The DOI matches its Crossref record; 31 of the 32 references it cites were found in a registry or an index.
The Application of Dialectical Behavior Therapy for Patients with Borderline Personality Disorder on Inpatient Units
Abstract
Inpatient treatment of individuals with borderline personality disorder (BPD) is typically fraught with difficulty and failure. Patients and staff often become entangled in intense negative therapeutic spirals that obliterate the potential for focused, realistic, and effective treatment interventions. We describe an inpatient treatment approach to BPD patients which is an application of Dialectical Behavior Therapy (DBT), a cognitive-behavioral therapy for patients with BPD which has been shown to be effective in reducing suicidal behavior, hospitalization, and treatment dropout and improving interpersonal functioning and anger management. The inpatient DBT staff creates a validating treatment milieu and focuses on orienting and educating new patients and identifying and prioritizing their treatment targets. Inpatient DBT treatment techniques include contingency management procedures, skills training and coaching, behavioral analysis, structured response protocols to suicidal and egregious behaviors on the unit, and consultation team meetings for DBT staff.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Citations
Cites
(1993) · Cited by 7,136
Self-citation(1993) · Medical Entomology and Zoology · Cited by 2,491
Self-citationCognitive-behavioral treatment of chronically parasuicidal borderline patients
Linehan, M. M. (1991) · Archives of General Psychiatry · doi:10.1001/archpsyc.1991.01810360024003 · Cited by 2,203
Self-citationJournal of Psychotherapy Practice and Research
Terrell, C. D. (1993) · JAMA · doi:10.1001/jama.1993.03510010107047 · Cited by 1,686
Severe Personality Disorders: Psychotherapeutic Strategies
Kernberg, O. F. (1984) · Medical Entomology and Zoology · Cited by 1,308
Naturalistic Follow-up of a Behavioral Treatment for Chronically Parasuicidal Borderline Patients
Linehan, M. M. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820240055007 · Cited by 910
Self-citationInterpersonal outcome of cognitive behavioral treatment for chronically suicidal borderline patients
(1994) · American Journal of Psychiatry · doi:10.1176/ajp.151.12.1771 · Cited by 494 · cited 1×
“Controlled randomized research studies have shown that standard outpatient DBT reduces parasuicidal behaviors, length of hospitalizations, and treatment dropout (34–35) and also improves anger regulation and interpersonal functioning (36).”
BackgroundSelf-citationMAIN, T. F. (1957) · British Journal of Medical Psychology · doi:10.1111/j.2044-8341.1957.tb01193.x · Cited by 420
Bohus, M., Haaf, B., Stiglmayr, C., Pohl, U., Böhme, R., & Linehan, M. M. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00103-5 · Cited by 289
Self-citationBarley, W. D., Buie, S. E., Peterson, E. W., Hollingsworth, A. S., Griva, M., Hickerson, S. C., Lawson, J. E., & Bailey, B. J. (1993) · Journal of Personality Disorders · doi:10.1521/pedi.1993.7.3.232 · Cited by 136
How Nursing Staff Respond to the Label "Borderline Personality Disorder"
Gallop, R., Lancee, W. J., & Garfinkel, P. E. (1989) · Psychiatric Services · doi:10.1176/ps.40.8.815 · Cited by 126
Hospital Treatment of Borderline Patients
Adler, G. (1973) · American Journal of Psychiatry · doi:10.1176/ajp.130.1.32 · Cited by 114
Fresan, D. (1979) · The San Francisco Jung Institute Library Journal · doi:10.1525/jung.1.1979.1.2.2 · Cited by 93
Some Problems of Inpatient Management with Borderline Patients
Friedman, H. J. (1969) · American Journal of Psychiatry · doi:10.1176/ajp.126.3.299 · Cited by 91
Springer, T., Lohr, N. E., Buchtel, H. A., & Silk, K. R. (1996) · PubMed Central · Cited by 65
Nehls, N. (1994) · Archives of Psychiatric Nursing · doi:10.1016/0883-9417(94)90028-0 · Cited by 48
Inpatient Management of Borderline Personality Disorder: A Review and Update
Miller, L. (1989) · Journal of Personality Disorders · doi:10.1521/pedi.1989.3.2.122 · Cited by 46
Gallop, R. (1992) · Archives of Psychiatric Nursing · doi:10.1016/0883-9417(92)90029-i · Cited by 23
First Do No Harm: Short-Term Inpatient Psychotherapy of the Borderline Patient
Sederer, L. I., & Thorbeck, J. (1986) · Psychiatric Services · doi:10.1176/ps.37.7.692 · Cited by 22
The Formal Treatment Contract in the Inpatient Management of Borderline Personality Disorder
Miller, L. J. (1990) · Psychiatric Services · doi:10.1176/ps.41.9.985 · Cited by 22
Donat, D. C., McKeegan, G. F., & Neal, B. (1991) · Psychosocial Rehabilitation Journal · doi:10.1037/h0095800 · Cited by 22
Negative Responses of the Borderline to Inpatient Treatment
Sadavoy, J., Silver, D., & Book, H. E. (1979) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1979.33.3.404 · Cited by 22
The Management and Treatment of Personality-Disordered Patients
Beard, H., Marlowe, M. J., & Ryle, A. (1990) · The British Journal of Psychiatry · doi:10.1192/bjp.156.4.541 · Cited by 21
Behavioral knowledge among direct care staff in an inpatient psychiatric setting
