Borderline personality disorder in a community setting: service users' experiences of the therapeutic relationship with mental health nurses

People with borderline personality disorder (BPD) suffer from severe symptoms and crises that put their lives at risk. BPD’s symptoms make it difficult for nurses to establish good therapeutic relationships with people who suffer from it, thus hindering their recovery and contributing to stigma. We...

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Bibliographic Details
Published in:International journal of mental health nursing 2020-10, Vol.29 (5), p.868-877
Main Authors: Romeu‐Labayen, Maria, Rigol Cuadra, Maria Assumpta, Galbany‐Estragués, Paola, Blanco Corbal, Serafín, Giralt Palou, Rosa Maria, Tort‐Nasarre, Glòria
Format: Article
Language:English
Subjects:
Borderline personality disorder
Community mental health services
community setting
Content analysis
experiences
Health facilities
Meaning
Mental health
Mental health care
mental health nurse
Nurses
Nursing
Personality disorders
Psychiatric nurses
Psychological distress
psychotherapeutic process
Psychotherapy
Recovery
Stigma
Symptoms
Therapeutic alliances
users
Validity
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Summary:People with borderline personality disorder (BPD) suffer from severe symptoms and crises that put their lives at risk. BPD’s symptoms make it difficult for nurses to establish good therapeutic relationships with people who suffer from it, thus hindering their recovery and contributing to stigma. We explored the experiences of people with BPD who were under the care of mental health nurses at a community mental health centre and who reported a reduction in distress. Our goal was to identify the actions and psychotherapeutic factors of the therapeutic relationship that people with BPD considered to be useful in their recovery. Our qualitative approach made it possible for us to learn about individual experiences and meanings and describe the perception of participants. Our sample included 12 participants. Data consisted of qualitative interviews with all participants and nursing records for six of the participants. We conducted an inductive thematic content analysis, resulting in a hierarchical system of subthemes and themes. We found that participants considered the following psychotherapeutic actions to be useful in recovery: learning about the disorder, building trust, and being empowered through validation.
ISSN:1445-8330
1447-0349
DOI:10.1111/inm.12720