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Recovery in Borderline Personality Disorder (BPD): A Qualitative Study of Service Users' Perspectives
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BACKGROUND: Symptom improvement in Borderline Personality Disorder (BPD) is more common than previously hypothesised. However, it remains unclear whether it reflects service users' personal goals of recovery. The present study aimed to explore what service users with BPD view as recovery. METHODS: 48 service users were recruited from secondary mental health services and their views on their personal goals and the meaning of recovery were explored in in-depth semi-structured interviews. The study drew on grounded theory and thematic analysis. RESULTS: Service users believed that recovery involved developing self-acceptance and self-confidence, gaining control over emotions, improving relationships, employment, and making progress in symptoms like suicidality and self-harming. They felt that psychotherapies for BPD often had an extreme focus on specific areas, like self-harming or relationships, and that some of their goals were neglected. Although full recovery was seen as a distant goal, interviewees felt that they could learn how to deal with their problems in more effective ways and make meaningful progress in their lives. CONCLUSIONS: Specialist therapies for BPD explicitly address some of the recovery goals that are important to service users, whereas other goals are only indirectly or poorly addressed. Professionals might need to work with service users towards devising comprehensive individualised case formulations, including all treatment targets that are important to service users, their priorities, and long-term plans on how their targets might be met and which services might be involved.
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“People with mental health problems which affect social interaction, such as people with a diagnosis of personality or bipolar disorder, were thought to face a greater challenge to achieve social recovery.”
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [57]
Experimental — accuracy not yet measuredIn the citing paper
“Katsakou et al. (57) identified a link between employment and feeling normal, as expressed in one of their participant's quotes: “I still haven't managed to get back to work and I can't see friends, I've been cut off because I've stopped working.””
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [57]
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Metadata
- Authors
- Katsakou, C., Marougka, S., Barnicot, K., Savill, M., White, H., Lockwood, K., & Priebe, S.
- Affiliations
- Queen Mary University of London (GB)
- East London NHS Foundation Trust (GB)
- Corresponding author
- Katsakou, Christina
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2012-05-17
- Volume
- 7
- Issue
- 5
- Pages
- e36517
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3355153
- OpenAlex
- W1974626200
- Cited by
- 124
- References
- 41
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 8 · 2023: 10 · 2022: 18 · 2021: 13 · 2020: 9 · 2019: 8 · 2018: 9 · 2017: 8 · 2016: 6 · 2015: 7 · 2014: 6 · 2013: 2 · 2012: 2
- FWCI
- 6.16
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- City Research Online (City University London) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by)
- Spiral (Imperial College London) (submittedVersion, other-oa)
- Funders
- National Institute for Health and Care Research (DRF-2009-02-11, PB-PG-0906-10540)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- borderline personality disorder, recovery, service user perspectives, personal goals, self-acceptance, self-confidence, emotion regulation, relationships, employment, suicidality, self-harm, case formulation, personalized treatment
- MeSH terms
- Adult, Borderline Personality Disorder, Female, Humans, Male, Middle Aged
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