Skip to main content
SpringerLink
Log in

Dialektisch-behaviorale Therapie in der stationären Alkoholentwöhnung

Application of dialectical behavior therapy in in-patient treatment for alcohol dependency

  • Aktuelles
  • Published:
Der Nervenarzt Aims and scope Submit manuscript

Zusammenfassung

Die dialektisch-behaviorale Therapie (DBT) wurde ursprünglich für suizidale Borderline-Patientinnen entwickelt und wird mittlerweile in Form DBT-basierter Psychotherapien auch bei anderen Patientengruppen erfolgreich eingesetzt. In diesem Artikel werden die bisherigen Studien zur DBT-Behandlung von Borderline-Patienten mit komorbider Drogenabhängigkeit diskutiert und eine eigene Anwendung der DBT bei Alkoholpatienten mit komorbider Borderline-Persönlichkeitsstörung in der stationären Entwöhnungsbehandlung beschrieben. Da bei Patienten mit Alkoholabhängigkeit und komorbider Borderline-Persönlichkeitsstörung mit einer schwereren klinischen Problematik und weniger befriedigenden Therapieverläufen zu rechnen ist, ist zu hoffen, dass durch diese neuen Ansätze die Therapieergebnisse bei dieser Patientengruppe verbessert werden können.

Summary

Dialectical behavior therapy (DBT) was originally developed for suicidal female patients with borderline personality disorder (BPD). Meanwhile, DBT-based approaches to psychotherapy have also been successfully applied in other clinical groups. Previous studies of DBT in patients suffering from BPD and comorbid drug addiction are discussed, and an approach to DBT that has been devised by the authors for use in the treatment of alcoholics with comorbid BPD is described. As these patients have more severe clinical problems and less satisfactory treatment responses than do alcoholics without comorbid BPD, we must hope that this new approach will improve clinical outcomes in these severely ill patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Bohus M (2002) Borderline-Störung. Hogrefe, Göttingen

  2. Bohus M, Haaf B, Simms T et al. (2004) Effectiveness of inpatient dialectical behavioral therapy for borderline personality disorder: a controlled trial. Behav Res Ther 42:487–499

    Google Scholar 

  3. Bohus M, Haaf B, Stiglmayr C et al. (2000) Evaluation of inpatient dialectical-behavioral therapy for borderline personality disorder—a prospective study. Behav Res Ther 38:875–887

    Google Scholar 

  4. Dannegger E (2002) Konzept Klinik Glöcklehof. http://www.gloecklehof-klinik.de/.

  5. Dimeff L, Rizvi SL, Brown M et al. (2000) Dialectical behavior therapy for substance abuse: a pilot application to methamphetamine-dependent women with borderline personality disorder. Cognit Behav Pract 7:457–468

    Google Scholar 

  6. Eccleston L, Sorbello L (2002) The RUSH-Program—Real Understanding of Self-Help: a suicide and self-harm prevention initiative within a prison setting. Aust Psychol 37:237–244

    Google Scholar 

  7. Evershed S, Tennant A, Boomer D et al. (2003) Practice-based outcomes of dialectical behavirour therapy (DBT) targeting anger and violence, with male forensic patients: a pragmativ and non-contemporaneous comparison. Crim Behav Ment Health 13:198–213

    Google Scholar 

  8. Hesslinger B, Philipsen A, Richter H (2004) Psychotherapie der ADHS im Erwachsenenalter—ein Arbeitsbuch. Hogrefe, Göttingen

  9. Hesslinger B, Tebartz van Elst L, Nyberg E et al. (2002) Psychotherapy of attention deficit hyperactivity disorder in adults—a pilot study using a structured skills training program. Eur Arch Psychiatry Clin Neurosci 252:177–184

    Google Scholar 

  10. Lieb K, Zanarini MC, Schmahl C et al. (2004) Borderline personality disorder. Lancet 364:453–461

    Google Scholar 

  11. Linehan MM (1996) Dialektisch-Behaviorale Therapie der Borderline-Persönlichkeitsstörung. CIP-Medien, München

  12. Linehan MM (1996) Trainingsmanual zur Dialektisch-Behavioralen Therapie der Borderline-Persönlichkeitsstörung. CIP-Medien, München

  13. Linehan MM, Schmidt H, Dimeff LA et al. (1999) Dialectical beavior therapy for patients with borderline personality disorder and drug-dependence. Am J Addict 8:279–292

