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Inpatients with personality disorders who stopped treatment had problems with the institutional culture and relationships

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QUESTION: In patients with personality disorder who stop treatment early after admission to a psychotherapy hospital, what problem areas do they identify in their hospital experience?

Design

Semistructured, indepth interviews (quantitative data were also collected, but this abstract focuses on the qualitative data).

Setting

A psychotherapy hospital in Richmond, UK.

Patients

42 patients (mean age 33 y, 74% women) who had been treated for personality disorders and had left the hospital within 14 weeks of starting treatment were invited to participate. 18 patients agreed to be interviewed.

Methods

Semistructured, indepth interviews of patients were dictated and transcribed. 3 researchers used content analysis to identify main categories. Transcripts were reviewed and scored independently by 2 raters to determine the interrater agreement (κ = 0.91).

Main findings

Patients identified …

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