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

Abstract 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...

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Main Authors: Fiona Y. Y. Ng, Michelle L. Townsend, Caitlin E. Miller, Mahlie Jewell, Brin F. S. Grenyer
Format: Article
Language:English
Published: BMC 2019-05-01
Series:Borderline Personality Disorder and Emotion Dysregulation
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40479-019-0107-2
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author Fiona Y. Y. Ng
Michelle L. Townsend
Caitlin E. Miller
Mahlie Jewell
Brin F. S. Grenyer
author_facet Fiona Y. Y. Ng
Michelle L. Townsend
Caitlin E. Miller
Mahlie Jewell
Brin F. S. Grenyer
author_sort Fiona Y. Y. Ng
collection DOAJ
description Abstract 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.
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spelling doaj.art-54549fac34e043c6be615ab845c34ca92022-12-21T23:55:27ZengBMCBorderline Personality Disorder and Emotion Dysregulation2051-66732019-05-01611910.1186/s40479-019-0107-2The lived experience of recovery in borderline personality disorder: a qualitative studyFiona Y. Y. Ng0Michelle L. Townsend1Caitlin E. Miller2Mahlie Jewell3Brin F. S. Grenyer4School of Health Sciences, Institute of Mental Health, University of NottinghamSchool of Psychology, University of WollongongSchool of Psychology, University of WollongongProject Air Strategy Consumer and Carer Advisory CommitteeSchool of Psychology, University of WollongongAbstract 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.http://link.springer.com/article/10.1186/s40479-019-0107-2Borderline personality disorderRecoveryLived experienceQualitative
spellingShingle Fiona Y. Y. Ng
Michelle L. Townsend
Caitlin E. Miller
Mahlie Jewell
Brin F. S. Grenyer
The lived experience of recovery in borderline personality disorder: a qualitative study
Borderline Personality Disorder and Emotion Dysregulation
Borderline personality disorder
Recovery
Lived experience
Qualitative
title The lived experience of recovery in borderline personality disorder: a qualitative study
title_full The lived experience of recovery in borderline personality disorder: a qualitative study
title_fullStr The lived experience of recovery in borderline personality disorder: a qualitative study
title_full_unstemmed The lived experience of recovery in borderline personality disorder: a qualitative study
title_short The lived experience of recovery in borderline personality disorder: a qualitative study
title_sort lived experience of recovery in borderline personality disorder a qualitative study
topic Borderline personality disorder
Recovery
Lived experience
Qualitative
url http://link.springer.com/article/10.1186/s40479-019-0107-2
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