Cognitive-Behavioral Treatment of Chronically Parasuicidal Borderline Patients

Linehan, Marsha M.; Armstrong, Hubert E.; Suárez, Alejandra; Allmon, Douglas; Heard, Heidi L.

doi:10.1001/archpsyc.1991.01810360024003

Cited by 1,943 publications

(1,286 citation statements)

References 18 publications

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“…Whether the results of the study would have been different if a substantial percentage of those with borderline personality disorder had participated in one of the psychotherapeutic approaches specifically developed for the treatment of borderline personality disorder (dialectical behavioral treatment or DBT [11], mentalization-based treatment or MBT [12], transference-focused psychotherapy or TFP [13], and schema-focused therapy or SFT [14]) is impossible to determine.…”

Section: Discussionmentioning

confidence: 99%

Ten-Year Use of Mental Health Services by Patients With Borderline Personality Disorder and With Other Axis II Disorders

Hörz¹,

Zanarini²,

Frankenburg³

et al. 2010

Psychiatric Services

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Objective This study has two main objectives. The first is to detail the prevalence rates of three key treatment modalities reported by patients with borderline personality disorder and axis II comparison participants over a decade of follow-up. The second is to determine time-to-cessation and time-to resumption of these three treatment modalities reported by patients with borderline personality disorder. Methods The treatment history of 290 reliably diagnosed inpatients with borderline personality disorder and 72 axis II comparison participants was assessed using an interview of proven reliability during their index admission. Treatment history was reassessed at five contiguous two-year follow-up periods. Results In terms of prevalence rates, there was a significant decrease in the percentage of patients with borderline personality disorder (and axis II comparison participants) participating in the three treatment modalities studied. In terms of time-to-cessation and resumption, 52% of patients with borderline personality disorder stopped individual therapy and 44% stopped taking standing medications for a period of two years or more. However, 85% of those who had stopped psychotherapy resumed it and 67% of those who stopped taking medications later resumed taking them. In contrast, 88% had no hospitalizations for at least two years but almost half of these patients were subsequently rehospitalized. Conclusions Taken together, these results suggest that patients with borderline personality disorder tend to use outpatient treatment without interruption over prolonged periods of time. They also suggest that inpatient treatment is used far more intermittently and by only a relative small minority of those with borderline personality disorder.

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Section: Discussionmentioning

confidence: 99%

Ten-Year Use of Mental Health Services by Patients With Borderline Personality Disorder and With Other Axis II Disorders

Hörz¹,

Zanarini²,

Frankenburg³

et al. 2010

Psychiatric Services

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“…In addition, Bond and Bunce (2000) compared ACT strategies to traditional change strategies in a study of work-related stress and found that although both interventions outperformed a wait-list control condition, only changes in the ACT condition were mediated by the acceptance of undesirable thoughts and feelings. Linehan has also provided evidence for the effectiveness of DBT as an acceptance therapy (Linehan, Armstrong, Suarez, Allmon, & Heard, 1991). Kohlenberg and Tsai (1994) have provided preliminary evidence for the utility of FAR Finally, there is a great deal of evidence supporting the effectiveness of exposure and response-prevention treatments (e.g., Foa, Steketee, Grayson, Turner, & Latimer, 1984).…”

Section: Empirical Evidencementioning

confidence: 99%

Acceptance in behavior therapy: Understanding the process of change

Córdova

2001

BEHAV ANALYST

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Acceptance is integral to several cutting-edge behavior therapies. However, several questions about acceptance remain to be clearly answered. First, what does acceptance look like, and can it be observed and measured? Second, what are the behavioral principles involved in the promotion of acceptance? Third, when is acceptance indicated or contraindicated as a therapeutic goal? The current paper attempts to clarify answers to these questions. The goal is to provide a conceptualization of the what, how, and when of acceptance that is accessible to behavior analysts, both to promote our understanding of acceptance as a behavioral phenomenon and to facilitate its empirical study and therapeutic utility.

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“…Unfortunately for the individual with BPD, suicide, or parasuicidal behaviors (Linehan, 1991) have often been their solutions for problem-solving. The objective of the fourth session is to assist group members to see the connection between problems and emotions, and learn basic problem-solving skills.…”

Section: Session 4: Problem-solvingmentioning

confidence: 99%

Creative coping: A cognitive-behavioral group for borderline personality disorder

Miller

Eisner

Allport

1994

Archives of Psychiatric Nursing

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Patients with borderline personality disorder (BPD) pose major therapeutic challenges to mental health professionals. Effective and practical treatment of the patient with BPD is needed in short-term inpatient settings, and psychiatric nurses are in a unique position to implement innovative treatment strategies for the borderllne patient. The Creative Coping Group is a practice model designed by psychiatric nurses for patients with BPD, using a cognitive-behavioral f'ramework. It is a group therapy intervention based on Linehan's Dialectical Behavior Therapy (DBT) that addresses the ineffective coping of patients with BPD that results in chronic suicidal behavior. Linehan's framework focuses on deficits in emotional control, interpersonal effectiveness, and distress tolerance. The objective of the group sessions is to foster insight and awareness into symptoms, feelings, and behaviors through psychoeducation, group exercises, discussion, and homework assignments.

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Cognitive-Behavioral Treatment of Chronically Parasuicidal Borderline Patients

Cited by 1,943 publications

References 18 publications

Ten-Year Use of Mental Health Services by Patients With Borderline Personality Disorder and With Other Axis II Disorders

Ten-Year Use of Mental Health Services by Patients With Borderline Personality Disorder and With Other Axis II Disorders

Acceptance in behavior therapy: Understanding the process of change

Creative coping: A cognitive-behavioral group for borderline personality disorder

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