Donat, D. C., & McKeegan, G. F. (1990) · Behavioral Interventions · doi:10.1002/bin.2360050204 · Cited by 20
Creative coping: A cognitive-behavioral group for borderline personality disorder
Miller, C. R., Eisner, W., & Allport, C. (1994) · Archives of Psychiatric Nursing · doi:10.1016/0883-9417(94)90070-1 · Cited by 20
McKeegan, G. F., Geczy, B., & Donat, D. C. (1993) · Psychosocial Rehabilitation Journal · doi:10.1037/h0095675 · Cited by 18
Time-limited treatment of hospitalized borderline patients: Considerations
Nurnberg, H. G., & Suh, R. (1978) · Comprehensive Psychiatry · doi:10.1016/0010-440x(78)90071-8 · Cited by 15
The use of contracts in the inpatient treatment of the borderline personality disorder
Bloom, H., & Rosenbluth, M. J. (1989) · Psychiatric Quarterly · doi:10.1007/bf01064355 · Cited by 12
Utilizing cognitive therapy on the short-term psychiatric inpatient unit
Davis, M. H., & Casey, D. (1990) · General Hospital Psychiatry · doi:10.1016/0163-8343(90)90076-o · Cited by 12
Dynamic Interpersonal Processes and the Inpatient Holding Environment
Levine, I., & Wilson, A. (1985) · Psychiatry · doi:10.1080/00332747.1985.11024295 · Cited by 9
Milieu concepts for short term hospital treatment of borderline patients
Viner, J. (1985) · Psychiatric Quarterly · doi:10.1007/bf01064331 · Cited by 9
Flagged first, then by citations
1 of the 32 references couldn’t be matched to a known paper.
Research works printed but not linked: 10
- Main TF: The ailment. British Journal of Medical Psychology 30:l29–145, 1957.
- Gabbard G: The treatment of the “special” patient in a psychoanalytic hospital. International Review of Psychoanalysis 13:333–347, 1986.
- Gunderson J: Borderline Personality Disorder. Washington,D.C., American Psychiatric Press, Inc., 1984.
- Masterson J, Costello J: From Borderline Adolescent to Functioning Adult. New York, Brunner/Mazel, 1980.
- Swenson C: Modification of destructiveness in the long-term inpatient treatment of severe personality disorders. International Journal of Therapeutic Communities 7:153–163, 1986.
- Swenson C: Supportive elements of inpatient treatment with borderline patients, in Supportive Therapy for Borderline Patients. Edited by Rockland L. New York, Guilford Press, 1992.
- Sansone R, Madakasira S: Borderline personality disorder: Guidelines for evaluation and brief inpatient management. The Psychiatric Hospital 21:65–69, 1990.
- Wishnie HA: Inpatient therapy with borderline patients, in Borderline States in Psychiatry. Edited by Mack, IF. New York, Grune and Stratton, 1975.
- Rosenbluth M, Silver D: The inpatient treatment of borderline personality disorder, in Handbook of Borderline Disorders. Edited by Silver D, and Rosenbluth M. Madison, Connecticut, International Universities Press, 1992.
- Silver D, Rosenbluth M: Inpatient treatment of borderline personality disorder, in Borderline Personality Disorder: Etiology and Treatment. Edited by Paris J., Washington, D.C., American Psychiatric Press, 1993.
Cited by
Sorted by citations
Bohus, M., Haaf, B., Simms, T., Limberger, M. F., Schmahl, C., Unckel, C., Lieb, K., & Linehan, M. M. (2004) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(03)00174-8 · Cited by 526
Self-citationKliem, S., Kröger, C., & Kosfelder, J. (2010) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0021015 · Cited by 474
Dialectical behavior therapy: Current status, recent developments, and future directions
Robins, C. J., & Chapman, A. L. (2004) · Journal of Personality Disorders · doi:10.1521/pedi.18.1.73.32771 · Cited by 275
Kröger, C. B., Harbeck, S., Armbrust, M., & Kliem, S. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.04.008 · Cited by 107
Rüsch, N., Schiel, S., Corrigan, P. W., Leihener, F., Jacob, G. A., Olschewski, M., Lieb, K., & Bohus, M. (2008) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2007.11.006 · Cited by 94
Metadata
- Authors
- Swenson, C. R., Sanderson, C., Dulit, R. A., & Linehan, M. M.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- Cornell University (US)
- University of Washington (US)
- Corresponding author
- Swenson, Charles R.
- ORCID
- Linehan, Marsha M.
- Venue
- Psychiatric Quarterly
- Published
- 2001-12
- Volume
- 72
- Issue
- 4
- Pages
- 307-324
- ISSN
- 0033-2720 (ISSN-L)
- 1573-6709
- OpenAlex
- W1524433949
- Cited by
- 137
- References
- 32
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 7 · 2023: 1 · 2022: 2 · 2021: 30 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 6 · 2015: 4 · 2014: 5 · 2013: 9 · 2012: 4
- FWCI
- 3.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Psychiatric Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- dialectical behavior therapy, borderline personality disorder, inpatient care, hospitalization, suicide prevention, treatment discontinuation, therapeutic relationship, validation, contingency management, skills training, behavior analysis, response protocols, employee training
- MeSH terms
- Borderline Personality Disorder, Hospitalization, Humans, Cognitive Behavioral Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review