Living on the borderline - An evaluation of the client impact and active ingredients of Dialectical Behaviour Therapy for Borderline Personality Disorder in Irish Adult Mental Health Settings
Year: 2008
Type: other
Abstract: The research evaluated the client impact and active ingredients of Dialectical\nBehaviour Therapy (DBT) for Borderline Personality Disorder (BPD) in three Adult\nMental Health settings in Dublin. A mixed methodology approach was undertaken\nwith two phases incorporating a single case study design and qualitative investigation.\nPhase 1 was a qualitative investigation of DBT clients who had completed (n=16) and\nthose who dropped out (n=6) of treatment. The interview schedule examined client\nperspectives of treatment components, changes occurring since before DBT and\nreasons for dropping out. Phase 2 was a case study approach with clients who were\ncurrently attending DBT (n=10). Outcome measurements were administered and\nqualitative investigation was undertaken at two-month intervals to gauge perspectives\nof treatment and changes occurring. Records of attendance and admissions were also\nused. Four conclusions from the research were drawn. 1) DBT was associated with\ntangible improvements in client lives and had considerable impact on level of risk,\nwell-being and functioning. Level of hopelessness and BPD symptoms showed\nsignificant positive change between baseline and six months. 2) DBT was not suitable\nfor all participants for specific reasons discussed within. The level of satisfaction with\nDBT was overall high and some useful clinical recommendations were gleaned from\nservice user input. 3) Key active ingredients of and obstacles to treatments were\nevaluated. 4) Recommendations for service delivery, development and further\nresearch were outlined.
Author: Austin Bayley
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2126778043