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The Development of a Self-Help Treatment Manual for People With Borderline Personality Disorder and the Preliminary Evaluation of Its Use.

Bell, Lorraine. (2000) The Development of a Self-Help Treatment Manual for People With Borderline Personality Disorder and the Preliminary Evaluation of Its Use. Doctoral thesis, University of Surrey (United Kingdom)..

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Abstract

The aim of this review was to analyse and summarise the research findings regarding which factors predict failure to engage (FTE) or drop-out from treatment for bulimia nervosa. A literature search was carried out with PubMed and PsychLit from 1985 to September 2000. Key terms searched were those classified as bulimia nervosa: outcome, FTE, drop-out and attrition. Outcome studies were also screened for inclusion of characteristics of those who failed to engage or dropped-out. Twenty eight studies were identified. They examined a range of factors - patient characteristics, patient-therapist and therapist factors. Three trials report different drop-out rates between treatments. Most samples studied are small and studies vary methodologically, making comparison difficult. FTE and drop-out is not a uniform phenomenon. The only robust finding for patient characteristics is that co-morbid borderline personality disorder increases the risk of FTE or drop-out. Discrepant expectations between patients and therapists may also contribute to drop-out. Drop-out is higher for medical treatment. Recommendations are made as to how clients may be more successfully engaged or maintained in treatment.

Item Type: Thesis (Doctoral)
Divisions : Theses
Authors : Bell, Lorraine.
Date : 2000
Additional Information : Thesis (Psy.D.)--University of Surrey (United Kingdom), 2000.
Depositing User : EPrints Services
Date Deposited : 30 Apr 2019 08:08
Last Modified : 20 Aug 2019 15:33
URI: http://epubs.surrey.ac.uk/id/eprint/851495

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