Psychotherapy with Borderline Patients: I. A Comparison Between Treated and Untreated Cohorts

Author:

Meares Russell1,Stevenson Janine1,Comerford Anne2

Affiliation:

1. Department of Psychological Medicine, University of Sydney, Westmead Hospital, Westmead, New South Wales, 2145, Australia

2. Department of Psychiatry, Westmead Hospital, Sydney, Australia

Abstract

Objective: The aim of this study is to compare the clinical outcome of patients with borderline personality disorder (BPD) who had received outpatient psychotherapy for 1 year with BPD patients who received no formal psychotherapy for the same period. Method: Thirty patients with BPD were treated by trainee psychotherapists working according to clearly described therapeutic principles. They received intensive audiotaped supervision. Patients were seen twice weekly for 1 year. They were compared with 30 patients subsequently referred to the clinic, for whom no therapist was available and who remained on a waiting list for 1 year, receiving their usual treatment. The outcome measure was a score derived from DSM criteria. It was taken at the beginning and end of the year's treatment, in the former case, and after at least 1 year on the waiting list in the latter. (The average waiting period was 17.1 months.) Results and Conclusions: Patients who received psychotherapy were significantly improved in terms of the DSM score. Thirty percent of treated patients no longer fulfilled DSM-III criteria for BPD. The untreated patients were unchanged.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

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