Citation

Tschöke S, Hund S, Bichescu-Burian D, Truöl S, Steinert T. Psychiatr. Prax. 2020; 47(6): 337-339.

Copyright

(Copyright © 2020, Georg Thieme Verlag)

DOI

10.1055/a-1182-3252

PMID

32688425

Abstract

The clinical course of borderline personality disorder with persistent suicidal communication and self-destruction is often characterized by freedom-restricting interventions, long-term hospitalization, and a lack of commitment for disorder-oriented treatment. We present the course of a 31-year-old man who was offered the free choice between disorder-oriented treatment or discharge from in-patient treatment. The clinical decision to offer the choice to the patient was based on the judgment of given capacity of self-determination except for short periods of acute crisis. Deliberate refraining from the use of coercive interventions and demanding responsibility for change from the patient paved the way for psychotherapeutic treatment and the reactivation of his own skills.

Language: de

Keywords

Humans; Adult; Male; Germany; Self-Injurious Behavior; Suicidal Ideation; Coercion; Borderline Personality Disorder