    Google Scholar 

  14. Linehan MM, Dimeff LA, Reynolds SK et al. (2002) Dialectical behavior therapy versus comprehensive validation therapy plus 12-step for the treatment of opioid dependent women meeting criteria for borderline personality disorder. Drug Alcohol Depend 67:13–26

    Google Scholar 

  15. Martinez-Raga J, Marshall EJ, Keaney F et al. (2002) Unplanned versus planned discharges from in-patient alcohol detoxification: retrospectice analysis of 470 first-episode admissions. Alcohol Alcohol 37:277–281

    Google Scholar 

  16. Mayer-Bruns F, Böhme R, Frank U (2003) Supervision in der Dialektisch Behavioralen Therapie der Borderline-Persönlichkeitsstörung. Verhaltensther Verhaltensmed 24:307–328

    Google Scholar 

  17. McCann RA, Ball EM, Ivanoff A (2000) DBT with an inpatient forensic population: the CMHIP forensic model. Cognit Behav Pract 7:447–456

    Google Scholar 

  18. Moggi F (2002) Doppeldiagnosen: Komorbidität psychischer Störungen und Sucht. Huber, Bern

  19. Morgenstern J, Langenbucher J, Labouvie E et al. (1997) The comobidity of alcoholism and personality disorders in a clinical population: prevalence rates and relation to alcohol typology variables. J Abnorm Psychol 106:74–84

    Google Scholar 

  20. Nace EP, Davis CW (1993) Treatment outcome in substance-abusing patients with a personality disorder. Am J Addict 2:26–33

    Google Scholar 

  21. Nace EP, Saxon JJ, Shore N (1983) A comparison of borderline und nonborderline alcoholic patients. Arch Gen Psychiatry 40:54–56

    Google Scholar 

  22. Nace EP, Saxon JJ, Shore N (1986) Borderline personality disorder and alcoholism treatment: a one-year follow-up study. J Stud Alcohol 47:196–200

    Google Scholar 

  23. Oldham JM, Skodol AE, Kellman HD et al. (1995) Comobidity of axis I and axis II disorders. Am J Psychiatry 152:571–578

    Google Scholar 

  24. Palmer RL, Birchall H, Damani S et al. (2003) A dialectial behaviror therapy program for people with an eating disorder and borderline personality disorder—description and outcome. Int J Eat Disord 33:281–286

    Google Scholar 

  25. Skodol AE, Oldham JM, Gallaher PE (1999) Axis II comorbidity of substance use disorders among patients referred for treatment of personality disorders. Am J Psychiatry 156:733–738

    Google Scholar 

  26. Telch CF, Agras WS, Linehan MM (2001) Dialectical behavior therapy for binge eating disorder. J Consult Clin Psychol 69:1061–1105

    Google Scholar 

  27. Thomas VH, Lubbock TX, Melchert TP et al. (1999) Substance dependence and personality disorders: comorbidity and treatment outcome in an inpatient treatment population. J Stud Alcohol 60:271–277

    Google Scholar 

  28. Trull TJ, Sher KJ, Minks-Brown C et al. (2000) Borderline Personality disorder and substance use disorders: a review and integration. Clin Psychol Rev 20:235–253

    Google Scholar 

  29. Van Horn DHA, Frank AF (1998) Substance-use situations and abstinence predictions in substance abusers with and without personality disorders. Am J Drug Alcohol Abuse 24:395–404

    Google Scholar 

  30. Verheul R, van den Bosch LMC, Koeter MWJ et al. (2003) Dialectical behaviour therapy for women with borderline personality disorder. Br J Psychiatry 182:135–140

    Article  PubMed  Google Scholar 

  31. Wisniewski L, Kelly E (2003) The application of dialectical behavior therapy to the treatment of eating disorders. Cognit Behav Pract 10:131–138

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Rehaklinik Glöcklehof, Schluchsee

    F. Mayer-Bruns & E. Dannegger

  2. Abteilung Psychiatrie und Psychotherapie, Universitätsklinikum, Freiburg

    K. Lieb & G. A. Jacob

  3. Rehaklinik Glöcklehof, Hinterhäuser 21, 79859, Schluchsee

    F. Mayer-Bruns

Authors
  1. F. Mayer-Bruns
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Lieb
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. E. Dannegger
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. G. A. Jacob
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to F. Mayer-Bruns.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mayer-Bruns, F., Lieb, K., Dannegger, E. et al. Dialektisch-behaviorale Therapie in der stationären Alkoholentwöhnung. Nervenarzt 76, 339–343 (2005). https://doi.org/10.1007/s00115-004-1860-y

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00115-004-1860-y

Schlüsselwörter

Keywords

Search

Navigation