To Tame a Volcano: Patients with Borderline Personality Disorder and Their Perceptions of Suffering

Perseius, Kent-Inge; Ekdahl, Susanne; Åsberg, Marie; Samuelsson, Mats

doi:10.1016/j.apnu.2005.05.001

Cited by 53 publications

(86 citation statements)

References 15 publications

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“…Instead, subjects stressed the clinician/participant relationship as the key determinant of the treatment experience. This is consistent with the literature on treatment experience in BPD and in psychosis, which emphasises trust and understanding (Buck & Alexander, 2005;Fallon, 2003;Geanellos, 2001;Langley & Klopper, 2005;MacDonald & Sheldon, 1997;Perseius et al, 2003;Perseius et al, 2005;Tunner & Salzer, 2006). Yet, it contrasts with the extant literature and clinical experience on patients with BPD and psychosis, which cites problems with medication (Barnow et al, 2010;Chengappa et al, 1999;Gruettert & Fringe, 2005) and transitions between programmes (Lecomte, 2010) as having a great impact on treatment experience.…”

Section: Discussionsupporting

confidence: 86%

“…The literature investigating the experience of treatment of individuals with either a serious mental illness or BPD provides useful concepts to investigate in the current study, such as trust in, and feeling understood by, treating clinicians (Buck & Alexander, 2005;Fallon, 2003;Geanellos, 2001;Langley & Klopper, 2005;MacDonald & Sheldon, 1997;Perseius, Ojehagen, Ekdahl, Asperg, & Samuelsson, 2003;Perseius, Ojehagen, Ekdahl, Asperg, & Samuelsson, 2005;Tunner & Salzer, 2006). Regarding pathways to care, Pescosolido, Brooks Gardner, and Lubell (1998) and Strike, Rhodes, Bergmans, and Links (2006) have documented with individuals with a psychotic disorder or BPD the following relevant processes: individual or supported choice; hard or soft coercion; and muddling through -concept referring to either a lack of a clear sense of agency or a high degree of ambivalence regarding treatment.…”

Section: Introductionmentioning

confidence: 98%

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The experience of treatment of persons with concomitant psychotic and borderline personality disorders

et al. 2012

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The present study investigated the treatment experience of nine individuals with concomitant psychotic and borderline personality disorders. Given the paucity of research on the experience of this population, the goal was to explore pathways to care, transitions between services and general perception of treatments using a qualitative methodology. A semi-structured interview schedule was administered to each participant, who was referred by participating psychiatrists in each program. Transcripts were coded using a mixed open and closed coding procedure and QDA Miner 3.2.3 analysis software. Results found that participants did not dichotomise their experience into all-good or all-bad categories, but gave nuanced accounts of their treatment. Each participant described several pathways to care that explained their entry into specific treatments, with only coercion negatively impacting treatment experience. Many transitions were described, though only those who were coerced experienced these negatively. The key factor that participants highlighted in their treatment experience was the clinician/participant relationship. A positive relationship permitted participants to trust and receive help from their clinician. Limits include the possible bias of the recruitment procedure and the limited scope of the study. This understanding of the perspective of these individuals can lead to promoting better treatment experiences in the future. IntroductionThere is a paucity of research on the co-occurrence of psychosis and borderline personality disorder (BPD) (Kingdon et al., 2010). Despite the controversy surrounding the existence of individuals with both a psychotic disorder and BPD, the literature consistently finds a prevalence of 10-20% of individuals with a psychotic disorder also having a BPD diagnosis, and a similar prevalence of individuals with BPD meeting the symptomatic criteria for an Axis I psychotic disorder, (Coid et al.,

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 98%

The experience of treatment of persons with concomitant psychotic and borderline personality disorders

et al. 2012

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“…Personality disorders (PD) are considered difficult to treat, and clients with a BPD diagnosis are noted for self-destructive behaviour and considerable use of mental health resources: ultimately, 8%-10% complete suicide (Bender et al 2001;Paris 2003;Leichsenring et al 2011). Research suggests this group may experience high levels of shame, suffering and self-stigma (Perseius et al 2005;Rusch et al 2006a;Rüsch et al 2007).…”

Section: Living With Bpdmentioning

confidence: 99%

People with a borderline personality disorder diagnosis describe discriminatory experiences

Veysey

2014

Kōtuitui: New Zealand Journal of Social Sciences Online

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The psychiatric diagnosis of borderline personality disorder (BPD) attracts considerable stigma. People given this diagnosis may be characterised as manipulative, difficult, attention-seeking or untreatable. This paper describes a New Zealand study where eight people with a BPD diagnosis who selfidentified as encountering discriminatory experiences from healthcare professionals were interviewed. Themes found included that discriminatory experiences contributed to participants' negative selfimage and negative messages about the BPD label were communicated. A self-harm history appeared to be related to an increased number of discriminatory experiences. Connecting with the person and 'seeing more' (beyond an individual's diagnosis and/or behaviour) epitomised helpful experiences. Additionally, a relationship between stigma and the complaints process was noted. This study privileges the voice of those interviewed and may stimulate thought and discussion for services and health professionals working with this group.

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“…Their daily life is described in both qualitative and quantitative research as an endless emotional struggle, and more than 70% try to take their own life (Perseius et al, 2005;Soloff et al, 2002).…”

mentioning

confidence: 99%

Longing for Reconciliation: A Challenge for Women with Borderline Personality Disorder

Holm

Berg

Severinsson

2009

Issues in Mental Health Nursing

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The aim of this study was to explore the way in which traumatic childhood experiences influenced the daily life of women with Borderline Personality Disorder (BPD). An explorative design comprising in-depth interviews and a qualitative content analysis was used. The findings revealed one main theme-Longing for Reconciliation-comprising two themes: (1) Living with a sense of shame and guilt and (2) Struggling to be released from a sense of being trapped. Longing for reconciliation influenced the women's daily life as well as their search for the meaning of traumatic childhood experiences. New meaning can emerge through change, forgiveness, and reconciliation, thus helping women with BPD overcome their struggle and gain the insight and strength to look into their secret knowledge. Meaning can emerge and help them to develop an empathic understanding of themselves in the context of past and present relationships.

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To Tame a Volcano: Patients with Borderline Personality Disorder and Their Perceptions of Suffering

Cited by 53 publications

References 15 publications

The experience of treatment of persons with concomitant psychotic and borderline personality disorders

The experience of treatment of persons with concomitant psychotic and borderline personality disorders

People with a borderline personality disorder diagnosis describe discriminatory experiences

Longing for Reconciliation: A Challenge for Women with Borderline Personality Disorder

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