2011
DOI: 10.1111/j.1365-2850.2011.01800.x
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‘I think we're all guinea pigs really’: a qualitative study of medication and borderline personality disorder

Abstract: National Institute for Clinical Excellence recommended the use of medication only in times of crisis for individuals with borderline personality disorder (BPD). Despite this recommendation most service users referred to a specialist personality disorder service were found to be on numerous medications. Although a number of qualitative studies have explored the experience of individuals with a diagnosis of BPD they have failed to discuss their experience of being treated with medication, despite its high prescr… Show more

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Cited by 28 publications
(37 citation statements)
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“…Our results suggest an even higher rate of pharmacological treatment, with 94% of BPD patients treated with medication and 13% with three to five different substances at once. Rogers and Acton (2012) suggested in a qualitative interview study that various medications had been applied instead of psychological treatment in the past and the implementation of the NICE guideline led to a broader offer given by specialist BPD psychotherapists. This result suggests that the problems in the long-term care of BPD patients are quite similar in the UK and Germany, in that German patients also do not regularly receive BPD-specific psychotherapy (Jobst et al , 2010).…”
Section: Discussionmentioning
confidence: 99%
“…Our results suggest an even higher rate of pharmacological treatment, with 94% of BPD patients treated with medication and 13% with three to five different substances at once. Rogers and Acton (2012) suggested in a qualitative interview study that various medications had been applied instead of psychological treatment in the past and the implementation of the NICE guideline led to a broader offer given by specialist BPD psychotherapists. This result suggests that the problems in the long-term care of BPD patients are quite similar in the UK and Germany, in that German patients also do not regularly receive BPD-specific psychotherapy (Jobst et al , 2010).…”
Section: Discussionmentioning
confidence: 99%
“…BPD is a contested diagnosis, only recently being formally recognized as a discrete diagnosis that is a mental health service responsibility to treat (NHMRC ; NICE ). Psychiatrists have been ambivalent about making a BPD diagnosis (Whooley ) because of pervasive stigma, both in society and from within psychiatric services (Fallon , Jones , Rogers & Acton , Fanaian et al . ).…”
Section: Introductionmentioning
confidence: 99%
“…, Stoffers et al . ), with controversy about use of medications (Rogers & Acton ). It is not surprising, therefore, in an environment of treatment uncertainty and negative services experiences that people with a BPD diagnosis struggle to access effective care.…”
Section: Introductionmentioning
confidence: 99%
“…Until recently, the Australian mental health services did not acknowledge the necessity for the treatment and care of patients diagnosed with BPD. These patients were seen as difficult, troublesome, beyond help and as a result, they were denied service (Lawn & McMahon 2015 :235; National Health and Medical Research Council 2012 ; Rogers & Acton 2012 :341–347; Stroud & Parsons 2013 :242–253). Family members did not know how to be effective at caring for their relative diagnosed with BPD (Porr 2010 :xv).…”
Section: Discussion Of Findingsmentioning
confidence: 99%