Borderline Personality Disorder: towards a systemic formulation

Allen, Catherine L.

doi:10.1111/j.1467-6427.2004.00274.x

Cited by 11 publications

(10 citation statements)

References 17 publications

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“…There is an urgent and significant need for studies on the effectiveness of systemic family therapy approaches with this client population both as a singular treatment and combined with therapies like DBT. Allen () highlights medical approaches rely on traits, symptoms, and diagnosis of BPD, which frame client problems in terms of psychopathology and tend to use unhelpful (negative) formulation and language, for example, borderline, attention‐seeking, manipulative. Clinicians may minimise and misunderstand client experiences, which are founded in and associated with their past and present experiences of power inequity, gender, trauma, transference, and counter‐transference.…”

Section: Resultsmentioning

confidence: 99%

“…Allen () suggests a more systemic approach to assessment and planning, which places these behaviours in a wider context of behavioural patterns relevant to those experiences and the psychosocial environment, and proposes the use of systemic mapping and formulation techniques. Choi‐Kain et al () state combined treatment approaches between DBT and other evidence‐based treatments (such as systemic family therapy) may provide more reliable and meaningful outcomes, suggesting delivery in the form of standard resource‐intensive DBT packages.…”

Section: Resultsmentioning

confidence: 99%

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Family Systemic Approaches for Borderline Personality Disorder in Acute Adult Mental Health Care Settings

Choi¹

2018

ANZ J of Family Therapy

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This thematic literature review explores the contribution of family/systemic approaches in the treatment and care of people with borderline personality disorder (BPD) in acute adult mental health care settings. It recognises the importance of early childhood trauma, family dynamics, and relationships in the aetiology of BPD and outlines key benefits and constraints of a family systems approach. The article discusses institutional, cultural, and power structures that influence the diagnosis and treatment process for adult clients with BPD and the value of relational ethics in guiding or mediating care between the family, healthcare system, and community.1 This thematic literature review examines family systemic therapy for adults with a diagnosis of borderline personality disorder (BPD). 2 Diagnosis and treatment may contribute to positive and negative experiences associated with stigma and power differentials in and between the family, healthcare system, and community. 3 Power structures in medical and family systems influence the treatment process for BPD. 4 Family systemic approaches and relational ethics are useful guiding frameworks in shaping and mediating treatment, care, and decision making. 5 There are benefits and constraints in using family systemic approaches in the treatment of BPD in acute adult mental health care settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Family Systemic Approaches for Borderline Personality Disorder in Acute Adult Mental Health Care Settings

Choi¹

2018

ANZ J of Family Therapy

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“…However, I practise in a context in which insurance plans require that I assign diagnoses in order to be reimbursed for services rendered. I also practise in a context in which diagnoses are a part of the language through which therapists communicate with one another about clients (Allen, 2004). I make it a practice to offer my clients choices about how they are to be labelled: 'We have to decide on a diagnosis to use for insurance purposes.…”

Section: Systemic Work With Clients 205mentioning

confidence: 99%

Systemic work with clients with a diagnosis of Borderline Personality Disorder

Lord¹

2007

Journal of Family Therapy

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Clients who are diagnosed with Borderline Personality Disorder are likely to engage with clinicians in compelling ways. They challenge us with an urgency that helps us to define ourselves as we work with them. They confront us with the limitations of our treatment approaches, requiring a genuineness of interaction and a flexibility that can be both challenging and uncomfortable. While therapists have made great strides over the past few decades in their treatment approaches with this population, there is a gap in the literature on the use of systemic approaches with these clients. This article examines some of the issues that arise in work with people with a diagnosis of Borderline Personality Disorder and offers an application of a larger systems perspective to the development of viable treatment options for these clients.

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“…Significant efforts have been made towards integrating family therapy with other models of therapy, both in everyday practice and in theory (e.g., Allen, 2004;Flaskas, 2002;Larner, 2003). Most systemic practitioners are trained in more than one model of psychotherapy practice, and use their various layers of understanding to enhance their thinking and clinical practice (Vetere, 2006).…”

mentioning

confidence: 99%

Is There a Place for Biopsychosocial Formulation in a Systemic Practice?

MacDonald¹,

Mikes‐Liu²

2009

ANZ J of Family Therapy

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There is a long history of literature concerning integrative practice and how a systemic practice can fit with other models of therapy Much of this literature has focused on establishing a space for systemic therapy within the dominant medical paradigm, and exploring how the medical model can be enhanced by systemic ideas. The outcome has been better practice, especially in child and adolescent mental health. Interestingly, however, there has been less discussion of the converse: the family therapy literature has rarely considered whether or not systemic practice itself can be enhanced by ideas from the dominant medical model. This article proposes that a biopsychosocial formulation can enhance systemic practice by: (I) holding clinicians accountable for their thinking; (2) facilitating a rigour and attention to detail that may prove useful when therapy falters; (3) opening up other possibilities for intervention; and (4) providing a way to engage with the dominant medical paradigm and support clients in negotiating their way through this system. Potential problems nevertheless arise when integrating a biopsychosocial formulation into a systemic framework. This article identifies these problems and presents ideas for how they can be managed in practice.

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Borderline Personality Disorder: towards a systemic formulation

Cited by 11 publications

References 17 publications

Family Systemic Approaches for Borderline Personality Disorder in Acute Adult Mental Health Care Settings

Family Systemic Approaches for Borderline Personality Disorder in Acute Adult Mental Health Care Settings

Systemic work with clients with a diagnosis of Borderline Personality Disorder

Is There a Place for Biopsychosocial Formulation in a Systemic Practice?

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