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Therapeutics
Structured outpatient treatments improve some aspects of borderline personality disorder

http://dx.doi.org/10.1136/ebmh.11.1.24

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    John F Clarkin

    Correspondence to: Dr John F Clarkin, New York Hospital– Cornell Medical Centre, Westchester Division, 21 Bloomingdale Road, White Plains, NY 10605, USA; jclarkin@med.cornell.edu

    QUESTION

    Question:

    What are the effects of transference-focused psychotherapy, dialectical behaviour therapy and dynamic supportive treatment on borderline personality disorder?

    Patients:

    90 adults (aged 18–50 years) with DSM-IV borderline personality disorder. Main exclusions: IQ<80, comorbid cognitive disorders, bipolar I disorder, delusional disorders, psychotic disorders, delirium or current substance dependence.

    Setting:

    Community-based private outpatient practices, New York and adjacent tri-state area, USA; time period not stated.

    Intervention:

    Transference-focused psychotherapy, dialectical behaviour therapy or dynamic supportive treatment for one year. Transference-focused psychotherapy (TFP): twice weekly individual sessions focusing on dominant affect-laden themes developing between participant and therapist. Dialectical behaviour therapy (DBT): weekly individual and weekly group sessions plus telephone consultation as needed, aimed at teaching emotional regulation skills. Dynamic supportive treatment (ST): weekly sessions supplemented with extra sessions as needed, providing emotional support and advice on day-to-day problems. All …

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    Footnotes

    Footnotes

    • Competing interests: None.