Meaningful Ways of Understanding and Measuring Change for People with Borderline Personality Disorder: A Thematic Analysis

2018 ◽  
Vol 46 (5) ◽  
pp. 528-540 ◽  
Author(s):  
Louise McCusker ◽  
Marie-Louise Turner ◽  
Georgina Pike ◽  
Helen Startup
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Focus Groups ◽  
Thematic Analysis ◽  
Borderline Personality ◽  
Complex Nature ◽  
Service Users ◽  
Starting Point ◽  
Wide Range ◽  
Measuring Change

Background:The effective treatment of Borderline Personality Disorder (BPD) presents healthcare providers with a significant challenge. The evidence base remains limited partially due to a lack of professional consensus and service user involvement regarding ways of measuring change. As a result, the limited evidence that is available draws on such a wide range of outcome measures, that comparison across treatment types is hindered, maintaining a lack of clarity regarding the clinical needs of this group.Aims:This investigation aimed to follow the National Institute of Clinical Excellence (NICE, 2009) research recommendations by asking service users about meaningful change within their recovery. This forms a starting point for the future development of a tailored outcome measure.Method:Fifteen service users with a diagnosis of BPD participated in three focus groups across two specialist Personality Disorder services. The focus groups were analysed using Thematic Analysis.Results:Two superordinate themes were synthesized from the data: (1) recovery to what?: ‘How do you rewrite who you are?’; and (2) conditions for change. Each superordinate theme further consisted of three subordinate themes which elucidated the over-arching themes.Conclusion:This investigation highlights the complex nature of measuring change in people who have received a BPD diagnosis. Further research is needed to develop meaningful ways of measuring change according to the needs and priorities of people with BPD.

scholarly journals The person behind the label: co-production as a tool in teaching about borderline personality disorder

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S122-S122
Author(s):  
Nyakomi Adwok ◽  
Sharon Nightingale
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Disorders ◽  
Mental Health Professionals ◽  
Service User ◽  
Borderline Personality ◽  
Junior Doctors ◽  
Service Users ◽  
Teaching Session ◽  
Negative Attitudes

AimsThe overarching aim of the session was to address and reduce stigma around Borderline Personality Disorder among doctors. The three main objectives were:To increase empathy and understanding around Borderline Personality Disorder by exposing junior doctors to service user perspectives outside a clinical setting;To address knowledge gaps identified by junior doctors in a self-reported questionnaire disseminated prior to the teaching session;To offer junior doctors a basic psychological framework to base their assessment and formulation of service users with personality disorders.Background‘Borderline Personality Disorder: The Person Behind the Label’ was the title of the first co-produced teaching session in the Leeds and York Partnership Foundation Trust (LYPFT). Prior to the teaching session, an online questionnaire was sent out to trainees. The results highlighted three key issues:Negative attitudes towards service users with personality disorders;Poor subjective knowledge of the psychological models of personality disorders;Perception among trainees that they do not receive adequate training to deal with the challenges service users with personality disorders present.MethodA teaching session was co-produced by a team of two service users, a principal clinical psychologist within the Leeds Personality Disorder Network (PDN) and a core Psychiatry trainee. It was delivered in a 75 minute session to 40 attendees consisting of both trainee doctors and consultants.ResultFeedback was collected immediately after the session through the use of anonymous feedback forms. The response to the training was overwhelmingly positive with all 28 respondents rating the session as 4/5 or 5/5 on a satisfaction scale ranging from 1 (poor) to excellent (5). Key themes from the feedback included appreciation for the service user perspective and teaching on psychological theory. The fourth question in the questionnaire: “How will this teaching impact your work?” produced the highest number of responses (25/28) and provided evidence that the above listed objectives of the session were met.ConclusionCo-produced teaching has great potential to address negative attitudes around highly stigmatised conditions by bridging the gap that often exists between service users and mental health professionals.

Cognitive analytic therapy: A bibliometric review

2016 ◽  
Vol 33 (S1) ◽  
pp. s233-s233
Author(s):  
E. Gimeno ◽  
C. Chiclana
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Meta Analysis ◽  
Borderline Personality ◽  
Theoretical Concepts ◽  
Wide Range ◽  
Bibliometric Review ◽  
Analytic Therapy ◽  
Competing Interest ◽  
Cognitive Analytic Therapy

IntroductionCognitive Analytic Therapy (CAT) has emerged as an integrative new approach with promising results in the treatment of personality-disordered patients, particularly in borderline personality disorder. Although this approach has already demonstrated its effectiveness in adults, increasingly studies try to validate it in young population, which has meant a turning point in research.Aim and objectivesThe goal of this study is to know the whole production about CAT in a double way:–articles that describes the main theoretical concepts underlying CAT theory;–articles with evidence supporting its effectiveness in different mental disorders.MethodsA bibliometric review of 397 scientific articles extracted from research databases including Dialnet, EBSCO, PUBMED, Unika and Scholar Google was conducted.ResultsThe results indicate an exponential growth in published studies on CAT, from first publications in the late 1960s, particularly strong in the last two decades and reaching its peak in 2008. Total research includes 247 literature reviews, 109 clinical studies, 47 case studies, 17 letters and comments from authors, 4 studies on diagnostic tests and 1 meta-analysis. Most research has focused on borderline personality disorder or other personality disorders (35% and 12% respectively) and eating disorders (11%). Studies have been conducted with adults (49%) the same as children and adolescents (46%) whereas only the 4% has been developed for elderly population.ConclusionsCognitive analytic therapy represents a well-documented psychotherapy with a proven efficacy in a wide range of clinical contexts.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Interpersonal Functioning in Borderline Personality Disorder Traits: A Social Media Perspective

