title: Behavioural treatment of chronic, severe self-loathing in people with borderline personality disorder. Part 1: interrupting the self-loathing cycle.
abstract: OBJECTIVE
  The purpose of this article is to briefly outline difficulties in the standard behavioural treatment of severe chronic self-loathing in people with borderline personality disorder, and to follow with a fuller discussion on interrupting the self-loathing cycle. This is the first of a series of two articles on this topic. The second article focuses on the specific intervention of self-compassion and briefly mentions a range of other behavioural interventions.
  
  
  CONCLUSIONS
  Treating severe chronic self-loathing in people with borderline personality disorder can be challenging for client and clinician alike, with standard approaches often being ineffective. Assessment of reinforcers of the locked-in downward spiral of self-loathing will guide interventions for clients to interrupt this vicious cycle.
authors.affiliation: Waikato District Health Board, and Auckland University, Auckland, New Zealand. roykrawitz@xtra.co.nz
authors.forename: Roy
authors.initials: R
authors.lastname: Krawitz
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D001883:Borderline Personality Disorder / Q000628:therapy*; D006801:Humans; D012649:Self Concept