Staff perceptions of borderline personality disorder and recovery: A Q‐sort method approach

Abstract

Findings Multidisciplinary teams working with people with borderline personality disorder should use team formulations to create a shared understanding of individual patient's needs and goals for recovery, so they can deliver a consistent approach to care. Recovery questionnaires should be used to develop an understanding of a patient's individual recovery goals. Limitations Opportunity sampling was utilized in recruitment, and the sample was not representative of the general population of staff working with borderline personality disorder. Although views from a wide range of professions were sampled in this research, the views of psychiatrists were not represented.

What treatment outcomes matter in adolescent depression? A Q-study of priority profiles among mental health practitioners in the UK and Chile

“…Practitioners associated with super profile A super were more likely to use CBT approaches (62%) or pharmacotherapy (31%) than practitioners associated with super profile B super (20% CBT; 5% pharmacotherapy), but less likely to use psychoanalytic or psychodynamic approaches (8% in A super vs. 38% in B super ). A similar divide between practitioners has previously been identified by two UK-based Q-studies that focused on clinicians working with adults recovering from psychosis [41], and with adults recovering from borderline personality disorder [42]. The divide also aligns with two perspectives on recovery that are typically distinguished in the mental health recovery literature: a "clinical recovery concept" is thought to emphasize symptom remission and the restoration of functioning; a "personal recovery concept" is thought to be concerned with self-discovery and a search for meaning [66][67][68][69].…”

“…A similar divide between practitioners has previously been identified by two UK-based Q-studies that focused on clinicians working with adults recovering from psychosis [ 41 ], and with adults recovering from borderline personality disorder [ 42 ]. The divide also aligns with two perspectives on recovery that are typically distinguished in the mental health recovery literature: a “clinical recovery concept” is thought to emphasize symptom remission and the restoration of functioning; a “personal recovery concept” is thought to be concerned with self-discovery and a search for meaning [ 66 – 69 ].…”

“…While all profiles prioritized outcomes related to improved mood and reduced anhedonia, the youth differed in the importance assigned to the acquisition of coping skills, to the processing of past and current experiences, and to reduced functional impairment [ 40 ]. Similar insights about heterogeneity in outcome priorities are lacking for practitioners treating youth for depression, though Q-methodological studies have explored practitioners’ perspectives on recovery from adult psychosis [ 41 ], and adult borderline personality disorder [ 42 ]. In addition, to our knowledge, no study has yet explored linkages between cultural context and outcome priorities among mental health practitioners.…”

Brief Admission for Patients with Self-Harm from the Perspective of Outpatient Healthcare Professionals

“…Patients with BPD are easily affected by their surroundings and experience difficulty establishing quality relationships; it is common for these patients to characterize their social interactions as disagreeable and empty (Stepp et al, 2009;American Psychiatric Association, 2013). The findings of this study support previous research advocating that treating BPD patients through a team approach is promising and should be done by developing a shared understanding of each patient's needs and a support plan (Lindkvist et al, 2021: Dean et al, 2018. The findings also support research stating that the benefits of BA include a supportive team approach and the flexibility of staff to care for their patients (Mortimer-Jones et al, 2019).…”

Defining the characteristics of an effective psychological therapist for people with intellectual disability and mental health problems: a Q-sort study

“…The number of participants was lower than suggested for a Q-sort study. But the sample size was similar to those with similar professional groups that have also used Q-methods (Dean et al, 2018;Stamoulos et al, 2016). The sample was limited to qualified clinical psychologists, and so the representative of the results to other psychological professionals working in ID is open to question.…”