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Jinnie Ooi ◽  
John Michael ◽  
Sakari Lemola ◽  
Stephen Butterfill ◽  
Cynthia S. Q. Siew ◽  
...  
Keyword(s):  
Social Media ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Short Form ◽  
Borderline Personality ◽  
Therapeutic Interventions ◽  
Clinical Population ◽  
Starting Point ◽  
Interpersonal Difficulties ◽  
Using Data

AbstractThis is the first study to demonstrate interpersonal difficulties associated with borderline personality disorder (BPD) features in the domain of social media. Using crowdsourcing, we presented participants with a battery of questions about their recent social media use, and then assessed their BPD features using the short form of the Five-Factor Borderline Inventory. The results revealed that individuals with higher BPD trait scores reported posting more often on social media, as well as a higher incidence of experiencing regret after posting on social media, and of deleting or editing their posts. They also report a higher degree of importance of social media in their social behavior and daily routines. These results highlight the pervasiveness of interpersonal difficulties associated with BPD features even in the non-clinical population, and demonstrate that these difficulties are also observable in social media behavior. Our findings may provide a starting point for research using data from social media to illuminate the cognitive and emotional processes underpinning the interpersonal difficulties associated with BPD features, and to inform and assess therapeutic interventions.

The Relationship between Bipolar and Borderline Personality Disorder traits, Impulsivity, and GPA among a college student population

2021 ◽  
Author(s):  
Ailun Li ◽  
Jiaxuan Teng ◽  
Zuzanna Jagoda Tajchman ◽  
Iris Vilares
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Personality Traits ◽  
Borderline Personality ◽  
The Self ◽  
Self Report ◽  
Grade Point ◽  
Wide Range ◽  
Borderline Personality Traits ◽  
Behavioral Tasks

Background: Impulsivity as a multidimensional construct is commonly linked with a wide range of mental health disorders, such as Bipolar Disorder (BD) and Borderline Personality Disorder (BorPD). Previous research suggests that individuals with BD and BorPD are more likely to be associated with lower academic achievement. This experiment aims to investigate the interrelation between BD or BorPD traits, impulsivity, and poor academic performance (GPA). Method: Our pre-registered study tested bipolar and borderline personality traits from a sample of 125 college students. Two behavioral tasks (Two-choice impulsivity paradigm; Go/no-go) and a self-report questionnaire (Barratt Impulsiveness Scale, BIS-11) were used to measure impulsivity. Students’ Grade Point Averages (GPAs) were also collected. Results: Both bipolar and borderline personality traits were positively correlated with the self-report impulsivity questionnaire (BIS-11) but not with the behavioral tasks. Students’ GPA were not significantly correlated with BD, BorPD traits, and impulsivity measures (behavioral and self-report). The self-report impulsivity questionnaire (BIS-11) was only significantly correlated with the Go/no-go task performance, but not the two-choice impulsivity paradigm. Limitations: This study is a correlational study in which participants have pre-existing conditions, therefore we cannot get a causal relationship. Besides, due to the normative sample, the study can only look at traits instead of diagnosis. Conclusions: Results from this study suggest that students with bipolar and/or borderline personality traits tend to have higher self-report impulsivity, without a noticeable impact on their GPA. Our results also support the growing consensus that impulsivity describes a diverse set of processes and traits.

scholarly journals Differences in self-compassion and shame-proneness in patients with borderline personality disorder, eating disorders, alcohol-addiction and in healthy controls: Is the narrative self at fault for everything?

2021 ◽  
Author(s):  
Jan Benda ◽  
Daniel Kořínek ◽  
Antonín Vyhnánek ◽  
Tatiana Nemlahová
Keyword(s):  
Eating Disorders ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Alcohol Addiction ◽  
Healthy Controls ◽  
Disorder Eating ◽  
Self Compassion ◽  
Shame Proneness ◽  
Wide Range

Objectives: The lack of self-compassion and shame-proneness may both be associated with a wide range of mental disorders. The aim of this study was to compare the levels of compassionate self-responding and shame-proneness in samples of patients with borderline personality disorder, eating disorders, alcohol-addiction and in healthy controls.Methods: All three clinical groups and healthy controls were administered scales measuring self-compassion (SCS) and shame-proneness (TOSCA-3S). Differences in compassionate self-responding and shame-proneness were analyzed and effect sizes were calculated.Results: All three clinical groups were found to have significantly lower compassionate self-responding and significantly higher shame-proneness than healthy controls. The magnitudes of difference in compassionate self-responding and shame-proneness, between all clinical groups and healthy controls, were moderate to large.Conclusions: We hypothesize, that implicit belief in self as a permanent entity together with the lack of self-compassion leads to increased shame-proneness, which causes various psychopathological symptoms. We assume, that clients suffering from all these disorders may benefit from treatments or particular interventions that facilitate the development of self-compassion or shame management.

