Time-limited day treatment for personality disorders: Integration of research and practice in a group program.

Piper, William E.; Rosie, John S.; Joyce, Anthony S.; Azim, Hassan F. A.

doi:10.1037/10208-000

Cited by 83 publications

(82 citation statements)

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“…For this reason, admissions should be brief. Partial hospitalization or day treatment programs are effective alternatives (35)(36)(37)(38). Further, sufficient support and structure to ensure safety can often be provided by mobilizing family and social support systems or by providing extra appointments and telephone contact between sessions.…”

Section: Phase 1: Safety and Managing Crisesmentioning

confidence: 99%

Principles and Strategies for Treating Personality Disorder

Livesley

2005

Can J Psychiatry

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Ideas about the treatment of PD are changing with the development of new approaches, treatment outcome studies, and changing ideas about etiology. The evidence suggests that no single form of therapy is more effective than the rest. At the same time, traditional assumptions on which most treatments are based-that the disorder arises from psychosocial adversity-have been supplemented with an understanding of genetic influences and the complex interplay of genes and environment. These developments question the merits of relying on a specific school of therapy when treating PD. Rather, they This paper proposes a systematic framework for treating personality disorder, based on research on the nature and origins of the disorder and treatment outcome. It adopts an eclectic approach that combines interventions from different therapeutic models and delivers them in an integrated and systematic manner. Coordination of multiple interventions is achieved by emphasizing the nonspecific component of therapy, especially the treatment frame and generic interventions. Specific interventions drawn from different treatment models, including medication, are built onto this foundation as needed to tailor treatment to the individual. Coordination and integration are also achieved by conceptualizing treatment as progressing through a series of phases, each addressing different problems with different specific interventions. Five phases are described: safety, containment, regulation and control, exploration and change, and integration and synthesis. During the earlier phases, structured behavioural and cognitive interventions and medication predominate. Later in treatment, these interventions are supplemented with less structured psychodynamic, interpersonal, and constructionist strategies to explore and change maladaptive interpersonal patterns, cognitions, and traits and to forge a more integrated and adaptive self-structure or identity. Information on author affiliations appears at the end of the article. Clinical Implications· A systematic framework for treating PD is proposed. · An integrated model is described that combines interventions from multiple therapeutic approaches. · Where possible, an evidence-based approach is adopted. Limitations· The empirical basis for the approach is limited by the relative lack of studies of treatment efficacy. · Rational rather than empirical considerations determined the choice of many intervention strategies. · The approach has not been directly evaluated.

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Section: Phase 1: Safety and Managing Crisesmentioning

confidence: 99%

Principles and Strategies for Treating Personality Disorder

Livesley

2005

Can J Psychiatry

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“…Det er også en anselig mengde evidens for nytten av en rekke polikliniske psykoterapeutiske behandlingsmåter for å redusere både selvskade og selvmordsforsøk; saerlig gjelder dette dialektisk atferdsterapi (DBT) og mentaliserings-basert terapi (MBT) spesielt utviklet for UPF (Paris, 2008b). Der man ved poliklinisk behandling ikke har klart å håndtere suicidalkriser, har dagbehandling vist seg å vaere til hjelp, og man har observert en reduksjon i antall selvmordsforsøk (Piper et al, 1996;Bateman & Fonagy, 1999).…”

Section: Det Har Derfor Ingen Hensikt å Fokusere All Innsatsen På Spøunclassified

Kronisk suicidalitet ved ustabil personlighetsforstyrrelse: Hvorfor det er behov for særskilte tilnærminger i behandlingen

Paris¹

2017

Suicid.

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“…The treatment was influenced by Piper et al (1996) and Pines (1990), and integrated cognitive-behavioral and psychodynamic group approaches. It was designed to transition patients to long-term psychoanalytic outpatient therapy.…”

Section: Brief Group Treatmentsmentioning

confidence: 99%

Brief treatments for borderline personality

Hopwood

2006

Clin Psychology and Psychoth

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Borderline personality (BP) is prevalent in clinical populations and notoriously difficult to treat. Reasons for this difficulty include complexity of presentation, overall severity of functioning, premature discontinuation and difficulty establishing a therapeutic alliance. Brief treatments for BP are considered, and specific therapeutic goals with potential amenability to brief approaches are discussed, with a focus on the integrative combination of various modalities. It is noted that brief treatments have the potential to ameliorate problems related to premature discontinuation, supplement and enhance long-term treatments and increase the cost-effectiveness of treatment. Suggestions for empirical research on brief strategies for treating BP are enumerated.

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Time-limited day treatment for personality disorders: Integration of research and practice in a group program.

Cited by 83 publications

References 0 publications

Principles and Strategies for Treating Personality Disorder

Principles and Strategies for Treating Personality Disorder

Kronisk suicidalitet ved ustabil personlighetsforstyrrelse: Hvorfor det er behov for særskilte tilnærminger i behandlingen

Brief treatments for borderline personality

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