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Strategies For Securing Commitment To Treatment From Individuals Diagnosed With Borderline Personality Disorder

Denise D. Ben-Porath
Published 2004 · Psychology

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Individuals diagnosed with borderline personality disorder (BPD) are notoriously difficult to engage in treatment. The purpose of this paper is to highlight therapeutic strategies that are likely to facilitate early alliance in therapy with individuals diagnosed with BPD. The seven strategies include, collaborative assessment, the use of contracts, motivational interviewing, linking treatment targets to client goals, commitment strategies, validation, and the use of metaphors. Clinical vignettes are presented to elucidate the concepts described and demonstrate their use in clinical practice.
This paper references
10.1176/APPI.PSYCHOTHERAPY.1963.17.4.660
SUBJECTIVE EXPERIENCES OF OUTPATIENT PSYCHOTHERAPY; A FOLLOW-UP STUDY.
I. Kamin (1963)
10.1111/J.1939-0025.1963.TB00376.X
Expectations of psychotherapy in patients of lower socioeconomic class.
B. Overall (1963)
10.1037/H0025009
Compliance without pressure: The effect of guilt.
J. Freedman (1967)
10.1037/032731
Self-Directed Behavior: Self-Modification for Personal Adjustment
D. L. Watson (1972)
10.1037/H0076284
Reciprocal Concessions Procedure for Inducing Compliance: The Door-in-the-Face Technique
R. Cialdini (1975)
10.1192/BJP.128.4.361
Deliberate self-harm: a follow-up study of 279 patients.
H. Morgan (1976)
10.1111/j.1939-0025.1977.tb00983.x
Initial clinical interaction and premature discontinuance in treatment.
W. D. Duehn (1977)
The Clinical psychology handbook
M. Hersen (1983)
10.1097/00005053-198307000-00003
Is there a characteristic pattern to the treatment history of clinic outpatients with borderline personality?
A. Skodol (1983)
10.1037/0022-006x.51.3.390
Stages and processes of self-change of smoking: toward an integrative model of change.
J. Prochaska (1983)
10.1017/S0141347300006583
Motivational Interviewing with Problem Drinkers
W. R. Miller (1983)
Self-verification: Bringing social reality into harmony with the self
W. B. Swann (1983)
Is there a characteristic pattern to the treatment history of clinical outpatients with borderline personality disorder
A. 447–458. Skodal (1983)
10.1176/APPI.PSYCHOTHERAPY.1984.38.2.190
Completed psychotherapies with borderline patients.
R. Waldinger (1984)
10.4324/9780203765739
Using Metaphors In Psychotherapy
P. Barker (1985)
Deliberate self-harm and predictions of outpatient attendance
G. O’Brien (1986)
10.1192/BJP.150.2.246
Deliberate self-harm and predictors of out-patient attendance.
G. O'Brien (1987)
Object relations therapy: Using the relationship.
Sheldon Cashdan (1988)
10.1097/00005053-198901000-00006
Early Discontinuance of Borderline Patients from Psychotherapy
J. Gunderson (1989)
10.1037/0022-0167.37.1.16
Working alliance in the early phase of counseling.
Anna M. Kokotovic (1990)
Clinical objective personality assessment.
S. Finn (1991)
Motivational Interviewing: Preparing People to Change Addictive Behavior
W. Miller (1991)
10.1001/ARCHPSYC.1991.01810360024003
Cognitive-behavioral treatment of chronically parasuicidal borderline patients.
M. Linehan (1991)
10.1037/1040-3590.4.3.278
Therapeutic effects of providing MMPI-2 test feedback to college students awaiting therapy.
S. Finn (1992)
Treating The Borderline Patient: A Contract-based Approach
F. Yeomans (1992)
10.4278/0890-1171-6.6.424
Using the Stages of Change Model to Increase the Adoption of Physical Activity among Community Participants
B. Marcus (1992)
10.1016/0306-4603(92)90051-V
Attendance and outcome in a work site weight control program: processes and stages of change as process and predictor variables.
