Inpatient Hospitalization for Borderline Patients: Process and Dynamics of Change in Long-and Short-Term Treatment
PROPONENTS OF SHORT-TERM inpatient treatment for borderline patients are agreed that it is the treatment of choice and that long-term hospitalization is indicated only when the former bas been tried and failed to enable satisfactory social adjustment or, when, from the onset, the regressive potential and destructive behavior of the patient cannot be contained and reversed. The literature describes quite well the advantages, stages, scope, and problems encountered in short-term hospitalization. Some of these contributions are now classics and are recommended highly (e.g., Friedman, 1969; Adler, 1973; Wishnie, 1975). Their essential point is that the borderline's regressive potential and the corresponding disruptiveness to the inpatient service are so great that only as a last resort should one undertake confinement longer than 10 to 30 days.