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Consumer perspectives on personal recovery and borderline personality disorder

Fiona Donald (School of Psychological Sciences, Monash University, Melbourne, Australia)
Cameron Duff (Centre for People Organisation and Work, RMIT University, Melbourne, Australia)
Jillian Broadbear (Spectrum – Statewide Service for Personality Disorder, Fitzroy, Australia)
Sathya Rao (Spectrum, Personality Disorder Service for Victoria, Fitzroy, Australia)
Katherine Lawrence (School of Psychological Sciences, Monash University, Melbourne, Australia)

The Journal of Mental Health Training, Education and Practice

ISSN: 1755-6228

Article publication date: 6 November 2017

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Abstract

Purpose

Borderline personality disorder (BPD) is a complex condition characterized by a number of psychosocial difficulties that typically involve considerable suffering for individuals with the condition. Recovery from BPD may involve specific processes such as work on how the self is perceived by the individual with BPD and his or her relationships which differ from those common to recovery from other mental health conditions. The details of the processes that may best promote changes within the self and relationships are yet to be established. The paper aims to discuss these issues.

Design/methodology/approach

In total, 17 consumers from a specialist BPD service were interviewed to identify factors they have experienced that contribute to recovery from BPD. Thematic analysis within a grounded theory framework was used to understand key themes within the interview data. The emphasis was on specific conditions of change rather than the more global goals for recovery suggested by recent models.

Findings

Key themes identified included five conditions of change: support from others; accepting the need for change; working on trauma without blaming oneself; curiosity about oneself; and reflecting on one’s behavior. To apply these conditions of change more broadly, clinicians working in the BPD field need to support processes that promote BPD-specific recovery identified by consumers rather than focusing exclusively on the more general recovery principles previously identified within the literature.

Originality/value

The specific factors identified by consumers as supporting recovery in BPD are significant because they involve specific skills or attitudes rather than aspirations or goals. These specific skills may be constructively supported in clinical practice.

Keywords

Acknowledgements

The authors wish to acknowledge the contribution of Dr J. Sabura Allen to the early stages of this research project.

Citation

Donald, F., Duff, C., Broadbear, J., Rao, S. and Lawrence, K. (2017), "Consumer perspectives on personal recovery and borderline personality disorder", The Journal of Mental Health Training, Education and Practice, Vol. 12 No. 6, pp. 350-359. https://doi.org/10.1108/JMHTEP-09-2016-0043

Publisher

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Emerald Publishing Limited

Copyright © 2017, Emerald Publishing Limited