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Cited by 120

Psychotherapy of borderline personality disorder

Zanarini, M. C.·2009·Acta Psychiatrica Scandinavica
DOI 10.1111/j.1600-0447.2009.01448.xPMC PMC3876885
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Abstract

Objective: Psychotherapy is considered the primary treatment for borderline personality disorder (BPD). Currently, there are four comprehensive psychosocial treatments for BPD. Two of these treatments are considered psychodynamic in nature: mentalization‐based treatment and transference‐focused psychotherapy. The other two are considered to be cognitive‐behavioral in nature: dialectical behavioral therapy and schema‐focused therapy. Method: A review of the relevant literature was conducted. Results: Each of these lengthy and complex psychotherapies significantly reduces the severity of borderline psychopathology or at least some aspects of it, particularly physically self‐destructive acts. Conclusion: Comprehensive, long‐term psychotherapy can be a useful form of treatment for those with BPD. However, less intensive and less costly forms of treatment need to be developed.

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  • Schema therapy (ST) and dialectical behavior therapy (DBT) have both shown to be effective treatment methods especially for borderline personality disorder (BPD).

    “Schema therapy (ST) and dialectical behavior therapy (DBT) have both shown to be effective treatment methods especially for borderline personality disorder.”

    From Emotion regulation in schema therapy and dialectical behavior therapy. (2016) · cites this paper as Zanarini, 2009

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Research works printed but not linked: 18

  1. [1]Grant BF Chou SP Goldstein RB Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the Wave 2 National Epidemiologic Survey on Alcohol and Related Conditions J Clin Psychiatry 2008 69 533 545 18426259 PMC2676679
  2. [2]Lezenweger MF Lane MC Loranger AW DSM-IV personality disorders in the national comorbidity survey replication Biol Psychiatry 2007 62 553 564 17217923 PMC2044500
  3. [4]Skodol AE Gunderson JG McGlashan TH Functional impairment in schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders Am J Psychiatry 2002 159 276 283 11823271
  4. [5]Gunderson JG Frank AF Ronningstam EF Early discontinuation of borderline patients from psychotherapy J Nerv Ment Dis 1989 177 38 42 2909661
  5. [6]Gunderson JG Kolb JE Discriminating features of borderline patients Am J Psychiatry 1978 135 792 796 665789
  6. [7]Maltsberger JT Buie DH Countertransference hate in the treatment of suicidal patients Arch Gen Psychiatry 1974 30 625 633 4824197
  7. [8]American Psychiatric Association Practice Guideline for the Treatment of Patients with Borderline Personality Disorder 2001 American Psychiatric Association Washington, DC 11665545
  8. [9]Schmideberg M The treatment of psychopaths and borderline patients Am J Psychother 1947 1 45 70 20290164
  9. [10]Zanarini MC Update on pharmacotherapy of borderline personality disorder Curr Psychiatry Rep 2004 6 55 70 14738708
  10. [13]Linehan MM Cognitive-behavioral Treatment of Borderline Personality Disorder 1993 Guilford Press New York
  11. [14]Young JE Klosko J Weishaar ME Schema Therapy: a Practitioners Guide 2003 Guilford Press New York
  12. [16]Bateman AW Fonagy P Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: an 18-month follow-up Am J Psychiatry 2001 158 36 42 11136631
  13. [17]Bateman AW Fonagy P 8-year follow-up of patients treated for borderline personality disorder: mentalization-based treatment versus treatment as usual Am J Psychiatry 2008 165 631 638 18347003
  14. [21]Levy KN Meehan KB Kelly KM Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder J Consult Clin Psychol 2006 74 1027 1040 17154733
  15. [23]Linehan MM Heard HL Armstong HE Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients Arch Gen Psychiatry 1993 50 971 974 8250683
  16. [25]Verheual R Van Den Bosch LMC Koeter MWJ Dialectical behaviour therapy for women with borderline personality disorder: 12-month randomized clinical trial in the Netherlands Br J Psychiatry 2003 182 135 140 12562741
  17. [26]Giesen-Bloo J van Dyck R Spinhoven S Outpatient psychotherapy for borderline personality disorder: randomized trial of schema-focused therapy vs transference-focused psychotherapy Arch Gen Psych 2006 63 649 658 16754838
  18. [28]Zanarini MC Frankenburg FR Reich DB The subsyndromal phenomenology of borderline personality disorder: a 10-year follow-up study Am J Psychiatry 2007 164 929 935 17541053

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Authors
Zanarini, M. C.
Venue
Acta Psychiatrica Scandinavica
Publisher
Wiley
Published
2009-10-06
Volume
120
Issue
5
Pages
373-377
ISSN
  • 0001-690X
  • 1600-0447
DOI
10.1111/j.1600-0447.2009.01448.x
PMC
PMC3876885
Cited by
120
References
7
Language
en
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)

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