Janine Stevenson

Psychotherapy with borderline patients: I. A comparison between treated and untreated cohorts

Objective: The aim of this study is to compare the clinical outcome of patients with borderline personality disorder (BPD) who had received outpatient psychotherapy for 1 year with BPD patients who received no formal psychotherapy for the same period. Method: Thirty patients with BPD were treated by trainee psychotherapists working according to clearly described therapeutic principles. They received intensive audiotaped supervision. Patients were seen twice weekly for 1 year. They were compared with 30 patients subsequently referred to the clinic, for whom no therapist was available and who remained on a waiting list for 1 year, receiving their usual treatment. The outcome measure was a score derived from DSM criteria. It was taken at the beginning and end of the years treatment, in the former case, and after at least 1 year on the waiting list in the latter. (The average waiting period was 17.1 months.) Results and Conclusions: Patients who received psychotherapy were significantly improved in terms of the DSM score. Thirty percent of treated patients no longer fulfilled DSM-III criteria for BPD. The untreated patients were unchanged.

Psychotherapy with Borderline Patients: II. A Preliminary Cost Benefit Study

Objective: The aim of this study was to conduct a preliminary cost benefit study of the effect of outpatient psychotherapy, twice a week for 1 year, in 30 borderline patients. Method: Costs to the health system in terms of inpatient care for the year before treatment were compared with the costs for the year following treatment. Results: The cost of hospital admissions for the 30 patients for the year before treatment was

A Jacksonian and biopsychosocial hypothesis concerning borderline and related phenomena

684 346 (range =

Is self disturbance the core of borderline personality disorder? An outcome study of borderline personality factors

0–

Differentiating the bipolar disorders from borderline personality disorder.

143 756/patient). The cost of hospital admissions for the year after treatment was

Personality disorder comorbidity and outcome: comparison of three age groups.

41 424 (range =

The Beneficial Effect on Family Life in Treating Borderline Personality

0–

Clinical status of comorbid bipolar disorder and borderline personality disorder

12 333/patient). These figures represent an average decrease in costs per patient of

Does age moderate the effect of personality disorder on coping style in psychiatric inpatients

21 431. By using the schedule fee as the basis, the estimated cost of therapy per patient was approximately

A University Psychotherapy Training Program in a Psychiatric Hospital: 25 Years of the Conversational Model in the Treatment of Patients with Borderline Personality Disorder

13 000, representing a saving/patient of