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Cognitive-behavioral approaches to treating borderline and self-mutilating patients
1C. F. Menninger Memorial Hospital.
Bulletin of the Menninger Clinic
|January 1, 1990
Summary
This study presents a cognitive-behavioral model for treating self-injurious patients with borderline personality disorder. It integrates dialectical behavioral strategies and dynamic-analytic approaches to strengthen the therapeutic alliance.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Borderline personality disorder (BPD) is frequently associated with self-injurious behaviors.
- Effective therapeutic interventions are crucial for managing complex BPD symptoms.
Observation:
- Presents three case studies of patients with BPD exhibiting self-injurious behaviors.
- Highlights the challenges in establishing and maintaining a therapeutic alliance in such cases.
Findings:
- Proposes a cognitive-behavioral psychotherapeutic model tailored for self-injurious BPD.
- Utilizes dialectical behavioral strategies to address key dichotomies in BPD.
- Demonstrates integration of cognitive-behavioral therapy (CBT) with dynamic-analytic methods.
Implications:
- Offers a structured approach for clinicians treating self-injurious BPD.
- Emphasizes the importance of a robust treatment alliance for successful outcomes.
- Suggests a flexible therapeutic framework adaptable to individual patient needs.