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8 - Borderline personality disorder, day hospitals, and mentalization

Published online by Cambridge University Press:  14 August 2009

By
Anthony W. Bateman  and
Peter Fonagy
Edited by
Bert van Luyn ,
Salman Akhtar  and
W. John Livesley
Anthony W. Bateman
Affiliation:
Consultant Psychiatrist and Psychotherapist Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK; Visiting Professor Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK
Peter Fonagy
Affiliation:
Freud Memorial Professor of Psychoanalysis Director Sub-Department of Clinical Health Psychology, Chief Executive Anna Freud Centre, University College London, London, UK
Bert van Luyn
Affiliation:
Symfora Group, The Netherlands
Salman Akhtar
Affiliation:
Thomas Jefferson University, Philadelphia
W. John Livesley
Affiliation:
University of British Columbia, Vancouver
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Summary

Borderline personality disorder (BPD) is an intriguing condition and a great deal of theory has been applied to understanding its development and its clinical characteristics. Less consideration has been given to research into practical treatment although acronymic approaches with some effectiveness have begun to flourish over the past few years. There are now DBT (Dialectical Behavior Therapy) (Linehan, 1993), MBT (Mentalization-Based Therapy) (Bateman and Fonagy, 2004b), CAT (Cognitive Analytic Therapy) (Ryle, 1997), CBT (Cognitive Behavioral Therapy) (Davidson, 2000), and SFT (Schema-Focused Therapy) (Young, 1990). Others may follow (Gunderson, 2001).

The profile of the disorder has increased both within and without mental health services as a result of the advent of moderately effective treatments. Publication of evidence-based treatment guidelines in the USA raised the profile of BPD further and even though some have claimed the recommendations were premature (Tyrer, 2002) there is little doubt that they marked a turning point in mental health services, placing BPD further up the mental health agenda of priorities. A strategic review of treatment of personality disorder by the Department of Health in the UK (DoH, 2003) also formally marked the end of a neglectful era in the UK. A sad era during which individuals with a primary diagnosis of BPD received inappropriate, inadequate, and reluctant care from disorganized services; a haphazard delivery of services undoubtedly made worse by the curious mixture of reasonable and irrational conduct so common in individuals with severe personality disorders which itself generates confusion amongst those working to help them.

Type
Chapter
Information
Severe Personality Disorders , pp. 118 - 136
Publisher: Cambridge University Press
Print publication year: 2007

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  • Borderline personality disorder, day hospitals, and mentalization
    • By Anthony W. Bateman, Consultant Psychiatrist and Psychotherapist Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK; Visiting Professor Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK, Peter Fonagy, Freud Memorial Professor of Psychoanalysis Director Sub-Department of Clinical Health Psychology, Chief Executive Anna Freud Centre, University College London, London, UK
  • Edited by Bert van Luyn, Salman Akhtar, Thomas Jefferson University, Philadelphia, W. John Livesley, University of British Columbia, Vancouver
  • Book: Severe Personality Disorders
  • Online publication: 14 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544439.009
Available formats
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To save content items to your account, please 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 account. Find out more about saving content to Dropbox.

  • Borderline personality disorder, day hospitals, and mentalization
    • By Anthony W. Bateman, Consultant Psychiatrist and Psychotherapist Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK; Visiting Professor Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK, Peter Fonagy, Freud Memorial Professor of Psychoanalysis Director Sub-Department of Clinical Health Psychology, Chief Executive Anna Freud Centre, University College London, London, UK
  • Edited by Bert van Luyn, Salman Akhtar, Thomas Jefferson University, Philadelphia, W. John Livesley, University of British Columbia, Vancouver
  • Book: Severe Personality Disorders
  • Online publication: 14 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544439.009
Available formats
×

Save book to Google Drive

To save content items to your account, please 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 account. Find out more about saving content to Google Drive.

  • Borderline personality disorder, day hospitals, and mentalization
    • By Anthony W. Bateman, Consultant Psychiatrist and Psychotherapist Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK; Visiting Professor Halliwick Unit, Barnet, Enfield, and Haringey Mental Health Trust University College, London, UK, Peter Fonagy, Freud Memorial Professor of Psychoanalysis Director Sub-Department of Clinical Health Psychology, Chief Executive Anna Freud Centre, University College London, London, UK
  • Edited by Bert van Luyn, Salman Akhtar, Thomas Jefferson University, Philadelphia, W. John Livesley, University of British Columbia, Vancouver
  • Book: Severe Personality Disorders
  • Online publication: 14 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544439.009
Available formats
×