Cited by 171Personality Disorders and PsychopathologyPsychotherapy Techniques and ApplicationsPsychoanalysis and Psychopathology Research

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Evidence-Based Treatments for Borderline Personality Disorder: Implementation, Integration, and Stepped Care

Choi-Kain, Lois W., Albert, Elizabeth B., Gunderson, John G.·2016·Harvard Review of Psychiatry

DOI 10.1097/hrp.0000000000000113

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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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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
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-09
Volume: 24
Issue: 5
Pages: 342-356
ISSN: 1067-3229 (ISSN-L)
1465-7309
DOI: 10.1097/hrp.0000000000000113
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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Evidence-Based Treatments for Borderline Personality Disorder: Implementation, Integration, and Stepped Care

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