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Dialectical behaviour therapy in the treatment of borderline personality disorder

  • Richard C. Blennerhassett (a1) and Jennifer Wilson O'Raghallaigh (a2)
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Abstract
Copyright
Corresponding author
Dr Richard C. Blennerhassett, Clinical Director/Senior Lecturer in Psychiatry, St Ita's Hospital, Portrane, Co. Dublin, Ireland. Tel: +353 1 8436337; fax: +353 1 8436315; e-mail: richard.blennerhassett@nahb.ie
References
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Bateman, A. & Fonagy, P. (2003) Health service utilization costs for borderline personality disorder. Patients treated with psychoanalytically oriented partial hospitalization versus general psychiatric care. American Journal of Psychiatry, 160, 169171.
Evans, K., Tyrer, P., Catalan, J., et al (1999) Manualassisted cognitive–behaviour therapy (MACT): a randomised controlled trial of a brief intervention with bibliotherapy in the treatment of recurrent deliberate self harm. Psychological Medicine, 29, 1925.
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Koons, C. R., Robins, C. J., Bishop, G. K., et al (2001) Efficacy of dialectical behavior therapy in women veterans with borderline personality disorder: a randomized controled trial. Behavior Therapy, 32, 371390.
Linehan, M. M. (1993a) Cognitive Behavioral Treatment of Borderline Personality Disorder. New York: Guilford.
Linehan, M. M. (1993b) Skills Training Manual for Treating Borderline Personality Disorder. New York: Guilford.
Linehan, M. M., Armstrong, H. E., Suarez, A., et al (1991) Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48, 10601064.
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Verheul, R., Van Den Bosch, L. M.C., Koeter, M.W.J., et al (2003) Dialectical behaviour therapy for women with borderline personality disorder: 12-month, randomised clinical trial in The Netherlands. British Journal of Psychiatry, 182, 135140.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Dialectical behaviour therapy in the treatment of borderline personality disorder

  • Richard C. Blennerhassett (a1) and Jennifer Wilson O'Raghallaigh (a2)
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eLetters

Can dialectical behaviour therapy go community?

Rob Hirsch, Senior Medical Officer in Psychiatry
05 May 2005

We noted the review of dialectical behaviour therapy in the treatmentof borderline personality disorder by Blennerhassett and O’Raghallaigh. Weappreciate the careful review of the evidence to date, and agree with their appraisal of the limitations of the treatment. They come to the conclusion that it is difficult to translate the model to community mentalhealth settings, and predict future limitation to specialist settings.We would like to draw the author’s attention to the outpatients dialectical behaviour treatment programme run by East London and the City Mental Health Trust in the Newham locality in East London since January 2004. Nine members of local staff (2 nurses, 2 social workers, 2 psychologists, 3 psychiatrists) received a two-weeks intensive training and run an outpatients programme applying DBT and care co-ordination to 18patients (60 minutes individual therapy and 105 min group therapy per week). The team members work part-time on the DBT programme and receive weekly peer supervision. The programme runs at a current overall cost of £500 per patient and month. Although we share the author’s concerns that the implementation of such programmes into community settings may be difficult, our experience with a small outpatients programme nested in theCPA system, has so far been positive. ... More

Conflict of interest: None Declared

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