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Effectiveness of psychotherapeutic treatment of personality disorder

Bateman, AW; Fonagy, P; (2000) Effectiveness of psychotherapeutic treatment of personality disorder. BRIT J PSYCHIAT , 177 138 - 143.

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Abstract

Background Psychiatrists have been criticised for failing to develop adequate treatment for personality disorder. Psychotherapeutic treatments are promising, but their effectiveness is uncertain.Aims To investigate the evidence for effectiveness of psychotherapeutic treatment for personality disorder.Method Systematic literature review.Results There is evidence for the effectiveness of psychotherapy for personality disorder. Problems of case identification, comorbidity, randomisation, specificity of treatment and outcome measurement are inadequately addressed. Authors mainly relied on cohort studies. Evidence neither suggests superiority of one type of therapy over another nor indicates which subgroups of patients should be offered psychotherapy as in-patient, day patient, or out-patient.Conclusions New research strategies are needed to show that personality change is both measurable and clinically meaningful. Effectiveness studies using randomised controlled designs are required. The literature suggests that effective treatment should be long-term, integrated, theoretically coherent and focused on compliance.Declaration of interest None.

Type: Article
Title: Effectiveness of psychotherapeutic treatment of personality disorder
Keywords: PARASUICIDAL BORDERLINE PATIENTS, THERAPEUTIC-COMMUNITY TREATMENT, COGNITIVE-BEHAVIORAL TREATMENT, BRIEF DYNAMIC PSYCHOTHERAPY, INTERPERSONAL PROBLEMS, FOLLOW-UP, PREDICTORS
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: http://discovery.ucl.ac.uk/id/eprint/139301
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