Processes of recovery through routine or specialist treatment for borderline personality disorder (BPD): a qualitative study.
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Journal of Mental Health
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BACKGROUND: Recovery processes in borderline personality disorder (BPD) are poorly understood. AIMS: This study explored how recovery in BPD occurs through routine or specialist treatment, as perceived by service users (SUs) and therapists. METHODS: SUs were recruited from two specialist BPD services, three community mental health teams, and one psychological therapies service. Semi-structured interviews were conducted with 48 SUs and 15 therapists. The "framework" approach was used to analyse the data. RESULTS: The findings were organized into two domains of themes. The first domain described three parallel processes that constituted SUs' recovery journey: fighting ambivalence and committing to taking action; moving from shame to self-acceptance and compassion; and moving from distrust and defensiveness to opening up to others. The second domain described four therapeutic challenges that needed to be addressed to support this journey: balancing self-exploration and finding solutions; balancing structure and flexibility; confronting interpersonal difficulties and practicing new ways of relating; and balancing support and independence. CONCLUSIONS: Therapies facilitating the identified processes may promote recovery. The recovery processes and therapeutic challenges identified in this study could provide a framework to guide future research.
AuthorsKatsakou, C; Pistrang, N; Barnicot, K; White, H; Priebe, S
- Centre for Psychiatry