Smith G W, Ruiz-Sancho A, Gunderson J G
Intensive Outpatient Program, McLean Hospital, Belmont, Massachusetts 02478, USA.
Psychiatr Serv. 2001 Apr;52(4):532-3. doi: 10.1176/appi.ps.52.4.532.
Intensive outpatient programs are designed to promote patients' functioning in the community by offering a more intensive level of structure and support than was previously available for outpatients. This paper describes the intensive outpatient program at McLean Hospital in Belmont, Massachusetts, which is tailored for patients with borderline personality disorder. These patients are susceptible to control struggles and regressive behaviors in more restrictive treatment settings. Through frequent contact with clinicians and other patients in this group-oriented program, patients with borderline personality disorders appear to feel sufficiently "held" and understood to develop their functional capacities as outpatients.
强化门诊项目旨在通过提供比以往门诊患者所能获得的更为密集的组织架构和支持，来促进患者在社区中的功能发挥。本文描述了马萨诸塞州贝尔蒙特市麦克莱恩医院的强化门诊项目，该项目是为边缘型人格障碍患者量身定制的。这些患者在限制较多的治疗环境中容易出现控制冲突和退行行为。通过在这个以小组为导向的项目中与临床医生和其他患者频繁接触，边缘型人格障碍患者似乎能充分感受到被“接纳”和理解，从而发展出作为门诊患者的功能能力。
