“Back off means stay with me” perceptions of individuals with mild intellectual disability or borderline intellectual functioning about the group climate in a secure forensic setting

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Elien Neimeijer ◽  
Judith Kuipers ◽  
Nienke Peters-Scheffer ◽  
Peer Van der Helm ◽  
Robert Didden
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Intellectual Functioning ◽  
Mild Intellectual Disability ◽  
Group Climate ◽  
Content Type ◽  
Five Dimensions ◽  
Borderline Intellectual Functioning ◽  
Forensic Setting ◽  
Treatment Context ◽  
Fine Tune

Purpose The purpose of this study is to provide an in-depth account of how individuelas with a mild intellectual disabilitiy or borderline intellectual functioning (MID-BIF; IQ 50–85) perceive their group climate in a secure forensic setting. Giving voice to these service users may provide relevant insights for secure forensic settings. Design/methodology/approach The interpretative phenomenological analysis was used to explore what individuals with MID-BIF experience with regard to their group climate. Findings In the interviews about the four domains of group climate (i.e. repression, support, growth and atmosphere), five overarching dimensions appeared, namely, autonomy, uniformity, recognition, competence and dignity. Depending on the person and the (treatment) context in which he/she resides, these five dimensions relate to all four factors of the group climate instrument. Originality/value From the perspective of individuals with MID-BIF, this study contributes by providing a framework to “fine-tune” group climate on five dimensions. Training socio-therapists to be sensitive to interpret ambiguous signals on these dimensions can contribute to optimizing group climate in secure forensic settings.

Borderline intellectual functioning and neurodevelopmental disorders: prevalence, comorbidities and treatment approaches

2015 ◽  
Vol 9 (5) ◽  
pp. 275-283 ◽  
Author(s):  
Angela Hassiotis
Keyword(s):  
Neurodevelopmental Disorders ◽  
Service Use ◽  
Intellectual Functioning ◽  
Rapid Review ◽  
Mild Intellectual Disability ◽  
Treatment Approaches ◽  
Content Type ◽  
Borderline Intellectual Functioning ◽  
Previous Review ◽  
Evidence Summary

Purpose – The purpose of this paper is to provide a synthesis of the literature on the topic of developmental framework and health comorbidities of children and adults with borderline intellectual functioning (BIF) and neurodevelopmental disorders. Design/methodology/approach – A rapid review of the literature and hand searching of relevant papers from 1999 to 2015 was carried out. Totally, 21 papers were identified covering a range of perspectives from neurodevelopmental trajectories to prevalence, treatment and service use. Findings – All papers were utilised and complemented a previous review which, however, had not covered the aspect of treatment approaches for this population. As a group they appear to have distinctly different profiles from people with mild intellectual disability and of peers with average intelligence. Practical implications – The evidence summary indicates an ongoing interest by the international scientific community in the topic of BIF. This group are often lost in the health system and may not receive appropriate care given their unique clinical profile. More should be done to increase clinicians’ awareness of their health needs. Originality/value – The paper adds substantially to a previous review of the topic. An international collaboration may help to increase the profile of this work and lead to further changes in the care these individuals receive across the diagnostic and treatment spectrum.

Psychopathology in borderline intellectual functioning: a narrative review

2018 ◽  
Vol 12 (1) ◽  
pp. 22-33 ◽  
Author(s):  
Carlos Peña-Salazar ◽  
Francesc Arrufat ◽  
Josep Manel Santos ◽  
Ramón Novell ◽  
Juan Valdés-Stauber
Keyword(s):  
Mental Disorders ◽  
Mental Health Professionals ◽  
Psychiatric Comorbidity ◽  
Psychotic Disorders ◽  
Intellectual Functioning ◽  
Mild Intellectual Disability ◽  
Content Type ◽  
Mediating Role ◽  
Borderline Intellectual Functioning ◽  
Post Traumatic

Purpose Studies on psychiatric comorbidity in individuals with borderline intellectual functioning (BIF) are scarce, particularly with respect to certain diseases frequently observed in clinical practice. The purpose of this paper is to discuss the relevance of epidemiological research to psychiatric comorbidity in people with BIF. Design/methodology/approach Systematic searches of MEDLINE, EMBASE and Cochrane databases. Inclusion criteria: publications about BIF appearing between 1995 and 2017; epidemiological findings about comorbid mental disorders in individuals with BIF; and studies comparing BIF, mild intellectual disability (ID) and normal intellectual functioning. The discussion covers 24 of the 224 studies initially considered. Findings The most frequent psychiatric comorbidity reported was personality, post-traumatic as well as psychotic disorders, followed by psychosis, attention deficit and hyperactivity disorder, bipolar and sleep disorders. Individuals with BIF exhibit psychiatric comorbidity more frequently than individuals with normal intellectual functioning. Some psychiatric comorbidities were similarly prevalent in patients with BIF and those with mild or moderate ID; however, the prevalence was always higher in people with severe ID. Environmental factors, especially psychosocial adversity, seem to play an important mediating role. Pharmacotherapy is the most common treatment approach, including behavioural disorders. Originality/value This review of literature on mental disorders in people with BIF demonstrates the epidemiological relevance of psychiatric comorbidity, especially personality and post-traumatic disorders. Mental health professionals, general practitioners and other workers in outpatient settings have to be aware about the vulnerability and even fragility of people with BIF.

Having a diagnosis of borderline personality disorder in a forensic setting: a qualitative exploration

2014 ◽  
Vol 16 (3) ◽  
pp. 228-240 ◽  
Author(s):  
Lucy Jade Lovell ◽  
Gillian Hardy
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Lived Experience ◽  
Interpretative Phenomenological Analysis ◽  
Sense Of Self ◽  
Borderline Personality ◽  
Power Dynamics ◽  
Structured Interviews ◽  
Content Type ◽  
Forensic Setting

Purpose – The purpose of this paper is to explore the lived experience of having a diagnosis of Borderline Personality Disorder (BPD) in a forensic setting. Design/methodology/approach – Semi-structured interviews were conducted with eight women with a diagnosis of BPD in private secure units. The interview data were analysed using interpretative phenomenological analysis (IPA). Findings – Four main themes emerged: identity, power, protection and containment, and confusion. The themes of identity, power and protection and containment represented polarised positions which in turn contributed to the theme of confusion. Research limitations/implications – There are limitations to this study mainly the heterogeneous nature of the sample. However, good quality control and the similarities with previous findings indicate that this study makes a valuable contribution to the understanding of BPD in a forensic setting. In addition it has implications for further research; exploring sense of self and the differences between a sample from a community and a sample from a forensic setting with a diagnosis of BPD. Practical implications – For practitioners to acknowledge power dynamics and to be able to formulate and address these with patients with a diagnosis of BPD. Originality/value – This is the first IPA study to ask women with a diagnosis of BPD in a forensic setting what their experience is. It is a qualitative study due to the need to genuinely explore the topic and to provide a basis for others to conduct further research.

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