En studie av självdestruktiva Borderlinepatienters motivation att fortsätta Dialektisk Beteendeterapi
Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Keeping patients with Borderline personality disorder in psychotherapeutic treatment is a well recognized clinical challenge. This study examines how impulses to self injury and therapeutic intervention influence desire to end treatment. The current study is based on 35 patients that had been randomized to dialectical behaviour therapy (DBT). 128 diary cards in which impulses to self injury change during the sessions were analyzed. A significant decrease in the intensity of impulses to self injury at the end of the session was found for the study group. Patients who were able to decrease their impulses were also less likely to want to end treatment. Interestingly for a few patients the reverse occurred. Therapists can, and should, ask self harming patients about the current intensity of their impulses to self-injure at every therapy session; in order to help patients regulate emotions that can reduce the desire to end therapy. For some patients the reverse can be true, and needs to be assessed and addressed.
Place, publisher, year, edition, pages
2008. , 33 p.
Borderline personality disorder, Dialectical behaviour therapy, Emotion regulation, Drop Out
IdentifiersURN: urn:nbn:se:su:diva-7398OAI: oai:DiVA.org:su-7398DiVA: diva2:198186
Nilsonne, Åsa, Professor of Medical PsychologyLundberg, Ulf, Professor
Jansson, Billy, Universitetslektor