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

J van Manen, JH Kamphuis, G Visbach, U Ziegler, A (Ad) Gerritsen, B Van Rossum, P Rijnierse, Reinier Timman, R Verheul

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Abstract

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.
Original languageUndefined/Unknown
Pages (from-to)711-718
Number of pages8
JournalPsychotherapy Research
Volume18
Issue number6
DOIs
Publication statusPublished - 2008

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