J. Prochaska (1992)
On the use of a metaphor to establish therapeutic alliance with borderline and schizophrenic adolescents
K. Minakawa (1992)
On the use of a metaphor to establish therapeutic alliance with borderline
(1992)
On the use of a metaphor to establish therapeutic alliance with borderline and schizophrenic adolescents
K. Minakawa (1992)
Using the stages of change model to increase adoption of physical activity among community patients
B. H. Marcus (1992)
10.1001/ARCHPSYC.1993.01820240055007
Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients.
M. Linehan (1993)
10.1037/H0101190
The Therapeutic Alliance Rupture as a Transtheoretical Phenomenon: Definitional and Conceptual Issues
J. Safran (1993)
10.1037/0022-006X.61.3.455
Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles.
W. Miller (1993)
Cognitive-Behavioral Treatment of Borderline Personality Disorder
Marsha M. Linehan (1993)
Clinical strategies and techniques
M. A. Layden (1993)
Factors Related to Drop-outs by Borderline Patients : Treatment Contract and Therapeutic Alliance.
F. Yeomans (1994)
10.1037/0022-006X.64.3.447
The resolution of ruptures in the therapeutic alliance.
J. Safran (1996)
10.1176/AJP.153.6.752
The borderline patient's intolerance of aloneness: insecure attachments and therapist availability.
J. Gunderson (1996)
10.1136/EMJ.13.6.432-B
Deliberate self harm.
S. Gilbody (1996)
10.1037/10226-016
Validation and psychotherapy.
M. Linehan (1997)
10.1111/J.1943-278X.1998.TB00639.X
Inadequate response to therapy as a predictor of suicide.
K. Dahlsgaard (1998)
10.1037/0022-006x.66.3.574
Brief motivational interviewing in a hospital setting for adolescent smoking: a preliminary study.
S. Colby (1998)
10.1891/0889-8391.12.3.282
Cognitive Therapy of Borderline Personality Disorder
Mary Anne Layden (1998)
10.1176/AJP.156.10.1563
Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial.
A. Bateman (1999)
10.1037/H0087822
Reducing psychotherapy dropouts: Maximizing perspective convergence in the psychotherapy dyad.
B. F. Reis (1999)
10.1192/bjp.177.2.138
Effectiveness of psychotherapeutic treatment of personality disorder
A. Bateman (2000)
10.1002/(SICI)1097-4679(200002)56:2<163::AID-JCLP3>3.0.CO;2-D
The therapeutic relationship: from transference to alliance.
A. Horvath (2000)
10.4135/9781412964500.n199
Motivational interviewing.
A. Gibson (2000)
10.1037/0033-3204.38.4.455
Expectations and preferences.
C. R. Glass (2001)
10.1016/S1077-7229(03)80020-2
Incorporating motivational interviewing into behavioral obesity treatment
V. DiLillo (2003)
10.1007/BF01815857
The analysis of premature termination in the borderline personality
M. Glazer (2005)



This paper is referenced by
10.1192/bjb.2020.48
Referral of patients with emotionally unstable personality disorder for specialist psychological therapy: why, when and how?
Matthew Roughley (2021)
10.2196/14885
Bridging the Gap in Community Care for Patients With Borderline Personality Disorder: Protocol for Qualitative Inquiry Into Patient, Caregiver, and Clinician Perspectives on Service Gaps and Potential Solutions for Severe Emotion Dysregulation
Laura Friesen (2020)
10.1016/j.cpr.2018.06.003
A systematic review of negative parenting practices predicting borderline personality disorder: Are we measuring biosocial theory's 'invalidating environment'?
