How do intake clinicians use patient characteristics to select treatment for patients with personality disorders?

Treatment selection in clinical practice is a poorly understood, often largely implicit decision process, perhaps especially for patients with personality disorders. This study, therefore, investigated how intake clinicians use information about patient characteristics to select psychotherapeutic tr...

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Bibliographic Details
Published in:Psychotherapy research 2008-11, Vol.18 (6), p.711-718
Main Authors: Van Manen, Janine, Henk Kamphuis, Jan, Visbach, Geny, Ziegler, Uli, Gerritsen, Ad, Van Rossum, Bert, Rijnierse, Piet, Timman, Reinier, Verheul, Roel
Format: Article
Language:English
Subjects:
Adult
Feasibility Studies
Female
Humans
Individuality
Interview, Psychological
Male
Patient Selection
Personality Assessment
personality disorders
Personality Disorders - diagnosis
Personality Disorders - psychology
Personality Disorders - therapy
Psychotherapeutic Processes
Psychotherapy - methods
Psychotherapy, Brief - methods
Treatment Outcome
treatment selection
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Summary:Treatment selection in clinical practice is a poorly understood, often largely implicit decision process, perhaps especially for patients with personality disorders. This study, therefore, investigated how intake clinicians use information about patient characteristics to select psychotherapeutic treatment for patients with personality disorder. A structured interview with a forced-choice format was administered to 27 experienced intake clinicians working in five specialist mental health care institutes in the Netherlands. Substantial consensus was evident among intake clinicians. The results revealed that none of the presented patient characteristics were deemed relevant for the selection of the suitable treatment setting. The appropriate duration and intensity are selected using severity or personal strength variables. The theoretical orientation is selected using personal strength variables.
ISSN:1050-3307
1468-4381
DOI:10.1080/10503300802326012