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Problems with borderline patients in a crisis intervention unit: a case history
1University Psychiatric Hospital, Crisis Unit, Ljubljana, Slovenia.
Abstract:
This article describes some characteristics, advantages, and disadvantages of crisis intervention in patients with borderline personality disorder. The theoretical issues are illustrated by a case study of a patient with the disorder. Therapeutic proceedings are analyzed, with special focus on the treatment plan, goal-setting, and termination of therapy. The positive effects of the treatment and the patient's unexpected loss of compliance are discussed. Some suggestions are made about dealing with such patients in the light of mistakes made by the crisis therapist, which produced feelings of inadequacy and incompetence in her, stemming from unresolved transference-countertransference problems.
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