N. Musser (2018)
10.1080/00332747.2016.1220230
Leaving Distress Behind: A Randomized Controlled Study on Change in Emotional Processing in Borderline Personality Disorder
Laurent Berthoud (2017)
When is a Metaphor? Art Psychotherapy and the Formation of the Creative Relationship Metaphor
D. Havsteen-Franklin (2016)
10.17547/KJSR.2016.24.3.193
Evaluating Enhanced Commitment Strategies to Reduce Drop-out in a Domestic Violence Victims Treatment Program
J. Lee (2016)
Treatment engagement of people in forensic personality disorder services
K. Wyse (2016)
10.1016/j.brat.2015.10.003
Examining challenging behaviors of clients with borderline personality disorder.
Samantha A Chalker (2015)
10.7205/MILMED-D-14-00248
Veterans' service utilization and associated costs following participation in dialectical behavior therapy: a preliminary investigation.
Laura L. Meyers (2014)
10.1017/ipm.2014.14
Understand me; believe in me; accept me as I am: perceptions of psychiatry of later life service
T. O. Grady (2014)
10.1080/1067828X.2012.735556
Therapeutic Engagement as a Predictor of Retention in Adolescent Therapeutic Community Treatment
Sami Abdel-Salam (2014)
10.1007/S12646-013-0181-2
Recommending Interventions for a Borderline Personality Disorder Patient
Shalini Choudhary (2013)
Improving Quality of Life for Patients with Major Depressive Disorder by Increasing Hope and Positive Expectations with Future Directed Therapy ( FDT ) by JENNICE
S. Vilhauer (2013)
Improving Quality of Life for Patients with Major Depressive Disorder by Increasing Hope and Positive Expectations with Future Directed Therapy (FDT).
J. Vilhauer (2013)
10.1002/J.1556-6676.2012.00041.X
Description of an Intensive Dialectical Behavior Therapy Program for Multidiagnostic Clients With Eating Disorders
A. Federici (2012)
10.1111/j.1440-1819.2012.02329.x
Predictors of dropout among personality disorders in a specialist outpatients psychosocial treatment: A preliminary study
F. Martino (2012)
10.1002/jclp.20811
A systematic review of measures of therapeutic engagement in psychosocial and psychological treatment.
A. Tetley (2011)
The Therapeutic Relationship in Dialectical Behavior Therapy: A Longitudinal Investigation in a Naturalistic Setting
S. E. Little (2011)
10.1007/978-1-59745-387-5
Handbook of Clinical Rating Scales and Assessment in Psychiatry and Mental Health
L. Baer (2010)
10.1080/02668731003707873
Self-harm – The solution not the problem: The Dialectical Behaviour Therapy Model
J. Feigenbaum (2010)
10.1016/j.cpr.2009.12.002
Non-completion of personality disorder treatments: a systematic review of correlates, consequences, and interventions.
M. McMurran (2010)
Evaluation and development of new intervention services for people with borderline personality disorder
Dan Webb (2009)
10.1002/PMH.69
A comparison of women who continue and discontinue treatment for borderline personality disorder
Daniel Webb (2009)
10.1007/978-1-59745-387-5_14
The Comprehensive Psychological Assessment
S. Smith (2009)
10.1016/j.brat.2009.01.013
Dialectical behaviour therapy skills training compared to standard group therapy in borderline personality disorder: a 3-month randomised controlled clinical trial.
J. Soler (2009)
Living on the borderline - An evaluation of the client impact and active ingredients of Dialectical Behaviour Therapy for Borderline Personality Disorder in Irish Adult Mental Health Settings
Austin A. Bayley (2008)
10.1016/J.CPR.2007.01.013
How does dialectical behavior therapy facilitate treatment retention among individuals with comorbid borderline personality disorder and substance use disorders?
M. Bornovalova (2007)
10.1080/09638230601182094
Dialectical behaviour therapy: An increasing evidence base
J. Feigenbaum (2007)
10.1023/B:JOCP.0000036697.03467.27
Changing Ideas About the Treatment of Borderline Personality Disorder
W. J. Livesley (2004)
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