An experimental Investigation of the Impact of Personality Disorder Diagnosis on Clinicians: Can We See Past the Borderline?

Lam, Danny; Poplavskaya, Elena; Šalkovskis, Paul M.; Hogg, Lorna; Panting, Holly

doi:10.1017/s1352465815000351

Cited by 36 publications

(27 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 10 11 Further, diagnostic labels allow clinicians to assume homogeneity among members of patient groups, in addition to providing an efficient method for health professionals to communicate. 12 …”

Section: Introductionmentioning

confidence: 99%

“… 3 A study investigating the impact of labelling borderline personality disorder on clinician interpretation of patient symptoms found clinicians’ prior awareness of a diagnosis of borderline personality disorder, compared to no awareness, resulted in a tendency to frame observations of the individual in terms of the label, and a failure to observe positive behaviours. 12 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Consequences of health condition labelling: protocol for a systematic scoping review

et al. 2020

View full text Add to dashboard Cite

IntroductionWhen health conditions are labelled it is often to classify and communicate a set of symptoms. While diagnostic labelling can provide explanation for an individual’s symptoms, it can also impact how individuals and others view those symptoms. Despite existing research regarding the effects of labelling health conditions, a synthesis of these effects has not occurred. We will conduct a systematic scoping review to synthesise the reported consequences and impact of being given a label for a health condition from an individual, societal and health practitioner perspective and explore in what context labelling of health conditions is considered important.Methods and analysisThe review will adhere to the Joanna Briggs Methodology for Scoping Reviews. Searches will be conducted in five electronic databases (PubMed, Embase, PsycINFO, Cochrane, CINAHL). Reference lists of included studies will be screened and forward and backward citation searching of included articles will be conducted. We will include reviews and original studies which describe the consequences for individuals labelled with a non-cancer health condition. We will exclude hypothetical research designs and studies focused on the consequences of labelling cancer conditions, intellectual disabilities and/or social attributes. We will conduct thematic analyses for qualitative data and descriptive or meta-analyses for quantitative data where appropriate.Ethics and disseminationEthical approval is not required for a scoping review. Results will be disseminated via publication in a peer-reviewed journal, conference presentations and lay-person summaries on various online platforms. Findings from this systematic scoping review will identify gaps in current understanding of how, when, why and for whom a diagnostic label is important and inform future research.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Consequences of health condition labelling: protocol for a systematic scoping review

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The label of personality disorder is a controversial one. It can be stigmatising, can mask the problems it is supposed to help address, and can add to the problems that people with the label experience (Bodner et al, 2015;Lam et al, 2016). Nevertheless, where access to mental health services is contingent on a psychiatric diagnosis, a label of personality disorder can be the only way that some people can access help.…”

Section: Introductionmentioning

confidence: 99%

Interviewing people given a diagnosis of personality disorder in forensic settings

Willmot

Evershed

2018

International Journal of Forensic Mental Health

View full text Add to dashboard Cite

Extensive histories of complex developmental trauma and insecure attachment are widespread among people given a diagnosis of personality disorder in forensic settings, and are likely to be important predisposing factors that contribute to their offending behavior. In working with this population, it is important to bear this in mind, and helpful to formulate clients' challenging behaviors as a set of learned responses to perceived threat, or as survival strategies. Such an approach not only makes the interviewing process more effective, it also helps to avoid perpetuating destructive patterns of behavior and relationship between forensic clients and people in authority. We present seven principles for effective interviewing with this population; a) careful preparation; b) a constant focus on the therapeutic relationship; c) providing structure and containment; d) adopting a flexible approach; e) managing therapyinterfering behaviors; f) obtaining supervision; and g) adopting a whole-team approach.

show abstract

“…National guidelines in the UK state that professionals working with people with a personality disorder diagnosis should function in an "engaging, open and non-judgemental manner" and foster "an atmosphere of hope and optimism" (National Institute for Health and Care Excellence, 2009, p. 6), however, there is abundant evidence that health care professionals often hold negative attitudes (Chartonas, Kyratsous, Dracass, Lee, & Bhui, 2017;Sansone & Sansone, 2013;Westwood & Baker, 2010). For example, several studies have found that people with a diagnosis of personality disorder are often seen by professionals as more difficult (James & Cowman, 2007;Lewis & Appleby, 1988;McGrath & Dowling, 2012) and less likely to engage in treatment (Lam, Poplavskaya, Salkovskis, Hogg, & Panting, 2016). Studies have also found that negative attitudes can lead to poorer care including less empathic responses (K. Fraser & Gallop, 1993;McGrath & Dowling, 2012) and inadequate service provision (James & Cowman, 2007;Lam et al, 2016).…”

mentioning

confidence: 99%

“…For example, several studies have found that people with a diagnosis of personality disorder are often seen by professionals as more difficult (James & Cowman, 2007;Lewis & Appleby, 1988;McGrath & Dowling, 2012) and less likely to engage in treatment (Lam, Poplavskaya, Salkovskis, Hogg, & Panting, 2016). Studies have also found that negative attitudes can lead to poorer care including less empathic responses (K. Fraser & Gallop, 1993;McGrath & Dowling, 2012) and inadequate service provision (James & Cowman, 2007;Lam et al, 2016). Negative attitudes have also been found to be associated with reduced staff well-being (Taylor, 2011).…”

mentioning

confidence: 99%

Improving Attitudes Towards Personality Disorder: Is Training for Health and Social Care Professionals Effective?

Attwood

Wilkinson-Tough

Lambe

et al. 2021

Journal of Personality Disorders

View full text Add to dashboard Cite

Health and social care professionals are more likely to hold negative attitudes towards people with a diagnosis of personality disorder than toward people with other mental health diagnoses. Negative attitudes have also been found to adversely impact care and service provision. This review sought to systemically evaluate training aimed at improving professional attitudes towards people with a diagnosis of personality disorder. Electronic databases PsychINFO, PubMed, Embase, Web of Science, and ProQuest were searched, and 19 articles were identified. Results show that training is effective and that improvements tend to be maintained. The results suggest that (1) co-production with people with personal experience of a personality disorder diagnosis, (2) communicating a psychological model to participants, and (3) teaching participants clinical skills for use in their work improve effectiveness. Further research in the form of randomized controlled trials that use validated measures and follow-up participants for at least 6 months is needed.

show abstract

An experimental Investigation of the Impact of Personality Disorder Diagnosis on Clinicians: Can We See Past the Borderline?

Abstract: Diagnostic labels may negatively impact on clinicians' judgments and perceptions of individuals and therefore clinicians should think carefully about whether, and how, they use diagnoses and efforts should be made to destigmatize diagnostic terms.

Cited by 36 publications

References 29 publications

Consequences of health condition labelling: protocol for a systematic scoping review

Consequences of health condition labelling: protocol for a systematic scoping review

Interviewing people given a diagnosis of personality disorder in forensic settings

Improving Attitudes Towards Personality Disorder: Is Training for Health and Social Care Professionals Effective?

Contact Info

Product

Resources

About