Borderline Personality Disorder: A Practical Guide to by Roy Krawitz

By Roy Krawitz

Future health Waikato, Hamilton, New Zealand. presents an obtainable and useful precis of cures for medical administration and remedy for borderline character disease. Discusses background of remedy, epidemiology, etiology, present learn, and extra. additionally addresses the felony matters concerned. For psychiatrists. Softcover.

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Example text

DBT integrates different core models and is based in behavioural and to a lesser degree cognitive theory and practice, whilst placing maximum importance on the therapy relationship. Young’s schema–focused therapy also uses a multimodel approach, integrating cognitive behavioural, object relations and action therapy models. Gunderson (2001) describes the complimentary nature of having different models (case management, pharmacology, cognitive-behavioural and psychodynamic) available to best match treatment with the client’s current level of function.

It is important for clinicians to be well grounded in the theory and practice of the model they are using. There is a place for using an integrative model provided this, too, is well grounded and not an ad hoc, reactive approach. Multimodel approach A multimodel integrative approach draws flexibly and with careful consideration from different models to meet each individual client’s needs. (This is very different from the notion of throwing something at the problem hoping that eventually there will be a positive effect).

A pilot study of positive outcomes with a series of five patients treated with cognitive analytic therapy has also been reported (Wildgoose, Clarke and Waller 2001). An uncontrolled one-year trial of Kernberg’s modified psychodynamic treatment (called transference-focused psychotherapy) showed a significant decrease in the number of clients attempting suicide and fewer hospitalizations. Whilst there was not a significant difference in the number of self-injurious behaviours, there was a significant difference in the severity of medical risk following self-injury.

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