Borderline personality disorder: clinicians’ accounts of good practice
Abstract
Accessible summary • There is little research into experiences of good practice by clinicians working with people with a diagnosis of borderline personality disorders. • Clinicians report compassionate and ‘realistic’ attitude towards the service users. • Clinic approach is consistent with a recovery-focused model. Abstract People with a diagnosis of borderline personality disorder are relatively high users of inpatient and community services. There is concern, however, that mental health nurses feel negative about working with this group of people, are often socially distancing and feel under-skilled. The purpose of this research was to explore the experiences of good practice among mental health professionals working in a service that provided specialist treatment for this group of service users. The research was undertaken through semi-structured interviews and identified four key themes: shared decision making, social roles, peer support and open communication. These themes are discussed in the context of research in this field, the need for recovery-focused services, and through drawing on the Winnicotian notions of disillusionment and mirroring as key developmental processes.
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These results are consistent with the idea that self-harm is maintained by negative reinforcement in the form of the avoidance of negative emotion.
“These results are consistent with the idea that self-harm is maintained by negative reinforcement in the form of the avoidance of negative emotion.43”
From Recovery-focused self-help intervention using vodcasts for patients with personality disorder: Feasibility randomised controlled trial (2024) · cites this paper as [43]
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Background
- Authors
- BOWEN, M.
- Affiliations
- University of Chester (GB)
- Corresponding author
- BOWEN, M.
- ORCID
- BOWEN, M.
- Venue
- Journal of Psychiatric and Mental Health Nursing
- Publisher
- Wiley
- Published
- 2012-06-21
- Volume
- 20
- Issue
- 6
- Pages
- 491-498
- ISSN
- 1351-0126 (ISSN-L)
- 1365-2850
- OpenAlex
- W2130357912
- Cited by
- 21
- References
- 33
- Citations by year
- 2024: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 1
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric and Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- ChesterRep (University of Chester) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Keywords
- borderline personality disorder, psychiatric nurses, clinician experience, best practices, recovery-oriented care, shared decision-making, peer support, open communication, social roles, disillusionment, mirroring, Winnicottian theory, compassionate care
- MeSH terms
- Attitude of Health Personnel, Borderline Personality Disorder, Communication, Female, Health Personnel, Humans, Interviews as Topic, Male, Patient Participation, Professional-Patient Relations, Psychiatric Nursing, Social Support, Practice Guidelines as Topic
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