Early Discontinuance of Borderline Patients from Psychotherapy

Gunderson, John G.; Frank, Arlene; Ronningstam, Elsa; Wachter, Stuart; Lynch, Vincent J.; Wolf, Pamela J.

doi:10.1097/00005053-198901000-00006

Cited by 167 publications

(97 citation statements)

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“…The most common conscious reasons given by patients for failure to engage in treatment and to attend sessions are frustration with the treatment, lack of social support and logistical difficulties in attending appointments (Gunderson et al, 1989). Engagement in treatment is the key to successful outcome and it requires the development of a constructive and progressive dialogue between patients and clinicians; even when patients seem to be involved with treatment, motivation fluctuates rapidly, sometimes within the course of a day, making it difficult to engage them in a constructive dialogue.…”

Section: Engagementmentioning

confidence: 99%

Services for personality disorder: organisation for inclusion

Bateman¹,

Tyrer²

2004

Adv. psychiatr. treat

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Mental health services are not yet organised to allow patients with personality disorders easy access, and practitioners lack the necessary skills to implement effective treatment. A number of service models have developed, albeit without a clear evidence-base. These include sole-practitioner, divided-functions and specialist-team models. In general, a divided-functions or specialist-team model is probably best for reducing risk and improving outcomes. Both models present difficulties with integrating treatment, but these can be overcome by good communication. Good management of patients requires careful assessment of need and risk, a consistent approach, constancy of staff, team coherence and adequate inpatient support. Not all practitioners can treat patients with personality disorders and the interpersonal skills of the mental health professional may be crucial in maintaining a patient in treatment.

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Section: Engagementmentioning

confidence: 99%

Services for personality disorder: organisation for inclusion

Bateman¹,

Tyrer²

2004

Adv. psychiatr. treat

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“…Uwidacznia się to w pracy z pacjentami z BpD -prawdopodobieństwo dropoutu wynosi 50-60% (głównie we wczesnej fazie terapii) [18]. Według badań zwiastunami przedwczesnego zakończenia terapii przez pacjentów z BpD są: młody wiek pacjenta, wysoki poziom wrogości, lęku, złości i impulsywności [19].…”

Section: Predyktory Przedwczesnego Zakończenia Psychoterapiiunclassified

“…Według badań zwiastunami przedwczesnego zakończenia terapii przez pacjentów z BpD są: młody wiek pacjenta, wysoki poziom wrogości, lęku, złości i impulsywności [19]. Gunderson [18] podkreśla znaczenie subiektywnego doświadczenia z zawieraniem relacji terapeutycznych. pacjenci rezygnujący przedwcześnie mówią na początku o braku satysfakcji z poprzedniej relacji terapeutycznej, poczuciu bycia krytykowanym przez innego terapeutę, małym wsparciu rodziny i wykazują nikłą motywację do podjęcia terapii.…”

Section: Predyktory Przedwczesnego Zakończenia Psychoterapiiunclassified

Therapeutic relationship in the therapy of patients with borderline personality disorder

Klatkiewicz¹

2015

Psychoter

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psYcHoterapia 2 (173) 2015 strony: 23-32 therapeutic relationship trust bPD summary: the therapeutic relationship is crucial in a long-term therapy. some authors claim that it is the most important factor of the treatment. What are its determinants? What factors decide about the fact whether it is formed or not? What is the importance of creating a relationship with a BpD patient? is forming a therapeutic relationship, based on trust, with a BpD patient a condition of the therapy or its significant phase and success? What are the difficulties and constraints in constructing therapeutic relationships with those patients? What is the experience of therapists in different aspects of the therapeutic relationship with this type of patients like? Which reactions of a psychotherapist support forming a good relationship and which ones make it difficult? the aim of this article is to search for the answers to these questions, basing on a selection of publications, contemporary research and the experience of psychotherapists. the factors related to BpD patients, simplifying forming a therapeutic relationship and hindering this process, are going to be described. Benefits possible to be achieved by a BpD patient with disturbed interpersonal relationships, who manages to build a secure therapeutic relationship are going to be also analyzed. Jednym z kluczowych czynników leczących w terapii pacjentów z zaburzeniem

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“…27 Furthermore, there has been a substantial reduction in the absolute and average number and duration of psychiatric hospital admissions. There is no control group against which to compare the size of this reduction and the trend seems to be an escalation of hospital admissions leading up to patients being accepted into our unit, with a sudden reduction of hospital use.…”

Section: In-patient Daysmentioning

confidence: 99%

Olive Tree community treatment centre for individuals with personality disorder: naturalistic service evaluation

Pretorius

Albeniz²,

Broome

2010

Psychiatrist

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Aims and methodCommunity treatment for individuals with personality disorder is a fast developing field. We report here on the effectiveness of one such approach. We examine the referral pathway of all clients between January 2005 and April 2008, including the mean days spent in our unit, the days spent in a psychiatric hospital before and after admission to our unit, and the results of changes in the rating scales we routinely use.ResultsDrop-out rates and the mean duration of therapy were acceptable. There has been a clear reduction of in-patient bed use and a small but significant improvement of most psychometric test results.Clinical implicationsThis study provides further evidence for the effectiveness of community treatment for individuals with personality disorder.

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Early Discontinuance of Borderline Patients from Psychotherapy

Cited by 167 publications

References 0 publications

Services for personality disorder: organisation for inclusion

Services for personality disorder: organisation for inclusion

Therapeutic relationship in the therapy of patients with borderline personality disorder

Olive Tree community treatment centre for individuals with personality disorder: naturalistic service evaluation

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