Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions

Y.M. Tan; C.W. Lee; L.E. Averbeck; O. Brand-de Wilde; J. Farrell; E. Fassbinder; G.A. Jacob; D. Martius; S. Wastiaux; G. Zarbock; A. Arntz

doi:10.1371/journal.pone.0206039

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Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions

Journal article

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Peer reviewed

Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions

Y.M. Tan, C.W. Lee, L.E. Averbeck, O. Brand-de Wilde, J. Farrell, E. Fassbinder, G.A. Jacob, D. Martius, S. Wastiaux, G. Zarbock, …

PLoS ONE, Vol.13(11)

2018

DOI: https://doi.org/10.1371/journal.pone.0206039

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Abstract

Schema therapy (ST) has been found to be effective in the treatment of borderline personality disorder (BPD). However very little is known about how the therapy is experienced by individuals with BPD including which specific elements of ST are helpful or unhelpful from their perspectives. The aim of this study is to explore BPD patients’ experiences of receiving ST, in intensive group or combined group-individual format. Qualitative data were collected through semi-structured interviews with 36 individuals with a primary diagnosis of BPD (78% females) who received ST for at least 12 months. Participants were recruited as part of an international, multicenter randomized controlled trial (RCT). Interview data (11 Australian, 12 Dutch, 13 German) were analyzed following the procedures of qualitative content analysis. Patients’ perceptions of the benefits gained in ST included improved self-understanding, and better awareness and management of their own emotional processes. While some aspects of ST, such as experiential techniques were perceived as emotionally confronting, patient narratives informed that this was necessary. Some recommendations for improved implementation of ST include the necessary adjunct of individual sessions to group ST and early discussion of therapy termination. Implications of the findings are also discussed, in particular the avenues for assessing the suitability of patients for group ST; management of group conflict and the optimal format for delivering treatment in the intensive group versus combined group-individual formats.

Details

Title: Schema therapy for borderline personality disorder: A qualitative study of patients’ perceptions
Authors/Creators: Y.M. Tan (Author/Creator) - Murdoch University
C.W. Lee (Author/Creator) - The University of Western Australia
L.E. Averbeck (Author/Creator) - Universität Hamburg
O. Brand-de Wilde (Author/Creator)
J. Farrell (Author/Creator) - University of Indianapolis
E. Fassbinder (Author/Creator) - University of Lübeck
G.A. Jacob (Author/Creator) - University of Freiburg
D. Martius (Author/Creator) - University of Amsterdam
S. Wastiaux (Author/Creator) - University of Amsterdam
G. Zarbock (Author/Creator) - Institut für Verhaltenstherapie-Ausbildung Hamburg
A. Arntz (Author/Creator) - University of Amsterdam
Publication Details: PLoS ONE, Vol.13(11)
Publisher: Public Library of Science
Identifiers: 991005543527307891
Murdoch Affiliation: School of Psychology and Exercise Science
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.21 Psychiatry; 1.21.1431 Borderline Personality Disorder
Web Of Science research areas: Psychology, Clinical
ESI research areas: Psychiatry/Psychology