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Therapeutic Community Treatment for Personality Disordered Adults: Changes in Neurotic Symptomatology on Follow-Up

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  • Bridget M. Dolan
  • Chris Evans
  • James Wilson

Abstract

Personality disordered patients are important as they place high continuing demands on services and are often refractory to traditional treatments. Often personality disorders may co-exist with neurotic symptomatology, worsening prognosis of the latter. This paper reports change in neurotic symptomatology following intensive, long term, therapeutic community treatment for such patients. Sixty two subjects with personality disorder were followed up for eight months after discharge (response rate 65%). Results showed a highly significant reduction in symptomatic distress as measured by the SCL.-90R questionnaire. Investigation of the reliability and clinical importance of the change in individual subjects demonstrated that 55% of subjects had improved reliably, and in 32% this change was also clinically significant, whilst only 6.5% of subjects had deteriorated reliably.

Suggested Citation

  • Bridget M. Dolan & Chris Evans & James Wilson, 1992. "Therapeutic Community Treatment for Personality Disordered Adults: Changes in Neurotic Symptomatology on Follow-Up," International Journal of Social Psychiatry, , vol. 38(4), pages 243-250, December.
    • Handle: RePEc:sae:socpsy:v:38:y:1992:i:4:p:243-250
    DOI: 10.1177/002076409203800401
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    1. Lee Cronbach, 1951. "Coefficient alpha and the internal structure of tests," Psychometrika, Springer;The Psychometric Society, vol. 16(3), pages 297-334, September.
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