A recovery journey for people with personality disorder

Abstract

Background:The study investigates the process of recovery for people diagnosed with personality disorder, a client group that suffers significant social exclusion known to impact on demand for health and other public services. It aims to examine efforts which attempt to reverse this social exclusion as an aspect of the recovery process. Aim and Method:The following study aims to i) explore what recovery means to people with personality disorder ii) develop a conceptual model of recovery in personality disorder iii) evaluate the contribution of the setting (The Haven) to recovery practice. The study uses a PAR (Participatory Action Research) design. Data was collected from 66 participants by focus groups and individual interviews. Findings:A map based on thematic analysis of data collected during the study is proposed of the recovery journey for people with this diagnosis, shown as a pyramid which represents a hierarchy of progress from building trust through stages of recovery to social inclusion. Conclusion:Findings offer contributions to knowledge in terms of the service design and propose a new model of recovery in personality disorder. This is defined as a journey of small steps highlighting recovery as a process rather than a goal, leading to the emergence of the new concept of Transitional Recovery.

Personal recovery in personality disorder: Systematic review and meta-synthesis of qualitative methods studies

“…Reasons for exclusion of papers following full-text review included the following: case study presentation only, not focussed on the experience of those with a personality disorder diagnosis and representation of personal recovery through quantitative scale definitions only. Three papers were therefore identified for inclusion in the meta-synthesis analysis (Castillo, Ramon, & Morant, 2013;Holm & Severinsson, 2011;Katsakou et al, 2012). Study characteristics are summarised in Table 1, and appraisal findings according to CASP criteria are shown in Table 2.…”

“…I don't know if it will ever change, it's always as far as I can remember for such a long time ago, that's just how I feel about myself'. Castillo et al (2013) 'Although there are still good days and bad days, if you learn to love yourself you can begin to help others'. difficulty with differences between their priorities and those of the mental health services -for example, with individuals wishing to address difficulties within personal relationships, while feeling that professionals instead focussed on domains related purely to risk, such as selfharming behaviour.…”

Staff perceptions of borderline personality disorder and recovery: A Q‐sort method approach

“…The term ‘recovery’ was entered in addition to ‘mental illness’, ‘borderline personality disorder’ and ‘recovery measure’. Qualitative research (e.g., Castillo, Ramon, & Morant, ; Katsakou et al., ), existing recovery questionnaires (e.g., Mental Health Recovery Star; MacKeith & Burns, ), and white paper documents on recovery were examined (e.g., Shepherd et al., ) from the literature search. The resulting concourse reflected opinions, beliefs, and ideas relating to recovery and included direct quotes, research findings, and questionnaire items, which were used to derive approximately 400 statements.…”

Group attachment through art practice: a phenomenological analysis of being seen and showing

“…Present findings may provide further support for the notion of social groups as attachment objects. Findings illustrate an additional function of such objects in the co-construction of language and other symbolic codes, within a vital context of belonging and trust (Castillo et al, 2013). …”