recovery in borderline personality disorder (bpd) a qualitative study of service users perspectives复苏边缘型人格障碍(bpd)定性研究的服务用户的观点.pdfVIP

Recovery in Borderline Personality Disorder (BPD): A Qualitative Study of Service Users’ Perspectives 1 2 1 1 3 Christina Katsakou *, Stamatina Marougka , Kirsten Barnicot , Mark Savill , Hayley White , Kate Lockwood3, Stefan Priebe1 1 Unit for Social and Community Psychiatry, Queen Mary University of London, London, United Kingdom, 2 Together (Mental Health Charity), London, United Kingdom, 3 Therapeutic Community and Outreach, East London Foundation NHS Trust, London, United Kingdom Abstract Background: Symptom improvement in Borderline Personality Disorder (BPD) is more common than previously hypothesised. However, it remains unclear whether it reflects service users’ personal goals of recovery. The present study aimed to explore what service users with BPD view as recovery. Methods: 48 service users were recruited from secondary mental health services and their views on their personal goals and the meaning of recovery were explored in in-depth semi-structured interviews. The study drew on grounded theory and thematic analysis. Results: Service users believed that recovery involved developing self-acceptance and self-confidence, gaining control over emotions, improving relationships, employment, and making progress in symptoms like suicidality and self-harming. They felt that psychotherapies for BPD often had an extreme focus on specific areas, like self-harming or relationships, and that some of their goals were neglected. Although full recovery was seen as a distant goal, interviewees felt that they could learn how to deal with their problems in more effective ways and make meaningful progress in their lives.