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Inpatient group schema therapy for personality disorders : a qualitative study of the perspectives of completers and dropouts

Zahmat, B. (2021) Inpatient group schema therapy for personality disorders : a qualitative study of the perspectives of completers and dropouts.

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Abstract:Inpatient Group Schema Therapy (GST) has been shown to be effective in the treatment of personality disorders. However, not all patients benefit from it and dropout rates for inpatient GST are estimated at 33%. This is worrisome as dropout is associated with negative treatment outcomes for the individual but also has adverse effects on the group level. One way that can potentially reduce dropouts and improve outcomes of therapy in general is by considering patients’ perspectives. This study aims to explore and compare the perspectives of completers and dropouts on inpatient GST, as reported at two to eight years follow-up. Qualitative data from 44 completers and eight dropouts was collected through qualitative questionnaires. Patients had undergone at least six months of inpatient GST. A thematic analysis was conducted. Patients reported benefits related to insight and processing, self-development, affective outcomes, interpersonal relationships, and reintegration into society. Completers and dropouts partially agreed on the helpful factors as they both viewed group factors, therapy components, individuality, and insight as crucial factors. Only completers stated the therapeutic relationship as a facilitative factor. Patients’ experiences of the inpatient GST varied to a large extent. A majority of completers was satisfied with the treatment, however, many patients also stated that they benefited from the treatment but that this also came at a certain cost. Patients viewed inpatient GST as an important turning point in their lives, but they did not unequivocally relate the inpatient treatment to positive outcomes alone. On the basis of identified helpful factors and unhelpful factor recommendations were made to improve the existing inpatient GST program.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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