Patients with Borderline Personality Disorder are difficult to manage in individual analytical psychotherapy, due to their instability, which is frequently related to a loss of self-exteem and identity confusion. Group therapy, traditionally used in these patients when they are hospitalised, is currently considered of particular interest for out-patients. Group therapy is frequently part of a multidimensional programme, including medication and different types of psychotherapy. Therapeutic communities has become especially widespread over the last few years in half-way institutions for Borderline personality disorders. The hospital-based therapeutic community combines socio-therapeutic treatment, psychotherapeutic treatment and the advantages of a hospital context and it has shown itself to be useful in the treatment of borderline personality disorder
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