The DOI matches its Crossref record; 73 of the 74 references it cites were found in a registry or an index.
Evidence-Based Treatments for Borderline Personality Disorder: Implementation, Integration, and Stepped Care
Abstract
Learning Objective: After participating in this activity, learners should be better able to: • Evaluate evidence-based therapies for borderline personality disorder Several manualized psychotherapies for treating borderline personality disorder (BPD) have been validated in randomized, controlled trials. Most of these approaches are highly specialized, offering different formulation of BPD and different mechanisms by which recovery is made possible. Mental health clinicians are challenged by the degree of specialization and clinical resources that these approaches require in their empirically validated adherent forms. While these effective treatments have renewed optimism for the treatment of BPD, clinicians may feel limited in their ability to offer any of them or may integrate an eclectic assortment of features from the different treatments. This article will evaluate four major evidence-based treatments for BPD—dialectical behavioral therapy, mentalization-based treatment, transference-focused psychotherapy, and General Psychiatric Management—and possible modes of implementation in adherent and integrative forms. Models of implementing these diverse treatment approaches will be evaluated, and the potential advantages of combining evidence-based treatments will be discussed, along with some cautionary notes. A proposal for providing stepwise care through assessment of clinical severity will be presented as a means of achieving system-wide changes and greater access to care.
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In the citing paper
“Termed Road Maps, the content and development were informed by common treatment factors identified from evidence-based therapies for BPD.”
From Acceptability and feasibility of a short-term group therapy for people with borderline personality disorder symptoms (2024) · cites this paper as [5]
In the citing paper
“It has been proposed that less resource-intensive treatments be developed through integration of the common factors of effective BPD therapies. 5”
From Acceptability and feasibility of a short-term group therapy for people with borderline personality disorder symptoms (2024) · cites this paper as [5]
In the citing paper
“a clinically derived stepwise model on how to apply different and more intense treatments for BPD patients with increasing severity has recently been published by [32]”
From European guidelines for personality disorders: past, present and future (2019) · cites this paper as [32]
Citations
Cites
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Sequenced treatment alternatives to relieve depression (STAR*D): Rationale and design
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“of DBT have been published, demonstrating DBT’s efficacy versus treatment as usual, treatment by community experts,(38,39) and other specialized BPD treatments.(17,40) The DBT manuals,(25,41) which include a voluminous explanatory textbook and a guide to a vast supply of worksheets, are”
BackgroundResult
Research works printed but not linked: 1
- 2013, Borderline personality disorder, Focus, 2, 129
Cited by
Sorted by citations
Borderline personality disorder
Gunderson, J. G., Herpertz, S. C., Skodol, A. E., Torgersen, S. O., & Zanarini, M. C. (2018) · Nature Reviews Disease Primers · doi:10.1038/nrdp.2018.29 · Cited by 511
Self-citationBorderline personality disorder
Bohus, M., Stoffers‐Winterling, J., Sharp, C., Krause-Utz, A., Schmahl, C., & Lieb, K. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00476-1 · Cited by 388
What Works in the Treatment of Borderline Personality Disorder
Choi-Kain, L. W., Finch, E. F., Masland, S. R., Jenkins, J. A., & Unruh, B. T. (2017) · Current Behavioral Neuroscience Reports · doi:10.1007/s40473-017-0103-z · Cited by 246
Self-citationTreatment of Borderline Personality Disorder: Is Supply Adequate to Meet Public Health Needs?
Iliakis, E. A., Sonley, A. K. I., Ilagan, G. S., & Choi-Kain, L. W. (2019) · Psychiatric Services · doi:10.1176/appi.ps.201900073 · Cited by 161
Self-citationEuropean guidelines for personality disorders: past, present and future
Simonsen, S., Bateman, A., Bohus, M., Dalewijk, H. J., Doering, S., Kaera, A., Moran, P., Renneberg, B., Ribaudi, J. S., Taubner, S., et al. (2019) · Borderline Personality Disorder and Emotion Dysregulation · doi:10.1186/s40479-019-0106-3 · Cited by 147
Metadata
- Authors
- Choi-Kain, L. W., Albert, E. B., & Gunderson, J. G.
- Affiliations
- Harvard University (US)
- Corresponding author
- Choi-Kain, Lois W.
- ORCID
- Choi-Kain, Lois W.
- Venue
- Harvard Review of Psychiatry
- Published
- 2016-09
- Volume
- 24
- Issue
- 5
- Pages
- 342-356
- ISSN
- 1067-3229 (ISSN-L)
- 1465-7309
- OpenAlex
- W2507334140
- Semantic Scholar
- 887a03f977c2f778772a788c32cb9fef18f4c821
- Cited by
- 171
- References
- 74
- Citations by year
- 2026: 19 · 2025: 20 · 2024: 29 · 2023: 16 · 2022: 15 · 2021: 15 · 2020: 14 · 2019: 15 · 2018: 19 · 2017: 8 · 2016: 1
- FWCI
- 2.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Harvard Review of Psychiatry (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 › Psychoanalysis and Psychopathology Research
- Keywords
- borderline personality disorder, evidence-based psychotherapy, dialectical behavior therapy, mentalization-based treatment, transference-focused psychotherapy, treatment implementation, integrative psychotherapy, stepped care, clinical severity assessment, access to mental health care
- MeSH terms
- Borderline Personality Disorder, Humans, Psychotherapy, Evidence-Based Medicine
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- Choi-Kain, L. W., Albert, E. B., & Gunderson, J. G. (2016). Evidence-Based Treatments for Borderline Personality Disorder: Implementation, Integration, and Stepped Care. Harvard Review of Psychiatry. https://doi.org/10.1097/hrp.0000000000000113
