scholarly journals The weirdness of having a bunch of other minds like yours in the room: The lived experiences of mentalization‐based therapy for borderline personality disorder

2019 ◽  
Vol 93 (3) ◽  
pp. 572-586 ◽  
Author(s):  
Kathryn Jane Gardner ◽  
Karen M. Wright ◽  
Alison Elliott ◽  
Simon Graham ◽  
Peter Fonagy
2020 ◽  
Vol 18 (3) ◽  
pp. 283-591
Author(s):  
Teresa McDonagh ◽  
Agnes Higgins ◽  
Jenny Archer ◽  
Eoin Galavan ◽  
Greg Sheaf ◽  
...  

Author(s):  
Carla Chugani

The purpose of this article is to use poetic analysis to present evocative accounts of the lived experiences of individuals who have recovered from Borderline Personality Disorder (BPD). Individuals with BPD suffer from a complex set of clinical issues that may be worsened by stigmatization encountered in their general lives as well as from health care providers. I argue that one method of enhancing clinical service provision to individuals with BPD is to view their behavior within the context that it originally developed. Viewing behavior in context may enhance healthcare providers’ abilities to respond empathically and/or to assist clients in generating meaningful solutions to problems associated with BPD. The poems offered here represent six individual stories of the experience of BPD. These poems may serve as a reminder of the painful and often tragic circumstances in which “borderline” behaviors can develop. They may also be useful as tools to assist trainees in developing better understanding of how to work with individuals with BPD effectively and compassionately.


2019 ◽  
Author(s):  
Laura Friesen ◽  
Graham Gaine ◽  
Ellen Klaver ◽  
Kirsten Klingle ◽  
Devashree Parmar ◽  
...  

BACKGROUND Borderline personality disorder (BPD) is characterized by severe emotion dysregulation that is often complicated by comorbid diagnoses, deliberate self-harm, and chronic suicidal ideation. Unfortunately, current care pathways for individuals with BPD are strained by limited resources, inadequate training, and an overuse of emergency departments and crisis teams. Such barriers result in delayed access to effective treatment, which increases risk of deterioration, disability, and morbidity. A first step toward addressing these limitations of the current care pathway is to understand key stakeholders’ lived experiences in this pathway and their perspectives on potential solutions. OBJECTIVE The purpose of this paper is to present a protocol for a study that explores the lived experiences of the current care pathway from the perspectives of patients with BPD, as well as their caregivers and clinicians. METHODS A qualitative approach is most appropriate for the exploratory nature of the research objective. Accordingly, 3 to 6 patients with a diagnosis of BPD, 3 caregivers of individuals with BPD, and 3 clinicians of patients diagnosed with BPD will be invited to participate in individual, semistructured interviews that focus on service experiences. RESULTS It is anticipated that results will yield insight into the lived experiences of patients with BPD, caregivers, and clinicians and provide a better understanding of the perceived gaps in services and potential solutions. Results are expected to be available in 12 months. CONCLUSIONS This paper describes a protocol for a qualitative study that seeks to understand the lived experiences and perspectives of key stakeholders (patients, caregivers, and clinicians) on the current care pathway for BPD. Results will provide a basis for future research in this area and will have the potential to inform training, practice, and policy. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/14885


2021 ◽  
Author(s):  
Nompumelelo Ntshingila ◽  
Wendy Caluza ◽  
Marie Poggenpoel ◽  
Chris PH Myburgh

Abstract Background: Family members of people living with borderline personality disorder (BPD) experience a considerable objective and subjective burden. This article aims to report on a study that explored family members’ lived experiences of having a sibling with BPD in South Africa.Method: This qualitative study used in-depth phenomenological individual interviews, supported by participant observations and field notes for data collection. Data were analysed using Tesch’s thematic coding.Results: Seven participants were interviewed, and three themes emerged from the collected data. The study revealed that participants experienced multiple challenges in understanding, gaining control, and struggling to cope with their own lives. Participants also experienced the impact of a lack of communication and education. Lastly, the study revealed that the participants used individual coping mechanisms to cope with having a sibling with BPD.Conclusions: This research illuminated the challenges experienced by family members of a sibling with BPD. These findings provide a basis for recommendations for mental health nurses to promote the mental health of affected family members.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515303p1-7512515303p1
Author(s):  
Nadine Larivière ◽  
Kathy Dahl ◽  
Marc Corbière

Abstract Date Presented 04/19/21 Work participation is a documented occupational challenge in people with borderline personality disorder (BPD; Dahl et al., 2017; Lariviére et al., 2010, Cramer et al., 2006). Currently, there is no comprehensive intervention for this clientele regarding work reintegration and job tenure. The goal of this project is to develop an original intervention combining a literature review, clinical expertise, and lived experiences of persons with BPD. Primary Author and Speaker: Nadine Larivière Contributing Authors: Kajsa Lidstroem Holmqvist, Afsaneh Roshanai, Patrik Arvidsson, Gunnel Janeslött, Suzanne Marie White, and Marie Holmefur


10.2196/14885 ◽  
2020 ◽  
Vol 9 (8) ◽  
pp. e14885
Author(s):  
Laura Friesen ◽  
Graham Gaine ◽  
Ellen Klaver ◽  
Kirsten Klingle ◽  
Devashree Parmar ◽  
...  

Background Borderline personality disorder (BPD) is characterized by severe emotion dysregulation that is often complicated by comorbid diagnoses, deliberate self-harm, and chronic suicidal ideation. Unfortunately, current care pathways for individuals with BPD are strained by limited resources, inadequate training, and an overuse of emergency departments and crisis teams. Such barriers result in delayed access to effective treatment, which increases risk of deterioration, disability, and morbidity. A first step toward addressing these limitations of the current care pathway is to understand key stakeholders’ lived experiences in this pathway and their perspectives on potential solutions. Objective The purpose of this paper is to present a protocol for a study that explores the lived experiences of the current care pathway from the perspectives of patients with BPD, as well as their caregivers and clinicians. Methods A qualitative approach is most appropriate for the exploratory nature of the research objective. Accordingly, 3 to 6 patients with a diagnosis of BPD, 3 caregivers of individuals with BPD, and 3 clinicians of patients diagnosed with BPD will be invited to participate in individual, semistructured interviews that focus on service experiences. Results It is anticipated that results will yield insight into the lived experiences of patients with BPD, caregivers, and clinicians and provide a better understanding of the perceived gaps in services and potential solutions. Results are expected to be available in 12 months. Conclusions This paper describes a protocol for a qualitative study that seeks to understand the lived experiences and perspectives of key stakeholders (patients, caregivers, and clinicians) on the current care pathway for BPD. Results will provide a basis for future research in this area and will have the potential to inform training, practice, and policy. International Registered Report Identifier (IRRID) DERR1-10.2196/14885


Crisis ◽  
2020 ◽  
pp. 1-7
Author(s):  
Jacqueline M. Frei ◽  
Vladimir Sazhin ◽  
Melissa Fick ◽  
Keong Yap

Abstract. Psychiatric hospitalization can cause significant distress for patients. Research has shown that to cope with the stress, patients sometimes resort to self-harm. Given the paucity of research on self-harm among psychiatric inpatients, a better understanding of transdiagnostic processes as predictors of self-harm during psychiatric hospitalization is needed. The current study examined whether coping styles predicted self-harm after controlling for commonly associated factors, such as age, gender, and borderline personality disorder. Participants were 72 patients (mean age = 39.32 years, SD = 12.29, 64% male) admitted for inpatient treatment at a public psychiatric hospital in Sydney, Australia. Participants completed self-report measures of coping styles and ward-specific coping behaviors, including self-harm, in relation to coping with the stress of acute hospitalization. Results showed that younger age, diagnosis of borderline personality disorder, and higher emotion-oriented coping were associated with self-harm. After controlling for age and borderline personality disorder, higher levels of emotion-oriented coping were found to be a significant predictor of self-harm. Findings were partially consistent with hypotheses; emotion-oriented but not avoidance-oriented coping significantly predicted self-harm. This finding may help to identify and provide psychiatric inpatients who are at risk of self-harm with appropriate therapeutic interventions.


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