University of Twente Student Theses


Recovery in borderline personality disorder from service users’ perspective and the complete mental health model : a systematic review

Uiterwijk Winkel, W.H. (2019) Recovery in borderline personality disorder from service users’ perspective and the complete mental health model : a systematic review.

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Abstract:Borderline personality disorder (BPD) is a serious mental illness characterized by psychosocial impairment, an extreme fear of abandonment and emotional dysregulation. Although the course of BPD is considered to be chronic in nature, cases of symptom remission and even full symptomatic recovery are known. However, literature focuses less on recovery in terms of positive mental health but mainly on the reduction of symptoms. This systematic review is the first to assess the implementation of the Complete Mental Health Model as a theoretical framework for recovery from clients’ perspectives. This model defines complete mental health as both the relative absence of psychopathology and the presence of well-being. A systematic review and a qualitative meta-summary approach were used. Twelve studies with service users’ that had been in psychotherapy for BPD-related symptoms and meeting various quality and inclusion criteria were included. The result section of the articles were searched for relevant themes. All themes were analysed using a meta-summary technique. Themes were labelled into criteria for recovery and the frequency and intensity effect sizes were calculated. In addition to symptom remission, dimensions of psychological well-being were found to be important criteria for BPD recovery. The most frequent mentioned criteria were self-acceptance, personal growth, self-dysregulation, positive relationships with others, interpersonal dysregulation, emotional dysregulation and cognitive dysregulation. Emotional and social well-being were found to less important, according to service users. Service users rate psychological well-being as a central criterion for BPD recovery in addition to remission of BPD symptoms. Although the complete mental health model seems to be over-complete as a new theoretical framework for BPD recovery, more research is needed to understand underlying mechanism between the different dimensions of this model.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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