ABSTRACT
In a follow-up study the long-term changes of borderline symptomatic of 14 patients with the diagnosis borderline personality disorder (criteria by Kernberg and Rorschach test) are compared with 13 patients with diagnosis schizophrenia and 16 patients with diagnosis depression (each case according to ICD-9 criteria). The Diagnostic Interview for Borderline Patients (DIB) is evaluated to comprehend the structure and kinds of borderline symptoms before and 4 years after treatment. Borderline patients are treated in a setting of client-centred group psychotherapy (twice a week, approximately 100 sessions). The treatment of the patients joining the control group is based on clinical standard. As a result all patients reduced the borderline-like symptoms. However, the most significant changes can be seen in the borderline group. 2 out of 14 borderline patients still fulfill the DIB Criteria of borderline personality disorder. Nevertheless, there are differences in the reduction of specific categories of borderline symptoms. The greatest changes are in the categories "loss of impulse control" and "psychotic episodes", whereas there are only slight improvements in the category "interpersonal relationships".
Subject(s)
Borderline Personality Disorder/psychology , Borderline Personality Disorder/therapy , Person-Centered Psychotherapy , Psychotherapy, Group , Adult , Affect , Disruptive, Impulse Control, and Conduct Disorders/psychology , Female , Follow-Up Studies , Humans , Interpersonal Relations , Interview, Psychological , Male , Psychiatric Status Rating Scales , Psychotic Disorders/psychology , Schizophrenia/therapy , Schizophrenic PsychologyABSTRACT
The results of studies to explore the discriminative validity of a german version of the "Diagnostic Interview for Borderlines" ("DIB" from Gunderson et al.) are reported. The DIB is suited to differentiate clinically diagnosed borderline personality disorders from schizophrenics and neurotic depressives. The concurrent validity of the DIB may be enlarged by modifications of the proposed scaling system.
Subject(s)
Borderline Personality Disorder/diagnosis , Depressive Disorder/diagnosis , Personality Assessment/statistics & numerical data , Psychiatric Status Rating Scales/statistics & numerical data , Schizophrenia/diagnosis , Schizophrenic Psychology , Adult , Borderline Personality Disorder/psychology , Depressive Disorder/psychology , Diagnosis, Differential , Female , Hospitalization , Humans , Interview, Psychological , Male , PsychometricsABSTRACT
At the admittance of patients to a psychiatric clinic, the diagnostic judgement of physicians with different functions was investigated. There was a great variability of statements on the severity, the consequences of the disease, and the social behaviour of the patients, dependent on the functions of the respective physicians who always tended to observe and judge first of all those sides of the disease that concerned their special fields of responsibility.
Subject(s)
Mental Disorders/diagnosis , Physician-Patient Relations , Adult , Diagnosis, Differential , Female , Hospitals, Psychiatric , Humans , Male , Mental Disorders/psychology , Patient Care TeamABSTRACT
Ways to come to an indication for Client-centered Therapy are described. Client-centered Therapy is defined as a psychotherapeutic method. The present state of empirical knowledge is summarized and discussed including aspects of differential indication for psychotherapy. The article includes some comments about the interaction of the problem of psychotherapy-indication and the social status of psychologists within the traditional medical health system of the Federal Republic of Germany.
Subject(s)
Mental Disorders/rehabilitation , Person-Centered Psychotherapy/methods , Humans , Mental Disorders/psychology , Professional-Patient Relations , Social AdjustmentABSTRACT
Several effects of client-centered therapy were predicted on the basis of a short intake-interview divided into two parts: an exploration-phase and a quasi-therapy-phase. Elements of the international behavior and elements of the intrapersonal exploration of the client were rated by neutral observers and served as predictor variables as well as ratings of the experiences in the two interview situations by the client himself. Our population were 29 out-patients of a psychiatric clinic. We could demonstrate, that on the basis of an 45-minutes intake-interview it is possible to make a rather good prediction of the therapy outcome -- measured by several clinically relevant personality scales -- though therapists and interviewer were not identical and though there was a waiting period of several weeks between the interview and the start of therapy and though the therapists were rather unexperienced.
Subject(s)
Interview, Psychological , Outcome and Process Assessment, Health Care , Psychotherapy/methods , Communication , Humans , Personality , PrognosisABSTRACT
One fixed day the doctors of a Psychiatric University Clinic were asked what form of therapy would be best for each of their inpatients (n = 164), and whether these patients could leave the inpatient treatment in case the desired ambulant therapy institutions existed. Half a year after this inquiry questionnaires were sent to the patients, and 104 replies were received. The opinions of the patients which treatment would have bee best for them were compared the doctors' judgements. Both, doctors and patients wanted more ambulant therapy opportunities than existed. There was little unity between doctors and patients about the question with patient would profit from what sort of therapy. We assume that a deciding factor in this disagreement between doctors and patients is the doctor-patient-relationship.
