Development of a Combined Group and Individual Intervention to Promote Work Integration and Job Tenure for People With Borderline Personality Disorder

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515303p1-7512515303p1
Author(s):  
Nadine Larivière ◽  
Kathy Dahl ◽  
Marc Corbière
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Lived Experiences ◽  
Borderline Personality ◽  
Work Participation ◽  
Clinical Expertise ◽  
Job Tenure ◽  
Comprehensive Intervention ◽  
Work Integration ◽  
Primary Author

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

Lived experiences of adults with borderline personality disorder

2020 ◽  
Vol 18 (3) ◽  
pp. 283-591
Author(s):  
Teresa McDonagh ◽  
Agnes Higgins ◽  
Jenny Archer ◽  
Eoin Galavan ◽  
Greg Sheaf ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Lived Experiences ◽  
Borderline Personality

scholarly journals Recovered Voices: Experiences of Borderline Personality Disorder

2016 ◽  
Author(s):  
Carla Chugani
Keyword(s):  
Health Care ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Health Care Providers ◽  
Service Provision ◽  
Lived Experiences ◽  
Healthcare Providers ◽  
Borderline Personality ◽  
Care Providers ◽  
Clinical Issues

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.

scholarly journals Bridging the Gap in Community Care for Patients With Borderline Personality Disorder: Protocol for Qualitative Inquiry Into Patient, Caregiver, and Clinician Perspectives on Service Gaps and Potential Solutions for Severe Emotion Dysregulation (Preprint)

2019 ◽  
Author(s):  
Laura Friesen ◽  
Graham Gaine ◽  
Ellen Klaver ◽  
Kirsten Klingle ◽  
Devashree Parmar ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Lived Experiences ◽  
Emotion Dysregulation ◽  
Care Pathway ◽  
Borderline Personality ◽  
Qualitative Inquiry ◽  
Future Research ◽  
Key Stakeholders ◽  
Clinician Perspectives

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

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.

scholarly journals Bridging the Gap in Community Care for Patients With Borderline Personality Disorder: Protocol for Qualitative Inquiry Into Patient, Caregiver, and Clinician Perspectives on Service Gaps and Potential Solutions for Severe Emotion Dysregulation

10.2196/14885 ◽  
2020 ◽  
Vol 9 (8) ◽  
pp. e14885
Author(s):  
Laura Friesen ◽  
Graham Gaine ◽  
Ellen Klaver ◽  
Kirsten Klingle ◽  
Devashree Parmar ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Lived Experiences ◽  
Emotion Dysregulation ◽  
Care Pathway ◽  
Borderline Personality ◽  
Qualitative Inquiry ◽  
Future Research ◽  
Key Stakeholders ◽  
Clinician Perspectives

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

scholarly journals Positive and differential diagnosis of autism in verbal women of typical intelligence: A Delphi study

Autism ◽  
2021 ◽  
pp. 136236132110427
Author(s):  
Julie Cumin ◽  
Sandra Pelaez ◽  
Laurent Mottron
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Diagnostic Criteria ◽  
Clinical Guidelines ◽  
Autism Spectrum ◽  
Borderline Personality ◽  
Differential Diagnoses ◽  
Adult Women ◽  
Clinical Expertise ◽  
Autistic People

Diagnostic criteria for autism are relatively vague, and may lead to over and underdiagnosis when applied without clinical expertise. Indeed, autism is best reliably identified by experienced clinicians who take into account qualitative aspects of the condition. When assessing for autism in women, little guidance exists to support clinicians deciding whether to attribute adaptive difficulties to autism, a psychiatric condition, or both. The purpose of this study was therefore to propose guidelines for clinicians assessing for autism in women. To do this, we aimed to describe the clinical expertise involved in making positive and differential diagnoses of autism in adult women of typical intelligence. We interviewed 20 experienced clinicians from seven countries. We then elaborated Delphi statements summarizing participant views on the topic, which our participants rated. We obtained a final list of 37 suggested clinical guidelines to improve specificity and sensitivity of autism diagnosis in women. Participants had developed individual assessment strategies, although much overlap existed across participants. Participants provided insight to differentiate autism from post-traumatic stress disorder and Borderline Personality Disorder, and underlined the importance of being able to make differential diagnoses particularly in cases where non-autistic people had strongly self-identified with the spectrum. Lay abstract The diagnostic criteria for autism are relatively vague and can lead to both under- and over-diagnosis if applied as a checklist. The highest level of agreement that a person is autistic occurs when experienced clinicians are able to make use of their clinical judgment. However, it is not always clear what this judgment consists of. Given that particular issues exist when assessing for autism in adult women, we wanted to explore how expert clinicians address difficult diagnostic situations in this population. We interviewed 20 experienced psychologists and psychiatrists from seven countries and discussed how they conducted autism assessments in adult women. We then came up with a list of 35 statements that described participant views. Our participants completed an online survey where they rated their agreement with these statements and provided feedback on how the statements were worded and organized. We obtained a final list of 37 suggested clinical guidelines. Participants agreed that diagnostic tools and questionnaires had to be coupled with judgment and expertise. Participants felt that trauma and Borderline Personality Disorder could be difficult to differentiate from autism, and agreed on some ways to address this issue. Participants agreed that self-identification to the autism spectrum was frequent, and that it was important to provide alternative support when they did not ultimately diagnose autism.

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