Clients with borderline personality disorder: Exploring their experiences of dialectical behaviour therapy

Hodgetts, Alison; Wright, John; Gough, Anna

doi:10.1080/14733140701575036

Cited by 29 publications

(25 citation statements)

References 23 publications

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“…(Cunningham et al ., ; p.255). Others spoke about shift in outlook, to one that focused on a future: ‘before DBT there was no future and now there is’ (Hodgetts et al ., ).…”

Section: Resultsmentioning

confidence: 97%

“…Discussions surrounding acceptance were in relation to individuals accepting their difficulties, and the view that whilst those difficulties had not been taken away, DBT taught them the means of managing them: ‘I've still got paranoia now…that hasn't changed, but I can control it’ (Hodgetts et al ., ; p.175). One study described a shift in identity of individuals through DBT and a ‘decoupling from the diagnosed self’ (6).…”

Section: Resultsmentioning

confidence: 98%

“…Hope for change was made scarcer due to the lack of choice of treatments for BPD, with discussion of limited options and ineffectiveness of previous attempts at treatment. DBT was seen by some as the only option, and something decided by professionals rather than by the individual, for example, ‘They thought I would be a good candidate, so I had an interview with them and filled out a form’ (Hodgetts, Wright, & Gough, , p.174).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Process and impact of dialectical behaviour therapy: A systematic review of perceptions of clients with a diagnosis of borderline personality disorder

2017

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“…(Cunningham et al ., ; p.255). Others spoke about shift in outlook, to one that focused on a future: ‘before DBT there was no future and now there is’ (Hodgetts et al ., ).…”

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Process and impact of dialectical behaviour therapy: A systematic review of perceptions of clients with a diagnosis of borderline personality disorder

2017

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“…The frequency with which clients use the DBT skills is positively associated with self-harm reduction [ 6 , 7 ] improvement in other features of BPD [ 8 ] and completing treatment [ 6 ]. In qualitative interviews, many clients have reported finding the DBT skills helpful for regulating their emotions and behaviour [ 9 , 10 , 11 , 12 ]. However, little research on barriers to treatment progress in DBT has been conducted [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Overcoming Barriers to Skills Training in Borderline Personality Disorder: A Qualitative Interview Study

et al. 2015

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Despite evidence suggesting that skills training is an important mechanism of change in dialectical behaviour therapy, little research exploring facilitators and barriers to this process has been conducted. The study aimed to explore clients’ experiences of barriers to dialectical behaviour therapy skills training and how they felt they overcame these barriers, and to compare experiences between treatment completers and dropouts. In-depth qualitative interviews were conducted with 40 clients with borderline personality disorder who had attended a dialectical behaviour therapy programme. A thematic analysis of participants’ reported experiences found that key barriers to learning the skills were anxiety during the skills groups and difficulty understanding the material. Key barriers to using the skills were overwhelming emotions which left participants feeling unable or unwilling to use them. Key ways in which participants reported overcoming barriers to skills training were by sustaining their commitment to attending therapy and practising the skills, personalising the way they used them, and practising them so often that they became an integral part of their behavioural repertoire. Participants also highlighted a number of key ways in which they were supported with their skills training by other skills group members, the group therapists, their individual therapist, friends and family. Treatment dropouts were more likely than completers to describe anxiety during the skills groups as a barrier to learning, and were less likely to report overcoming barriers to skills training via the key processes outlined above. The findings of this qualitative study require replication, but could be used to generate hypotheses for testing in further research on barriers to skills training, how these relate to dropout, and how they can be overcome. The paper outlines several such suggestions for further research.

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“…This study aimed at understanding and giving voice to the client experience of an adapted DBT programme, thereby providing clinicians with practice-based evidence to inform the delivery. Building on qualitative studies on client experience focused on DBT for BPD specifically, or in community settings (Cunningham, Wolbert & Lillie, 2004;Hodgetts, Wright & Gough, 2007;McSherry, O'Connor, Hevey & Gibbons, 2012;Perseius, € Ojehagen, Ekdahl, Asberg & Samuelsson, 2003), Our study is the first attempting an in-depth inquiry into a transdiagnostic, DBT-informed programme in a private setting, and furthermore, with a focus on perceived change. Research to date has suggested that change processes should be specified at the level of the client, therapist and service delivery setting, in order to improve outcomes in DBT (Koerner, 2013).…”

Section: Discussionmentioning

confidence: 99%

‘Everyone should do it’: Client experience of a 12‐week dialectical behaviour therapy group programme – An interpretative phenomenological analysis

Childs‐Fegredo

Fellin

2018

Couns and Psychother Res

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Objective There is a dearth of practice‐based evidence of adapted or ‘DBT‐informed’ transdiagnostic models, which could provide services and clinicians with information of what works and for whom, in which settings. This paper aims to bridge this gap by exploring the client experience of a 12‐week transdiagnostic dialectical behaviour therapy (DBT) group programme in a private psychiatric hospital. Method Five participants with varied clinical diagnoses and previous therapeutic experiences were interviewed following completion of one or more of the same adapted DBT programme, comprising of the standard four modules over 12 weeks, including a weekly skills group and 1:1 therapy. Interpretative phenomenological analysis (IPA) was applied to give voice to the clients’ lived experience of the group. Results Three master themes were identified: ‘Pre DBT: Crisis & Desperation’; ‘In‐session: Belonging’; and ‘The Real World: Living’, each characterised by four sub‐themes, highlighting helpful and hindering factors of clients’ current and previous therapeutic experiences. Conclusion Overall this version of DBT in a transdiagnostic setting was experienced as helpful and positive by participants; main outcomes included being able to build a life worth living, feel hope and joy, build DBT skills into a lifestyle, and develop reflective practice. Implications for clinical practice, service delivery and policy are also discussed. The article aims to provide clinicians with practice‐based evidence to inform the delivery of DBT as well as supporting the case for the use of DBT with various disorders, thus paving the way for future research in this area.

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Clients with borderline personality disorder: Exploring their experiences of dialectical behaviour therapy

Cited by 29 publications

References 23 publications

Process and impact of dialectical behaviour therapy: A systematic review of perceptions of clients with a diagnosis of borderline personality disorder

Process and impact of dialectical behaviour therapy: A systematic review of perceptions of clients with a diagnosis of borderline personality disorder

Overcoming Barriers to Skills Training in Borderline Personality Disorder: A Qualitative Interview Study

‘Everyone should do it’: Client experience of a 12‐week dialectical behaviour therapy group programme – An interpretative phenomenological analysis

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