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Article
Publication date: 3 November 2023

Anna Mooney, Naomi Crafti and Jillian Broadbear

Borderline personality disorder (BPD) is a debilitating illness characterised by a pervasive pattern of emotional instability, interpersonal difficulties and impulsive behaviour…

Abstract

Purpose

Borderline personality disorder (BPD) is a debilitating illness characterised by a pervasive pattern of emotional instability, interpersonal difficulties and impulsive behaviour in association with repeated self-injury and chronic suicidal ideation. People diagnosed with BPD also have high rates of co-occurring psychopathology, including disorders associated with disturbed impulse control, such as substance use disorder (SUD) and disordered eating behaviours. The co-occurrence of BPD and impulse control disorders contributes to the severity and complexity of clinical presentations and negatively impacts the course of treatment and recovery. This study qualitatively documents aspects of the lived experience and recovery journeys of people diagnosed with BPD and co-occurring SUD and/or disordered eating. This study aims to identify similarities with respect to themes reported at different stages of the recovery process, as well as highlight important factors that may hinder and/or foster recovery.

Design/methodology/approach

In-person, in-depth, semi-structured interviews were conducted with 12 specialist service consumers within a clinical setting. Ten women and two men (22–58 years; mean: 35.5 years) were recruited. Interview transcripts were analysed using thematic analysis principles.

Findings

As expected, participants with co-occurring disorders experienced severe forms of psychopathology. The lived experience descriptions aligned with the proposition that people with BPD engage in impulsive behaviours as a response to extreme emotional states. Key emergent themes and sub-themes relating to recovery comprised three domains: factors hindering adaptive change; factors assisting adaptive change and factors that constitute change. An inability to regulate negative affect appears to be an important underlying mechanism that links the three disorders.

Practical implications

This study highlights the potential shortcomings in the traditional approach of treating co-occurring disorders of BPD, SUD and eating disorders as separate diagnoses. The current findings strongly support the adoption of an integrative approach to treating complex mental health issues while concurrently emphasising social connection, support and general health and lifestyle changes.

Originality/value

The findings of this study contribute to the burgeoning BPD recovery literature. A feature of the current study was its use of in-depth face-to-face interviews, which provided rich, many layered, detailed and nuanced data, which is a major goal of qualitative research (Fusch and Ness, 2015). Furthermore, the interviews were conducted within a safe clinical setting with engagement facilitated by a clinically trained professional. There was also a genuine willingness among participants to share their stories in the belief that doing so would inform effective future clinical practice. Their willingness and engagement as participants may reflect their progress along the path to recovery in comparison to others with similar diagnoses. Finally, most of the interviewees were engaging in dialectical behavioural therapy (DBT)-style therapies; two were receiving mentalisation-based therapy treatment, and most had previously engaged in cognitive behavioural therapy or acceptance and commitment therapy-based approaches. The predominance of DBT-style therapy may have influenced the ways that themes were articulated. Future studies could supplement this area of research by interviewing participants receiving therapeutic interventions other than DBT for the treatment of BPD and heightened impulsivity.

Details

The Journal of Mental Health Training, Education and Practice, vol. 18 no. 6
Type: Research Article
ISSN: 1755-6228

Keywords

Article
Publication date: 2 September 2014

Bernard Sionneau, Carlos Rabasso and Javier Rabasso

This paper aims at explaining why “Globally Responsible Humanism (GRH)” is presented here as the pivot for a re-foundation of European Business Schools’ culture. Explaining the…

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Abstract

Purpose

This paper aims at explaining why “Globally Responsible Humanism (GRH)” is presented here as the pivot for a re-foundation of European Business Schools’ culture. Explaining the concept and its difference with traditional European Humanism, the related argumentation is organized around two main parts: the first one explains why the European Union and its business schools do not make sense in a globalization process driven by the financialized economy; the second one shows how a sustainable exposition of European management students to a transcultural approach, a postcolonial perspective, and critical thinking, can lead to their training as future globally responsible leaders in New Business Schools for Societal Studies.

Design/methodology/approach

An international political sociology perspective, applied to the interpretation of globalization trends, and a critical thinking approach to education allow for a questioning of the values and contents of mainstream business learning.

Findings

The new proposed transversal, postcolonial and interdisciplinary pedagogical approach regarding business education is conducive to closely related operational tracks: on the one hand, how to improve the skills and systemic understanding of students’ global environment; on the other hand, how to lead, organize and manage the coherent “GRH”-driven business school.

Originality/value

The originality of this paper stems from the combination of critical works issued from the social and human sciences realms to revisit business education.

Abstract

Details

Black Metal, Trauma, Subjectivity and Sound: Screaming the Abyss
Type: Book
ISBN: 978-1-78756-925-6

Article
Publication date: 1 March 2004

Jen Abrams and Tim Kindseth

Describes Poetry in the Branches, a multi‐layered, replicable program model, devised by Poets House, New York, to foster the link between librarians, the public and the living…

Abstract

Describes Poetry in the Branches, a multi‐layered, replicable program model, devised by Poets House, New York, to foster the link between librarians, the public and the living tradition of poetry. Provides a comprehensive list of titles of contemporary poetry collections by single authors and anthologies.

Details

Collection Building, vol. 23 no. 1
Type: Research Article
ISSN: 0160-4953

Keywords

Article
Publication date: 9 August 2013

Dennis R. Morgan

The purpose of this paper is to expand upon one theme in Richard Slaughter's The Biggest Wake Up Call in History (BWCH) – that of the “collective shadow.”

Abstract

Purpose

The purpose of this paper is to expand upon one theme in Richard Slaughter's The Biggest Wake Up Call in History (BWCH) – that of the “collective shadow.”

Design/methodology/approach

Along with Slaughter, the author contends that the denialism indicative of strong negative reactions to the publication of Limits to Growth since 1972 is part of a larger problem within the collective psyche that must be understood and confronted.

Findings

For the first time in history, largely due to the emergence of global consciousness and, more recently, the advent of the internet, it is conceivable that authentic global democracy could emerge as an alternate network power, which challenges the structural criminality within the collective shadow, as well as the secret rule of the Empire Power Elite.

Originality/value

This paper exposes structural criminality within the collective shadow, its relationship to the advent of disaster capitalism, and its role in the emergence of a global ruling class.

Details

On the Horizon, vol. 21 no. 3
Type: Research Article
ISSN: 1074-8121

Keywords

Article
Publication date: 27 April 2012

Stephen Brown

In “There's a scholar born every minute”, the author aims to explain the background to Brown and Hackley's co‐authored paper, “The greatest showman on earth”, and respond to the…

164

Abstract

Purpose

In “There's a scholar born every minute”, the author aims to explain the background to Brown and Hackley's co‐authored paper, “The greatest showman on earth”, and respond to the comments of Richardson and Tadajewski.

Design/methodology/approach

The major concerns of the authors' critics are addressed, after a fashion. The author also attempts to account for their unorthodox approach to historical writing.

Findings

The authors are innocent of every charge levelled by Richardson and Tadajewski. Except one, which the author hides in a footnote hoping no one will read it.

Originality/value

The rejoinder is all style, no substance. So there!

Details

Journal of Historical Research in Marketing, vol. 4 no. 2
Type: Research Article
ISSN: 1755-750X

Keywords

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