Status and perspectives on research in psychotherapeutic treatment of borderline personality disorder

Borderline personlighedsforstyrrelse er en alvorlig psykisk lidelse, som historisk har været omgærdet med behandlingspessimisme. Artiklen opsummerer den eksisterende evidens for psykoterapeutisk behandling af borderline personlighedsforstyrrelse og konkluderer, at der er basis for moderat optimisme.Afslutningsvis peger artiklen på fremtidig forskning, som kan bringe feltet videre, herunder personaliseret psykoterapi med fokus på evidensbaserede principper snarere end specifikke former for behandlinger samt mere fokus på ekstraterapeutiske faktorer og patienternes livsverden.Borderline personality disorder is a serious mental disorder which historically has been the object of considerable therapeutic nihilism. This articleprovides a state-of-the-art review of the existing evidence on psychotherapeutic treatment of borderline personality disorder and concludes that thereis basis for moderate optimism, whilst also recognizing that there is plenty of room for improvement. We close the paper by pointing towards newareas for future research in order to move the field forward, including research on how to personalize psychotherapy to the individual patient, andmakes a plea to focus more on evidence-based principles rather than branded treatments, as well as highlighting the need more research and focus on extratherapeutic, social, and societal factors