
Past Issues
Preventing Premature Discharge of a Patient with Borderline Personality Disorder by Psychodynamic Inpatient Management: A Case Report
Horng-Maw Chen, Ming-Shun Chung, Ching-Ming Cheng
A 30-year-old married male patient with an
educational level of junior high school had no
criminal record and history of illicit drug abuse,
was diagnosed with borderline personality disorder
(BPD). He had 17 psychiatric hospitalizations
in the past six years due to multiple suicidal attempts
and domestic violence. For those hospitalizations,
his average length of hospitalizations
was 12 days with a maximum of 23 days. He was
taken by different psychiatric teams, and he had
interpersonal confl icts with staff or other patients.
He got premature discharges each time after he
was arguing over the rules of the wards or he demanded
his discharge against medical advice.
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