Clinician perspectives on recovery and borderline personality disorder

Purpose: Recovery is an important concept within mental healthcare policy. There is a growing expectation that clinicians adopt approaches that align with the recovery principles, despite significant disagreements about what recovery-oriented interventions might look like in practice. It is also unc...

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Main Authors: Donald, F., Duff, Cameron, Lawrence, K., Broadbear, J., Rao, S.
Format: Journal Article
Published: Pier Professional Ltd. 2017
Online Access:http://hdl.handle.net/20.500.11937/53341
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author Donald, F.
Duff, Cameron
Lawrence, K.
Broadbear, J.
Rao, S.
author_facet Donald, F.
Duff, Cameron
Lawrence, K.
Broadbear, J.
Rao, S.
author_sort Donald, F.
building Curtin Institutional Repository
collection Online Access
description Purpose: Recovery is an important concept within mental healthcare policy. There is a growing expectation that clinicians adopt approaches that align with the recovery principles, despite significant disagreements about what recovery-oriented interventions might look like in practice. It is also unclear how recovery may be relevant to personality disorder. This paper aims to discuss these issues. Design/methodology/approach: In total, 16 clinicians were interviewed at two mental health services in Melbourne, Australia. These clinicians had specialist training and experience in the treatment of borderline personality disorder (BPD) and provided insight regarding the meaning and relevance of the recovery paradigm in the context of BPD. Thematic analysis within a grounded theory approach was used to understand key themes identified from the interview data. Findings: Thematic analysis suggested that clinicians understand recovery in three distinct ways: as moving towards a satisfying and meaningful life, as different ways of relating to oneself and as remission of symptoms and improved psychosocial functioning. Clinicians also identified ways in which recovery-related interventions in current use were problematic for individuals diagnosed with BPD. Different approaches that may better support recovery were discussed. This study suggests that practices supporting recovery in BPD may need to be tailored to individuals with BPD, with a focus on cultivating agency while acknowledging the creative nature of recovery. Originality/value: Clinicians are in a strong position to observe recovery. Their insights suggest key refinements that will enhance the ways in which recovery in BPD is conceptualized and can be promoted.
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spelling curtin-20.500.11937-533412017-10-09T01:45:56Z Clinician perspectives on recovery and borderline personality disorder Donald, F. Duff, Cameron Lawrence, K. Broadbear, J. Rao, S. Purpose: Recovery is an important concept within mental healthcare policy. There is a growing expectation that clinicians adopt approaches that align with the recovery principles, despite significant disagreements about what recovery-oriented interventions might look like in practice. It is also unclear how recovery may be relevant to personality disorder. This paper aims to discuss these issues. Design/methodology/approach: In total, 16 clinicians were interviewed at two mental health services in Melbourne, Australia. These clinicians had specialist training and experience in the treatment of borderline personality disorder (BPD) and provided insight regarding the meaning and relevance of the recovery paradigm in the context of BPD. Thematic analysis within a grounded theory approach was used to understand key themes identified from the interview data. Findings: Thematic analysis suggested that clinicians understand recovery in three distinct ways: as moving towards a satisfying and meaningful life, as different ways of relating to oneself and as remission of symptoms and improved psychosocial functioning. Clinicians also identified ways in which recovery-related interventions in current use were problematic for individuals diagnosed with BPD. Different approaches that may better support recovery were discussed. This study suggests that practices supporting recovery in BPD may need to be tailored to individuals with BPD, with a focus on cultivating agency while acknowledging the creative nature of recovery. Originality/value: Clinicians are in a strong position to observe recovery. Their insights suggest key refinements that will enhance the ways in which recovery in BPD is conceptualized and can be promoted. 2017 Journal Article http://hdl.handle.net/20.500.11937/53341 10.1108/JMHTEP-09-2016-0044 Pier Professional Ltd. restricted
spellingShingle Donald, F.
Duff, Cameron
Lawrence, K.
Broadbear, J.
Rao, S.
Clinician perspectives on recovery and borderline personality disorder
title Clinician perspectives on recovery and borderline personality disorder
title_full Clinician perspectives on recovery and borderline personality disorder
title_fullStr Clinician perspectives on recovery and borderline personality disorder
title_full_unstemmed Clinician perspectives on recovery and borderline personality disorder
title_short Clinician perspectives on recovery and borderline personality disorder
title_sort clinician perspectives on recovery and borderline personality disorder
url http://hdl.handle.net/20.500.11937/53341