients (particularly interpersonal or financial), were not higher on axis I, and that type of personality disorder was not very relevant.…”

Section: Conceptualizing Suicidal Behavior and Other Forms Of Self-harmmentioning

confidence: 97%

“…More specifically documented risk factors for completion of suicide among borderline personality disorder patients include prior hospitalization, lack of employment, early loss, and being young [33], past attempts [34], as well as the following, which were cited by Hampton [2]: higher education [35], comorbid alcoholism [36], having been hospitalized within the past five years [37], and comorbid antisocial personality disorder [38]. Gunderson [32], cited by Kjellander et al [13], found that 75% of all borderline personality disorder patients have made at least one suicide attempt, and that 78% engage in self-destructive behavior [39].…”

Section: Conceptualizing Suicidal Behavior and Other Forms Of Self-harmmentioning

confidence: 99%

“…Linehan et al [82] found that DBT was superior to the control group in terms of parasuicidal acts, time hospitalized, and premature termination. Hampton [2] advocated that nurses use DBT as well, citing reports by Linehan et al [83] that the type of general training is somewhat irrelevant in terms of the efficacy of conducting this kind of work.…”

Section: Conceptualizing Suicidal Behavior and Other Forms Of Self-harmmentioning

confidence: 99%

“…Zanarini et al [1], found that although patients with other personality disorders may have impulsive patterns, 70.8% of patients with borderline personality disorder had specifically mutilated themselves or made suicide attempts compared with only 17.5% of patients with other personality disorders. Hampton [2] noted that 20% of inpatients and 10% of outpatients were generally diagnosed with borderline personality disorder, and that approximately 9% of such patients eventually commit suicide [3]. Feldman [4] stated that self-cutting, the most commonly reported type of self-injury, occurs most often in personality-disordered patients, particularly those with borderline personality disorder.…”

Section: Introductionmentioning

confidence: 99%

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Suicidal and self-injurious behavior in personality disorder: Controversies and treatment directions

Stanley

2002

Curr Psychiatry Rep

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Contrary to common clinical perceptions, individuals with personality disorders attempt and commit suicide at nearly the same rate as individuals with major depression. In particular, those with borderline personality disorder are at high risk for suicidal behavior and nonsuicidal self-injury. Yet there is significant controversy surrounding the diagnosis of borderline personality disorder in terms of its existence, its definition and symptom structure, its Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) axis location, and its importance as a contributing factor to suicidality and nonsuicidal self-injury. Furthermore, both suicidal and nonsuicidal self-harm is prominent in borderline personality disorder. There is often confusion between suicidal and nonsuicidal self-injury with one sometimes mistaken for the other. Nonsuicidal self-injury is sometimes met with hospitalization, because it is viewed as life threatening. Alternately, the potential lethality of suicidal behavior is underestimated, because it occurs in the context of multiple low lethality self-harm behaviors. It is possible to view these behaviors as distinct yet on a spectrum in borderline personality-disordered patients. With respect to treatment of self-injury in personality disorders, some recent pharmacotherapy trials have been conducted, though efficacy is often unclear. Findings with respect to psychotherapy, particularly dialectical behavior therapy, a form of cognitive behavioral treatment, are promising.

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Section: Conceptualizing Suicidal Behavior and Other Forms Of Self-harmmentioning

confidence: 97%

Section: Conceptualizing Suicidal Behavior and Other Forms Of Self-harmmentioning

confidence: 99%

Section: Conceptualizing Suicidal Behavior and Other Forms Of Self-harmmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Suicidal and self-injurious behavior in personality disorder: Controversies and treatment directions

Stanley

2002

Curr Psychiatry Rep

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“…The challenges posed to staff who report feeling ill equipped to work with PD patients are well documented and often result in staff burnout (Hampton 1997, Tennant & Hughes 1998). As identified earlier, despite a paucity of high‐quality randomized controlled trials looking at the effectiveness of different treatments, there are promising areas for development regarding therapeutic interventions in forensic settings.…”

Section: Discussionmentioning

confidence: 99%

Forensic nurses' perceptions of labels of mental illness and personality disorder: clinical versus management issues

Mason¹,

Hall

Caulfied

et al. 2010

Journal of Psychiatric and Mental Health Nursing

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Anecdotally, forensic psychiatric nurses generally have a more negative perception of people diagnosed with a personality disorder and this negativity is focused more towards managing the behaviours rather than on treatment efficacy and clinical outcomes. This study reports on research carried out across the High, Medium and Low secure psychiatric services in the UK. One thousand two hundred questionnaires were distributed with a response rate of 34.6%. The results indicated a statistically significant difference across High (z = 9.69; P < or = 0.01), Medium (z = 11.06; P < or = 0.01) and Low (z= 9.57; P= 0.01) security with a focus on the management of people with a personality disorder using the Wilcoxon paired samples test. There was also a statistically significant difference in relation to a more clinical/treatment focus for those with a diagnosis of mental illness in Medium (z = 9.69; P < or = 0.01) and Low (z = 9.57; P < or = 0.01) security but not in the High security services. Finally, the results showed significant differences between High, Medium and Low security on each of the four scales of Personality Disorder Clinical-Personality Disorder Management and Mental Illness Clinical-Mental Illness Management. This raises issues of stigma, prejudice and discrimination and suggests a refocus on skills development, acquisition and application for those with a label of personality disorder.

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Travelling through the system: the lived experience of people with borderline personality disorder in contact with psychiatric services

Fallon

2003

Psychiatric Ment Health Nurs

104

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This study adopted a lived experience approach utilizing a broad research question to ask 'How do people with borderline personality disorder (BPD) experience their contact with mental health services?'. Unstructured interviews were conducted with seven participants from one mental health trust. A grounded theory methodology was adopted to develop a theory of how people with BPD conceptualized their contact with psychiatric services and what strategies they adopted to negotiate their way through them. The study found that people with BPD valued their contact with psychiatric services despite negative experiences and encountering negative staff attitudes. It also found that relationships with others were vital in containing their distressing emotions despite their difficulty in trusting others. Overcoming these paradoxes was achieved by consistent long-term involvement with experienced staff, containing relationships, encouraging the participants to contribute to their care through the structure of the care programme approach and improving staff understanding of their behaviour by key informants.

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Dialectical behavior therapy in the treatment of persons with borderline personality disorder

Cited by 8 publications

References 21 publications

Suicidal and self-injurious behavior in personality disorder: Controversies and treatment directions

Suicidal and self-injurious behavior in personality disorder: Controversies and treatment directions

Forensic nurses' perceptions of labels of mental illness and personality disorder: clinical versus management issues

Travelling through the system: the lived experience of people with borderline personality disorder in contact with psychiatric services

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