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In-patient treatment of borderline personality disorder: convergences and divergences between a psychoanalytical and a cognitive-behavioral approach

Published online by Cambridge University Press:  24 June 2014

G. Pieters  and
R. Vermote
G. Pieters*
Affiliation:
UC St-Jozef, Kortenberg, Belgium
R. Vermote
Affiliation:
UC St-Jozef, Kortenberg, Belgium
*
UC St-Jozef, Kortenberg, Belgium.
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Abstract

For more than 20 years, patients with borderline personality disorder have been treated as in-patients in the UC St-Jozef in Kortenberg, Belgium. The majority of these patients were treated in a psychoanalytical or a behavior therapy ward. During these years, the treatment programs of these wards were gradually adjusted to the challenges provided by these patients. In this paper, we will describe the process of change that both wards have experienced. We will highlight similarities and differences between the approaches that are the result of an evolution over years. In both approaches, there is a strong emphasis on training and support for staff. While the psychoanalytical ward uses a group approach, the behavior therapy ward evolves towards a more individualized treatment.

Type
Research Article
Information
Acta Neuropsychiatrica , Volume 14 , Issue 2 , April 2002 , pp. 81 - 84
Copyright
Copyright © Acta Neuropsychiatrica 2002

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References

Vermote, R. Psychiatrische en psychoanalytische diagnostiek bij persoonlijkheidsstoornissen. Tijdschr Psychiatrie 2000;9: 667–674. Google Scholar
Fonagy, P. Psychoanalytic and empirical approaches to developmental psychopathology: an object-relations perspective. J Am Psychoanal Ass 1993;41: 245–260. Google Scholar
Fonagy, P, Steele, M, Steele, H, Higgitt, A, Target, M. The Emmanuel Miller Memorial Lecture 1992. The theory and practice of resilience. J Child Psych Psychol 1994;35: 231–257. CrossRefGoogle Scholar
Vermote, R, Vansina-Cobbaert, MJ. A psychoanalytic hospital unit for people with severe personality disorders. In: Pestalozzi, J, Frisch, S, Hinshelwood, RD et al., eds. Psychoanalytic psychotherapy in institutional settings. London: Karnac Books, 1998: 75–93. Google Scholar
Bateman, A, Fonagy, P. Effectiveness of partial hospitalisation in the treatment of borderline personality disorder: a randomised controlled trial. Am J Psychiatry 1999;156: 1563–1569.CrossRefGoogle Scholar
Vaughan, SC, Roose, S. The analytic process: clinical and research definitions. Int J Psycho-Anal 1995;76: 343–356. Google ScholarPubMed
Arntz, A. Do personality disorders exist? On the validity of the concept and its cognitive-behavioral formulation and treatment. Behav Res Ther 1999;37: S97–S134.CrossRefGoogle ScholarPubMed
Linehan, MM. Cognitive behavioral treatment of borderline personality disorder. New York, London: Guilford Press, 1993. Google ScholarPubMed
Young, JE. Cognitive therapy for personality disorders: a schema-focused approach, rev. edn. Sarasota, Florida: Professional Resource Press, 1990. Google Scholar
Scheel, K. The empirical basis of dialectical behavior therapy: summary, critique, and implications. Clin Psychol Sci Pract 2000;7: 68–86. CrossRefGoogle Scholar