Process and impact of dialectical behaviour therapy: a systematic review of perceptions of clients with a diagnosis of borderline personality disorder.
Open accessAbstract
PURPOSE: To identify, appraise, and synthesize findings from qualitative studies of individuals diagnosed with borderline personality disorder who have experienced dialectical behaviour therapy, to gain further understanding of their perceptions of the process and impact of therapy. METHODS: We conducted a comprehensive systematic search of the literature from several online databases, and appraised them using an adapted version of the Critical Appraisal Skills Programme tool. A meta-ethnographic approach was used to synthesize the data. RESULTS: Seven studies met the criteria to be included and their quality subsequently appraised. Four main themes were identified through the synthesis process: life before DBT; the relationships that support change; developing self-efficacy; and a shift in perspectives. CONCLUSIONS: The findings of the synthesis highlight the importance of a number of key factors in the process of DBT, and the impact that the therapy has both on day-to-day life and on individuals' identity. PRACTITIONER POINTS: Existing outcome measures may not capture the complexity and magnitude of impact of DBT on individuals with BPD. Exploring first-hand accounts of individuals undertaking DBT can offer unique insight into the processes of therapy.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Qualitative methodology is suitable to address and assess patients' perceptions of DBT.
“Little et al. (24) argued that qualitative methodology is suitable to address and assess patients' perceptions of DBT®.”
From Radical Acceptance of Reality: Putting DBT®-A Skill Groups Online During the COVID-19 Pandemic: A Qualitative Study (2022) · cites this paper as [24]
Diagnoses in the field of mental health are claimed to be uncertain and fundamentally problematic, underscoring that they do not identify patients with common symptoms and etiologies who respond to specific treatments.
“Diagnoses in the field of mental health are by different accounts claimed to be uncertain and fundamentally problematic (Bentall, 2006; Horn et al., 2007; Pilgrim, 2013), underscoring that they do not identify patients with common symptoms and etiologies who respond to specific treatments.”
From Moving toward connectedness – a qualitative study of recovery processes for people with borderline personality disorder (2019) · cites this paper as Horn et al., 2007
Little et al. (2017) conclude that their synthesis highlights how key factors in DBT impact day-to-day life and patients' identity, and that outcome measures may not capture the complexity and magnitude of this impact.
“For instance, synthesizing seven studies in an otherwise interesting and well-written meta-synthesis of how individuals diagnosed with BPD perceive DBT, Little et al. (2017) conclude that the synthesis highlights how key factors in DBT impact day-to-day life and patients’ identity, and that outcome measures may not capture the complexity and magnitude of this impact.”
From Moving toward connectedness – a qualitative study of recovery processes for people with borderline personality disorder (2019) · cites this paper as Little et al. (2017)
The citation lists haven’t been fetched yet
References 76 · Cited by 28
- Authors
- Little, H., Tickle, A., & das Nair, R.
- Affiliations
- University of Nottingham (GB)
- University of Nottingham UK
- Corresponding author
- Tickle, Anna
- ORCID
- Tickle, Anna
- Venue
- Psychology and Psychotherapy Theory Research and Practice
- Publisher
- Wiley
- Published
- 2017-10-16
- Volume
- 91
- Issue
- 3
- Pages
- 278-301
- ISSN
- 1476-0835 (ISSN-L)
- 2044-8341
- OpenAlex
- W2759669060
- Cited by
- 28
- References
- 76
- Citations by year
- 2025: 5 · 2024: 4 · 2023: 3 · 2022: 6 · 2021: 3 · 2020: 3 · 2019: 4
- FWCI
- 0.29
- Type
- journal article
- Language
- en
- Open access
- Locations
- Psychology and Psychotherapy Theory Research and Practice (publishedVersion)
- PubMed (publishedVersion)
- Nottingham ePrints (University of Nottingham) (submittedVersion, cc-by)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- Funders
- Department of Biotechnology, Ministry of Science and Technology, India
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- dialectical behavior therapy, borderline personality disorder, consumer perception, therapeutic process, self-efficacy, supportive relationships, personal transformation
- MeSH terms
- Behavior Therapy, Borderline Personality Disorder, Humans, Interpersonal Relations, Perception, Treatment Outcome, Self Efficacy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
