Skip to main content
×
×
Home

Dialectical behaviour treatment: implementation and outcomes

  • Martin Zinkler (a1), Amy Gaglia (a2), S. M. Rajagopal Arokiadass (a2) and Eldad Farhy (a2)
Abstract
Aims and Method

Dialectical behaviour therapy is an evidence-based treatment for people with borderline personality disorder. We describe implementation and outcomes of a new service.

Results

Hospital use and frequency of self-harm were reduced dramatically with dialectical behaviour therapy. Moreover, the therapy can be implemented successfully in a relatively short time at modest costs.

Clinical Implications

Dialectical behaviour therapy provides a useful model of treatment for people with borderline personality disorder and/or self-harm in community mental health settings.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Dialectical behaviour treatment: implementation and outcomes
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Dialectical behaviour treatment: implementation and outcomes
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Dialectical behaviour treatment: implementation and outcomes
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
Hide All
Blennerhasset, R. C. & O'Raghallaigh, J.W. (2005) Dialectical behaviour therapy in the treatment of borderline personality disorder. British Journal of Psychiatry, 186, 278280.
De Girolomo, G. & Dotto, P. (2000) Epidemiology of personality disorders. In New Oxford Textbook of Psychiatry (eds Gelder, M. G., Lopez-Ibor, J. J. & Andreason, N. C.). Oxford University Press.
Department of Health (1999) Effective Care Co-ordination in Mental Health Sevices – Modernising the Care Programme Approach. TSO (The Stationery Office).
Department of Health (2003) Personality Disorder – No Longer A Diagnosis Of Exclusion. TSO (The Stationery Office).
First, M.B., Gibbon, M., Spitzer, R. L., et al (1997) Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID–II). American Psychiatric Association.
Foa, E. B., Olasov Rothbaum, B. (1997) Treating the Trauma of Rape: Cognitive–Behavioral Therapy for PTSD. Guilford Press.
Linehan, M. M. (1993) Cognitive Behavioral Treatment of Borderline Personality Disorder. Guilford Press.
McGlashan, T. H. (1986) The Chestnut Lodge follow-up study; long term outcome of borderline personalities. Archives of General Psychiatry, 43, 2030.
Paris, J. (2005) Borderline personality disorder. Canadian Medical Association Journal, 172, 15791583.
Priebe, S., Huxley, P., Knight, S., et al (1999) Application and results of the Manchester Short Assessment of Quality of Life (MANSA). International Journal of Social Psychiatry, 45, 712.
Stone, M. H. (1993) Long-termoutcome in personality disorders. British Journal of Psychiatry, 162, 299313.
Zanarini, M. C., Vujanovic, A. A., Parachini, E. A., et al (2003) Zanarini Rating Scale for Borderline Personality Disorder (ZAN–BPD): a continuous measure of DSM-IV borderline psychopathology. Journal of Personality Disorders, 17, 233242.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 14 *
Loading metrics...

Abstract views

Total abstract views: 28 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 23rd July 2018. This data will be updated every 24 hours.

Dialectical behaviour treatment: implementation and outcomes

  • Martin Zinkler (a1), Amy Gaglia (a2), S. M. Rajagopal Arokiadass (a2) and Eldad Farhy (a2)
Submit a response

eLetters

Any barriers to care?

Ahmed S Huda, Consultant Psychiatrist
26 July 2007

Newham is one of the most ethnically diverse areas of the UK.I notice that of the 49 cases receiving therapy, 71% were white, 16% black, 8% asian and 4% other.I wondered how this compared with your catchment population?What factors may have affected the diffrence? Were clinicians less likely to refer non-white clients or were these clients less likely to be offeredthe treatment or to accept it?

Conflict of interest: None Declared

Write a reply

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *