scholarly journals The Lived Experiences of Family Members of a Sibling with Borderline Personality Disorder in South Africa: A Qualitative Study

2021 ◽  
Author(s):  
Nompumelelo Ntshingila ◽  
Wendy Caluza ◽  
Marie Poggenpoel ◽  
Chris PH Myburgh
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Qualitative Study ◽  
Lived Experiences ◽  
Family Members ◽  
Borderline Personality ◽  
Subjective Burden ◽  
The Impact

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.

Targeted Clinical Education for Staff Attitudes Towards Deliberate Self-Harm in Borderline Personality Disorder: Randomized Controlled Trial

2008 ◽  
Vol 42 (11) ◽  
pp. 981-988 ◽  
Author(s):  
Amanda J. Commons Treloar ◽  
Andrew J. Lewis
Keyword(s):  
Mental Health ◽  
Emergency Medicine ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Clinical Education ◽  
Controlled Trial ◽  
Borderline Personality ◽  
Deliberate Self Harm ◽  
Self Harm ◽  
The Impact

Objective: The aim of the present study was to assess the impact of attending targeted clinical education on borderline personality disorder on the attitudes of health clinicians towards working with deliberate self-harm behaviours commonly exhibited by patients diagnosed with this complex disorder. Comparisons of clinicians across service settings, occupational fields, and other demographic areas were also made. Method: A purpose-designed demographic questionnaire and the Attitudes Towards Deliberate Self-Harm Questionnaire were used to collect the demographic information and assess the attitudes of 99 mental health and emergency medicine practitioners across two Australian health services and a New Zealand health service, both before and after education attendance. Results: Statistically significant improvements in attitude ratings were found for both emergency medicine clinicians and mental health clinicians in working with deliberate self-harm behaviours in borderline personality disorder, following attendance at the education program with a medium affect size (t(32)=−3.45, p=0.002, d=0.43 and t(65)=−5.12, p=0.000, d=0.42, respectively). Clinicians across occupational areas of nursing, allied health, and medical fields demonstrated equivocal levels of improvement in their attitude ratings. Conclusions: Results are discussed in terms of the necessity of providing regular access to targeted clinical education for health professionals working with patients diagnosed with borderline personality disorder.

scholarly journals “Imperfect Love”: The Effect of Borderline Personality Disorder Symptoms and Relationship Commitment on Relationship Satisfaction

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Grace White ◽  
Roberta Napoleon
Keyword(s):  
Mental Health ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Romantic Relationships ◽  
Relationship Satisfaction ◽  
Borderline Personality ◽  
Protective Effects ◽  
Committed Relationships ◽  
Relationship Type ◽  
The Impact

This study aimed to determine the connection between borderline personality disorder (BPD) symptom-endorsement and relationship satisfaction. Individuals in romantic relationships often report higher levels of overall life satisfaction and functioning. However, the experience of emotional distress or disability may impair one’s ability to benefit from the protective effects of a romantic dyad. Therefore, understanding the impact that individual mental health may have on perceptions of satisfaction in romantic relationships may be of importance. Additionally, the role that relationship type, such as committed vs. non-committed relationships, can have on assessments of satisfaction for individuals who experience BPD symptoms is of interest. 433 participants self-reported their experiences with BPD symptoms using the Borderline Symptoms List 23 [1] and relationship type (committed vs. non-committed). The Relationship Satisfaction Assessment [2]was completed to determine individuals’ happiness and fulfillment within their interpersonal relationships. Findings indicated that endorsement of BPD symptoms had a significant negative association with self-reported relationship satisfaction. Relationship type was also a significant indicator of relationship satisfaction. Thus, those in committed relationships reported higher levels of overall satisfaction than those in non-committed relationships. This research suggests that both the experience of certain mental health issues and commitment to a relationship may determine overall feelings of fulfillment in romantic relationships. Additional research is necessary to replicate and explore the impact of this association.

scholarly journals Families and friends group: a group that straddles teaching, support and transformation

2018 ◽  
Vol 52 (3) ◽  
pp. 283-296 ◽  
Author(s):  
Michelle Radcliffe ◽  
Jale Cilasun
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Support Groups ◽  
Family Members ◽  
Borderline Personality ◽  
Depth Information ◽  
The Individual ◽  
Education Support ◽  
The Impact ◽  
Analytical Approaches

This article describes the structure, process and evaluation of a families and friends group in a personality disorder treatment service for people experiencing Borderline Personality Disorder using a Mentalization Based Therapy model. We highlight the benefits of working with family members and consider the differences between psycho-education, support groups and group-analytical approaches. Inclusion of families in recovery is well argued. Providing support and education for family members can improve communication and reduce burden in families. In the treatment of patients with Borderline Personality Disorder, the focus often remains upon meeting patients’ needs and not of those who support them. We used a formal evaluation of the effectiveness of the families and friends group in the areas of learning and support. Qualitative questions were used to gain more in depth information regarding the impact of the group. Our results support the approach of working with the family rather than only focusing on the individual. There was an improvement in the communication leading to positive change in relationships between family members and their loved ones. This takes place despite the group being a once a month and drop-in. However, as this was evaluation of one service, more research in this area is needed.

Primary care and suicidality among psychiatric outpatients: The patient-doctor relationship matters

2020 ◽  
pp. 009121742097799
Author(s):  
Krista Schultz ◽  
Sharan Sandhu ◽  
David Kealy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Primary Care Physician ◽  
Population Based ◽  
Borderline Personality ◽  
Care Physician ◽  
Cross Sectional

Objective The purpose of the current study is to examine the relationship between the quality of the Patient-Doctor Relationship and suicidality among patients seeking mental health care; specifically, whether patients who perceive having a more positive relationship with primary care physician will have lower levels of suicidality. Method Cross-sectional population-based study in Greater Vancouver, Canada. One-hundred ninety-seven participants were recruited from three Mental Health Clinics who reported having a primary care physician. Participants completed a survey containing questions regarding items assessing quality of Patient-Doctor Relationship, general psychiatric distress (K10), borderline personality disorder, and suicidality (Suicidal Behaviours Questionnaire-Revised-SBQ-R). Zero-order correlations were computed to evaluate relationships between study variables. Hierarchical regression analysis was used to control for confounding variables. Results The quality of the patient doctor relationship was significantly negatively associated with suicidality. The association between the quality of the patient-doctor relationship and suicidality remained significant even after controlling for the effects of psychiatric symptom distress and borderline personality disorder features. Conclusions The degree to which patients’ perceive their primary care physician as understanding, reliable, and dedicated, is associated with a reduction in suicidal behaviors. Further research is needed to better explicate the mechanisms of this relationship over time.

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