Systems Training for Emotional Predictability and Problem Solving for Borderline Personality Disorder

2017 ◽  
Keyword(s):  
Borderline Personality Disorder ◽  
Problem Solving ◽  
Personality Disorder ◽  
Group Treatment ◽  
Behavioral Therapy ◽  
Health Care Systems ◽  
Skills Training ◽  
National Registry ◽  
Borderline Personality ◽  
Wide Range

This edited, multi-authored text brings together all that is known about Systems Training for Emotional Predictability and Problem Solving (STEPPS), a group treatment program for outpatients with borderline personality disorder. The book describes the program, the evidence that is supportive of STEPPS, and its implementation in a variety of settings and countries. Created at the University of Iowa in 1995, STEPPS combines cognitive-behavioral therapy, skills training, and psychoeducation with a systems component for family, friends, and significant others. The 5-month-long program is easily learned and delivered by therapists from a wide range of theoretical orientations. Data show that STEPPS is effective and produces clinically important improvement. The program is well accepted by patients and therapists. STEPPS is listed in the US Substance Abuse and Mental Health Services Administration (SAMSHA) National Registry of Evidence-based Practices (NREPP). The program is embraced by the health care systems in the United Kingdom and The Netherlands and is used in correctional settings.

scholarly journals Reflective functioning and personal recovery process of users with borderline personality disorder on Instagram: an explorative study using computerized and thematic analysis

2021 ◽  
Vol 23 (3) ◽  
Author(s):  
Giovanna Esposito ◽  
Viviana Perla ◽  
Raffaella Passeggia ◽  
Erik Fertuck ◽  
Erhard Mergenthaler
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Thematic Analysis ◽  
Reflective Functioning ◽  
Recovery Process ◽  
Borderline Personality ◽  
Personal Recovery ◽  
Five Dimensions ◽  
Symptomatic Remission ◽  
The Relationship

Although recent literature has stated that mentalizing (or reflective functioning; RF) promoted the clinical recovery (symptomatic remission; CR) of individuals with borderline personality disorder (BPD), to our knowledge, there have been no studies that analyzed the relationship between RF and a process more complex than CR, namely personal recovery (PR) - a deep and unique process of change in one’s attitudes, values, feelings, goals and/or roles. Furthermore, while there have been a few studies concerning PR of BPD individuals, but to date none analyzed PR of BPD individuals through online narratives shared on social media platforms. This study investigates the relationship between RF and PR of 14 Instagram users with a selfreported diagnosis of BPD. Two groups of users were distinguished on the basis of hashtags, #bpd and #bpdrecovery. Seventy randomized text posts (5 from each user) were extracted from users’ profiles: 35 from the #bpd group and 35 from #bpdrecovery. Two methods of analysis were applied: i) a thematic analysis, by using the theoretical framework CHIME, which identifies five dimensions of PR; and ii) a stylistic analysis of RF utilizing computerized reflective functioning (CRF), which identifies RF lexical markers. Results indicate that the #bpdrecovery group presented more dimensions of PR, and that its posts showed a significantly higher RF than the #bpd group. These findings suggest that RF could be involved in the PR of BPD individuals, thus mentalization-based treatment could be effective in supporting PR processes and enhancing the impaired RF in BPD users even in the online context.

scholarly journals Recovery in Borderline Personality Disorder (BPD): A Qualitative Study of Service Users' Perspectives

PLoS ONE ◽  
2012 ◽  
Vol 7 (5) ◽  
pp. e36517 ◽  
Author(s):  
Christina Katsakou ◽  
Stamatina Marougka ◽  
Kirsten Barnicot ◽  
Mark Savill ◽  
Hayley White ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Qualitative Study ◽  
Borderline Personality ◽  
Service Users

scholarly journals Exploring Registered Psychiatric Nurses' Responses towards Service Users with a Diagnosis of Borderline Personality Disorder

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Bridget McGrath ◽  
Maura Dowling
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Borderline Personality ◽  
Psychiatric Nurses ◽  
Service Users ◽  
Semistructured Interview ◽  
Response Scale ◽  
Interview Schedule ◽  
Training And Education ◽  
Low Levels

This study explored registered psychiatric nurses' (RPNs') interactions and level of empathy towards service users with a diagnosis of borderline personality disorder (BPD). A qualitative approach was used, and 17 RPNs were interviewed using a semistructured interview schedule incorporating the “staff-patient interaction response scale” (SPIRS). Four themes emerged following data analysis: “challenging and difficult,” “manipulative, destructive and threatening behaviour,” “preying on the vulnerable resulting in splitting staff and other service users,” and “boundaries and structure.” Additionally, low levels of empathy were evident in the majority of participants' responses to the SPIRS. The findings provide further insight on nurses' empathy responses and views on caring for service users with BPD and further evidence for the need for training and education for nurses in the care of service users diagnosed with BPD.

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