How do intake clinicians use patient characteristics to select treatment for patients with personality disorders?

被引:9
作者
Van Manen, Janine [1 ,2 ]
Kamphuis, Jan Henk [2 ]
Visbach, Geny [3 ]
Ziegler, Uli [4 ]
Gerritsen, Ad [5 ]
Van Rossum, Bert [5 ]
Rijnierse, Piet [6 ]
Timman, Reinier [7 ]
Verheul, Roel [1 ,2 ]
机构
[1] Viersprong Inst Studies Personal Disorders, NL-4661 EP Halsteren, Netherlands
[2] Univ Amsterdam, Dept Clin Psychol, NL-1018 WB Amsterdam, Netherlands
[3] Ctr Psychotherapy Gelderse Roos, Lunteren, Netherlands
[4] Zaans Med Ctr, Zaandam, Netherlands
[5] Altrecht, Zeist, Netherlands
[6] Ctr Psychotherapy Mentrum, Amsterdam, Netherlands
[7] Erasmus MC, Dept Med Psychol & Psychotherapy, Rotterdam, Netherlands
关键词
personality disorders; treatment selection;
D O I
10.1080/10503300802326012
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Treatment selection in clinical practice is a poorly understood, often largely implicit decision process, perhaps especially for patients with personality disorders. This study, therefore, investigated how intake clinicians use information about patient characteristics to select psychotherapeutic treatment for patients with personality disorder. A structured interview with a forced-choice format was administered to 27 experienced intake clinicians working in five specialist mental health care institutes in the Netherlands. Substantial consensus was evident among intake clinicians. The results revealed that none of the presented patient characteristics were deemed relevant for the selection of the suitable treatment setting. The appropriate duration and intensity are selected using severity or personal strength variables. The theoretical orientation is selected using personal strength variables.
引用
收藏
页码:711 / 718
页数:8
相关论文
共 31 条
[1]  
[Anonymous], 2006, PRINCIPLES THERAPEUT
[2]  
[Anonymous], PREVENTION TREATMENT, DOI DOI 10.1037/1522-3736.3.1.331
[3]   Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial [J].
Bateman, A ;
Fonagy, P .
AMERICAN JOURNAL OF PSYCHIATRY, 1999, 156 (10) :1563-1569
[4]   Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: An 18-month follow-up [J].
Bateman, A ;
Fonagy, P .
AMERICAN JOURNAL OF PSYCHIATRY, 2001, 158 (01) :36-42
[5]  
BEUTLER LE, 2002, COMPREHENSIVE HDB PS, V4, P255
[6]  
Castonguay L.G., 2006, PRINCIPLES THERAPEUT
[7]   Patients' characteristics, outcome and cost-benefit of hospital-based treatment for patients with personality disorder: A comparison of three different programmes [J].
Chiesa, M ;
Bateman, A ;
Wilberg, T ;
Friis, S .
PSYCHOLOGY AND PSYCHOTHERAPY-THEORY RESEARCH AND PRACTICE, 2002, 75 :381-392
[8]   Evaluating three treatments for borderline personality disorder: A multiwave study [J].
Clarkin, John F. ;
Levy, Kenneth N. ;
Lenzenweger, Mark F. ;
Kernberg, Otto F. .
AMERICAN JOURNAL OF PSYCHIATRY, 2007, 164 (06) :922-928
[9]   Comparison of brief dynamic and cognitive-behavioural therapies in avoidant personality disorder [J].
Emmelkamp, Paul M. G. ;
Benner, Ank ;
Kuipers, Antoinette ;
Feiertag, Guus A. ;
Koster, Harrie C. ;
van Apeldoorn, Franske J. .
BRITISH JOURNAL OF PSYCHIATRY, 2006, 189 :60-64
[10]  
Gabbard GO., 2000, PSYCHODYNAMIC PSYCHI