Yeomans F E, Gutfreund J, Selzer M A, Clarkin J F, Hull J W, Smith T E
Department of Psychiatry, Cornell University Medical College, and the New York Hospital, Westchester Division.
J Psychother Pract Res. 1994 Winter;3(1):16-24.
High patient drop-out rates have traditionally interfered with both treatment and study of patients with borderline personality disorder (BPD). The authors tested hypotheses that an adequate treatment contract, a positive therapeutic alliance, and the severity of illness would all correlate with continuation of treatment versus drop-out in a BPD cohort receiving psychodynamic psychotherapy. Therapists' contributions to the contract and to the alliance correlated with the length of treatment. Patients' impulsivity was negatively related to length of treatment. This study supports the view that the therapist's technique plays a role in engaging the borderline patient to remain in treatment.
传统上，高患者脱落率一直干扰着边缘型人格障碍（BPD）患者的治疗和研究。作者检验了以下假设：一份适当的治疗合同、积极的治疗联盟以及疾病的严重程度，都与接受心理动力心理治疗的BPD队列中治疗的持续情况与脱落情况相关。治疗师对合同和联盟的贡献与治疗时长相关。患者的冲动性与治疗时长呈负相关。这项研究支持了这样一种观点，即治疗师的技术在促使边缘型患者持续接受治疗方面发挥着作用。
