TY  - JOUR
PY  - 2010//
TI  - [A psychodynamic approach to self-harm in patients with a borderline personality disorder.]
JO  - Tijdschrift voor Psychiatrie
A1  - Ghijsens, R.
A1  - Lowyck, B.
A1  - Vermote, R.
SP  - 321
EP  - 330
VL  - 52
IS  - 5
N2  - <span class="subtitle">summary background</span> Self-harm means deliberate tissue damage inflicted without suicidal intent. It occurs very frequently in patients with personality disorders, particularly in patients with a borderline personality disorder (<span class="abbreviation">bpd</span>). Earlier psychodynamic theories were concerned with the symbolic meaning of this type of behaviour, e.g. self-inflicted punishment. More recent theories, however, focus on the role of self-harm in basic psychic functioning, such as affect regulation. <span class="subtitle">aim </span>To demonstrate a more recent psychodynamic approach to the concept of self-harm and to outline the clinical implementation of this approach. <span class="subtitle">method </span>The literature on self-harm was reviewed systematically, particular attention beingpaid to more recent psychodynamic models. <span class="subtitle">results</span> Three dimensions of the psychic change are implemented in hospital-based treatment. Instead of the focus being on the symptoms, it is now on a broader psychotherapeutic process which aims at achieving a structural change in personality. The relation between the basic layer of this process and the therapeutic effect on self-harm in bpd is discussed. <span class="subtitle">conclusion </span>The described approach to self-harm plays an important role in the psychodynamic treatment of patients with <span class="abbreviation">bpd</span>. Current psychodynamic models of the treatment of <span class="abbreviation">bpd </span>provide a theoretical background which can be implemented in the actual clinical treatment.<p />  <p>Language: nl</p>
LA  - nl
SN  - 0303-7339
UR  - http://dx.doi.org/
ID  - ref1
ER  -