Early discontinuance of borderline patients from psychotherapy.
Sixty newly hospitalized patients with borderline personality disorder who began psychotherapy were followed for 6 months. Thirty-six discontinued their therapy--most often (N = 26) this was due to covert opposition, familial resistance, or angry dissatisfaction with treatment. The dropouts were healthier on some baseline measures than those who continued in therapy. Clinical implications that may diminish dropouts are discussed.
Gunderson
J G
JG
McLean Hospital, Belmont, Massachusetts.
Frank
A F
AF
Ronningstam
E F
EF
Wachter
S
S
Lynch
V J
VJ
Wolf
P J
PJ
D000328:Adult; D001294:Attitude to Health; D001883:Borderline Personality Disorder / Q000523:psychology / Q000628:therapy*; D005190:Family; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D010352:Patient Dropouts / Q000523:psychology*; D010554:Personality Disorders / Q000628:therapy*; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011613:Psychotherapy; D012944:Social Support