The recovery paradigm and distress conceptualized as personality disorder: Lack of evidence does not equate to a lack of importance

Newton‐Howes, Giles; Gordon, Sarah

doi:10.1002/pmh.1364

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Conceptual frameworks of personal recovery have synthesised the stages across the transtheoretical model of change, and processes into the CHIME framework (connectedness, hope, identity, meaning and empowerment) [4]. The application of personal recovery to individuals with BPD requires further exploration [5].…”

Section: Introductionmentioning

confidence: 99%

The lived experience of recovery in borderline personality disorder: a qualitative study

Townsend

Miller

et al. 2019

bord personal disord emot dysregul

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Background The concept of recovery in borderline personality disorder (BPD) is not well defined. Whilst clinical approaches emphasise symptom reduction and functioning, consumers advocate for a holistic approach. The consumer perspective on recovery and comparisons of individuals at varying stages have been minimally explored. Method Fourteen narratives of a community sample of adult women with a self-reported diagnosis of BPD, were analysed using qualitative interpretative phenomenological analysis to understand recovery experiences. Individuals were at opposite ends of the recovery continuum (seven recovered and seven not recovered). Results Recovery in BPD occurred across three stages and involved four processes. Stages included; 1) being stuck, 2) diagnosis, and 3) improving experience. Processes included; 1) hope, 2) active engagement in the recovery journey, 3) engagement with treatment services, and 4) engaging in meaningful activities and relationships. Differences between individuals in the recovered and not recovered group were prevalent in the improving experience stage. Conclusion Recovery in BPD is a non-linear, ongoing process, facilitated by the interaction between stages and processes. Whilst clinical aspects are targets of specialist interventions, greater emphasis on fostering individual motivation, hope, engagement in relationships, activities, and treatment, may be required within clinical practice for a holistic recovery approach. Electronic supplementary material The online version of this article (10.1186/s40479-019-0107-2) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

The lived experience of recovery in borderline personality disorder: a qualitative study

Townsend

Miller

et al. 2019

bord personal disord emot dysregul

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“…Not only are these obvious candidate outcomes for clinicians but they also represent recovery-oriented goals [1], a current focus in the public policy of many jurisdictions [2]. This perspective is of particular importance to those treating patients with personality disorder (PD) and alcohol use disorder (AUD), both of which are often lifelong conditions associated with high levels of impairment [3, 4]. AUD and PD pose similar challenges for clinicians.…”

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confidence: 99%

Personality Disorder and Alcohol Use Disorder: An Overview

Newton‐Howes

Foulds

2018

Psychopathology

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Background: Clinically, personality disorder (PD) commonly coexists with alcohol use disorder (AUD), although within mainstream mental health services both of these mental disorders are routinely overlooked. Despite a rich literature examining the interactions between AUD and personality functioning, personality traits, and PD, there remains conflicting evidence as to the degree of association and impact of one on the other. Methods: A narrative review and a synthesis of the literature were done. Results: The lifetime prevalence of AUD approaches 50% in some PD populations. The rates of PD in AUD populations are less clear but likely similar. Personality influences outcomes in AUD regardless of whether a categorical personality diagnosis or dimensional trait domain approach is taken. There are, however, no good data to inform clinicians on the impact of AUD on the outcomes of PD. Understanding the extent of this impact is complicated by the multiple tools used for diagnosis (of both PD and AUD) and the statistical methods used. Overall, caution is required in interpreting the data due to the quality of the current literature; however, comorbidity between the two disorders is likely significant and the impact of PD on AUD outcomes is sufficient to require consideration. Conclusions: From a research perspective, better agreement on both diagnoses and outcomes is urgently needed to improve the overall quality of the evidence. Clinically, despite the limitations in the literature, it is unacceptable for PD services to ignore AUD and for AUD services not to screen for PD. Both are likely to have an impact on health and functioning and should be considered in routine reviews. A better conceptualization of the putative mechanisms of this interaction, as well as an understanding of the neurobiology and reasons for the impact on treatment outcomes, will help to move the field forward.

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Impairments in Executive Functioning in Patients with Comorbid Substance Use and Personality Disorders: A Systematic Review

Barreno

Pachón

Lozano

et al. 2020

Journal of Dual Diagnosis

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The recovery paradigm and distress conceptualized as personality disorder: Lack of evidence does not equate to a lack of importance

Cited by 3 publications

References 20 publications

The lived experience of recovery in borderline personality disorder: a qualitative study

The lived experience of recovery in borderline personality disorder: a qualitative study

Personality Disorder and Alcohol Use Disorder: An Overview

Impairments in Executive Functioning in Patients with Comorbid Substance Use and Personality Disorders: A Systematic Review

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