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Indications for hospitalization in the treatment of borderline patients

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Abstract

Hospitalization is an important component in the treatment of some borderline patients, yet features of the borderline syndrome make the decision to hospitalize a complex one. This paper considers alternatives to hospitalization as well as indications for use of the hospital in the treatment of borderline patients. The roles of brief hospitalization and of extended inpatient treatment are considered separately.

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References

  1. 1.

    Kass F, Spitzer RL, Williams JBW: An empirical study of the issue of sex bias in the diagnostic criteria of DSM-III Axis II personality disorders.Am. Psychologist 38799–810, 1983.

  2. 2.

    Frances A: A critical review of four DSM-III personality disorders: the borderline, avoidant, dependent, and passive-aggressive. In Tischler G (ed.) DSM-III: an interim appraisal,American Psychiatric Association Press, Washington, D.C. (in press).

  3. 3.

    Koenigsberg HW, Kaplan RD, Gillmore MM, Cooper AM: The relationship between syndrome and personality disorder in DSM-III: experience with 2462 patients,Am. J. Psychiatry 142207–212, 1985.

  4. 4.

    Friedman HJ: Some problems of inpatient management with borderline patients,Am. J. Psychiatry 126299–304, 1969.

  5. 5.

    Adler G: Hospital treatment of borderline patients,Am. J. Psychiatry 13032–36, 1973.

  6. 6.

    Adler G: Hospital management of borderline patients and its relation to psychotherapy. In Hartocollis P (ed.)Borderline Personality Disorders: the Concept, the Syndrome, the Patient. New York, International Universities Press, 1977.

  7. 7.

    Wishnie HA: Inpatient therapy with borderline patients. In Mack JE (ed.):Borderline States in Psychiatry. New York, Grune & Stratton, 1975.

  8. 8.

    Crafoord C: Day hospital treatment for borderline patients: the institution as transitional object. In Hartocollis P (ed.):Borderline Personality Disorders: the Concept, the Syndrome, the Patient. New York, International Universities Press, 1977.

  9. 9.

    Pildis MJ, Soverow GJ, Salzman C, Wolf JG: Day hospital treatment of borderline patients: a critical perspective,Am. J. Psychiatry 135594–596, 1978.

  10. 10.

    Kernberg OF: Discussion of Adler G: Hospital treatment of borderline patients,Am. J. Psychiatry 13035–36, 1973.

  11. 11.

    Hartocollis P: Long-term hospital treatment for adult patients with borderline and narcissistic disorders,Bulletin Menninger Clinic 44212–226, 1980.

  12. 12.

    Bauer SF, Goldstein EG, Haran K, Flye B: The role of hospital milieu in structural diagnosis,Hosp. Comm. Psychiatry 31187–192, 1980.

  13. 13.

    Gunderson JG, Singer MT: Defining borderline patients: an overview,Am. J. Psychiatry 1321–9, 1975.

  14. 14.

    Perry JC, Klerman GL: The borderline patient,Arch Gen Psychiatry 35141–150, 1978.

  15. 15.

    Schafer R: The termination of brief psychoanalytic psychotherapy,Int. J. Psychoanalytic Psychotherapy 2135–148, 1973.

  16. 16.

    Nurnberg HG, Suh R: Limits: short-term treatment of hospitalized borderline patients,Comprehensive Psychiatry 2170–80, 1980.

  17. 17.

    Kernberg OF: Psychoanalytic object-relations theory, group processes, and administration: toward an integrative theory of hospital treatment,The Annual of Psychoanalysis 1363–388, 1973.

  18. 18.

    Burnham DL: The special-problem patient: victim or agent of splitting?,Psychiatry 29105–122, 1966.

  19. 19.

    Masterson JF: Treatment of the Borderline Adolescent: a Developmental Approach. New York, Wiley-Interscience, 1972.

  20. 20.

    Rosenfeld HA: Negative therapeutic reaction. In Giovacchini PL (ed.):Tactics and Techniques in Psychoanalytic Psychotherapy, Vol. II Countertransference. New York, Jason Aronson, 1975.

  21. 21.

    Kernberg OF: Structural Change and its Impediments. In Hartocollis P (ed.):Borderline Personality Disorders: the Concept, the Syndrome, the Patient. New York, International Universities Press, 1977.

  22. 22.

    Frances A, Clarkin JF: No treatment as the prescription of choice,Arch Gen Psychiatry 38542–545, 1981.

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Author information

Correspondence to Dr. Harold W. Koenigsberg M.D..

Additional information

The author thanks Drs. Otto F. Kernberg, Allen Frances and Richard Munich for their comments on an earlier version of this manuscript.

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Koenigsberg, H.W. Indications for hospitalization in the treatment of borderline patients. Psych Quart 56, 247–258 (1984). https://doi.org/10.1007/BF01064470

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Keywords

  • Public Health
  • Inpatient Treatment
  • Borderline Patient