2019
DOI: 10.1108/amhid-03-2018-0008
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Inpatient treatment of borderline personality disorder in adults with intellectual disability: reflections on practice

Abstract: Purpose There are few publications on personality disorder in adults with intellectual disability (ID), and on borderline personality disorder (BPD) specifically. Publications concerning treatment are sparse, despite the high symptom burden in these patients. This paper aims to discuss these issues. Design/methodology/approach Six patients with BPD and ID were recruited from the same inpatient unit. Behaviour problems and mental health symptoms were scored on admission and discharge. Information about treatm… Show more

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Cited by 5 publications
(8 citation statements)
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“…Adrian agreed to practice making contact with nursing staff whenever he felt anxious or had an impulse to engage in NSSI. In these instances, staff focused on helping Adrian to identify and experience alternative strategies for relieving inner tension, an approach inspired by strategies from dialectical behavior therapy (Iversen et al, 2019; see also Hartmann et al, 2012;Bemmouna et al, 2021).…”
Section: Diagnostic Formulation and Treatment Planmentioning
confidence: 99%
“…Adrian agreed to practice making contact with nursing staff whenever he felt anxious or had an impulse to engage in NSSI. In these instances, staff focused on helping Adrian to identify and experience alternative strategies for relieving inner tension, an approach inspired by strategies from dialectical behavior therapy (Iversen et al, 2019; see also Hartmann et al, 2012;Bemmouna et al, 2021).…”
Section: Diagnostic Formulation and Treatment Planmentioning
confidence: 99%
“…A person with autism who lives in contact with an often-changing socio-educational team will not have the same ability to adapt to other people, lacking the stable and reassuring support of a presence comparable to that of the parents. Changes of location, for example between apartment and workshop, must also respect the need for a predictable and reassuring environment (McGill et al, 2020;Iversen et al, 2019;Burke & Cocoman, 2020).…”
Section: A Predictable and Reassuring Environmentmentioning
confidence: 99%
“…For the reasons briefly stated above, it is important that the day's activities and the waking up and going to bed rituals are repetitive to allow the person to be reassured by finding time and space landmarks that can be vicarious of the inevitable instability of the socio-educational team (Iversen et al, 2019;Mansell et al, 2008).…”
Section: Repetitivenessmentioning
confidence: 99%
“…Research from the four last decades emphasizes adjustments of treatment methods for mental illness developed for the general population, when treating people with ID (Iversen et al 2019. Sovner and Hurley's first work together was in a facility for adults with intellectual disability.…”
mentioning
confidence: 99%
“…The close relationship between individual therapist and mental health nursing staff is well known in clinical settings of mental health services for people with ID (Iversen et al 2019). However, this topic is only briefly mentioned in papers on treatment of mental illness in ID generally, usually stating that close co-operation between professional caregivers and family members is needed when the treatment includes task solving between sessions, like training on new skills.…”
mentioning
confidence: 99%