MENTALISERINGSBASERET GRUPPEPROGRAM FOR PERSONER MED BORDERLINEPERSONLIGHEDSFORSTYRRELSE OG DERES PÅRØRENDE – EN KVALITATIV INTERVIEWUNDERSØGELSE MED FOKUS PÅ PÅRØRENDES OPLEVEDE UDBYTTE
DOI:
https://doi.org/10.7146/pl.v44i1.141125Nøgleord:
MBT, borderline-personlighedsforstyrrelse, pårørende, familier, kvalitativResumé
Formålet med nærværende undersøgelse var at undersøge, hvilket selvvurderet udbytte pårørende til personer med borderline-
personlighedsforstyrrelse (BPF) oplevede efter at have deltaget i et firesessioners mentaliseringsbaseret (MBT)-program for personer med BPF og deres pårørende. Fire pårørende (tre forældre og en ægtefælle) til personer i behandling for BPF indgik i undersøgelsen. Kvalitative livsverdensinterviews blev analyseret ud fra en meningskondenserende tilgang. Undersøgelsen viste, at de pårørende oplevede at få en øget forståelse for og accept af personer med BPF’s vanskeligheder og skrøbelige mentaliseringsevne, samt at de blev bedre til at håndtere potentielle konfliktsituationer i relation til personen med BPF.
Referencer
Adelman, C. (1993). Kurt Lewin and the origins of action research. Educational Action Research, 1(1), 7-24. https://doi.org/10.1080/0965079930010102.
Bailey, R.C. & Grenyer, B.F. (2014). Supporting a person with personality disorder: A study of carer burden and well-being. Journal of Personality Disorders, 28(6), 796-809. https://doi.org/10.1521/pedi_2014_28_136.
Bateman, A., Campbell, C., Luyten, P. & Fonagy, P. (2018). A mentalization-based approach to common factors in the treatment of borderline personality disorder. Current Opinion in Psychology, 21, 44-49. https://doi.org/10.1016/j.copsyc.2017.09.005.
Bateman, A. & Fonagy, P. (2016). Mentalization-Based Treatment for Personality Disorders: A Practical Guide. Oxford University Press. https://doi.org/10.1093/med:psych/9780199680375.001.0001.
Bateman, A. & Fonagy, P. (2019). A randomized controlled trial of a mentalization-based intervention (MBT-FACTS) for families of people with borderline personality disorder. Personality Disorders, 10(1), 70-79. https://doi.org/10.1037/per0000298.
Bateman, A., Kongerslev, M. & Bo, S. (2019). Group therapy for adults and adolescents. I: A. Bateman & P. Fonagy (red,), Handbook of Mentalizing in Mental Health Practice (2. udg., s. 117-133). American Psychiatric Association Publishing.
Bergen, N. & Labonté, R. (2020). ”Everything is perfect, and we have no problems”: Detecting and limiting social desirability bias in qualitative research. Qualitative Health Research, 30(5), 783-792. https://doi.org/10.1177/1049732319889354.
Bo, S., Kongerslev, M.T., Larsen, K.A. & Bateman, A. (2017). Mentaliseringsbaseret behandling af borderline-personlighedsforstyrrelse. I: E. Simonsen & B.B. Mathiesen (red.), Personlighed og personlighedsforstyrrelser. En grundbog (s. 435-472). Hans Reitzels Forlag.
Bo, S., Sharp, C., Kongerslev, M.T., Luyten, P. & Fonagy, P. (2022). Improving treatment outcomes for adolescents with borderline personality disorder through a socioecological approach. Borderline Personality Disorder and Emotion Dysregulation, 9(1). https://doi.org/10.1186/s40479-022-00187-9.
Bo, S., Vilmar, J.W., Jensen, S.L., Jorgensen, M.S., Kongerslev, M., Lind, M. & Fonagy, P. (2021). What works for adolescents with borderline personality disorder: Towards a developmentally informed understanding and structured treatment model. Current Opinion in Psychology, 37, 7-12. https://doi.org/10.1016/j.copsyc.2020.06.008.
Claxton, M., Onwumere, J. & Fornells-Ambrojo, M. (2017). Do family interventions improve outcomes in early psychosis? A systematic review and meta-analysis. Frontiers in Psychology, 8, 371. https://doi.org/10.3389/fpsyg.2017.00371.
Crawford, M., Rutter, D., Price, K., Weaver, T., Josson, M., Tyrer, P. & Ryrie, I. (2007). Learning the lessons: A multi-method evaluation of dedicated community-based services for people with personality disorder. Report submitted to the National Co-ordinating Centre for NHS Service Delivery and Organisation R & D (NCCSDO). Imperial College. https://doi.org/10.1108/13619322200700039.
Dreier, O. (2008). Psychotherapy in Everyday Life. Cambridge University Press.
Dunne, E. & Rogers, B. (2013). ”It’s us that have to deal with it seven days a week”: Carers and borderline personality disorder. Community Mental Health Journal, 49(6), 643-648. https://doi.org/10.1007/s10597-012-9556-4.
Enhed for Brugerstyret Psykiatri (2013). Rapport over Pårørendeindsatsen 2012. Psykiatrien Region Sjælland. https://viden.sl.dk/artikler/voksne/psykiatri/rapportover-paaroerendeindsatsen-2012/.
Fonagy, P., Gergely, G., Jurist, E.L. & Target, M. (2002). Affect Regulation, Mentalization, and the Development of the Self. Other Press.
Fonagy, P. & Luyten, P. (2009). A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Development and Psychopathology, 21(4), 1355-1381. https://doi.org/10.1017/S0954579409990198.
Fonagy, P., Luyten, P. & Allison, E. (2015). Epistemic petrification and the restoratrion of epistemic trust: A new conceptualization of borderline personality disorder and its psychosocial treatment. Journal of Personality Disorders, 29(5), 575-609. https://doi.org/10.1521/pedi.2015.29.5.575.
Gabbard, G.O. (2000). Disguise or consent. Problems and recommendations concerning the publication and presentation of clinical material. International Journal of Psycho Analysis, 81(6), 1071-1086.
Giffin, J. (2008). Family experience of borderline personality disorder. Australian and New Zealand Journal of Family Therapy, 29(3), 133-138. https://doi.org/10.1375/anft.29.3.133.
Guillen, V., Diaz-Garcia, A., Mira, A., Garcia-Palacios, A., Escriva-Martinez, T., Banos, R. & Botella, C. (2021). Interventions for family members and carers of patients with borderline personality disorder: A systematic review. Family Process, 60(1), 134-144. https://doi.org/10.1111/famp.12537.
Hastrup, L.H., Jennum, P., Ibsen, R., Kjellberg, J. & Simonsen, E. (2019). Societal costs of borderline personality disorders: A matched-controlled nationwide study of patients and spouses. Acta Psychiatrica Scandinavica, 140(5), 458-467. https://doi.org/10.1111/acps.13094.
Hastrup, L.H., Kongerslev, M.T. & Simonsen, E. (2019). Low vocational outcome among people diagnosed with borderline personality disorder during first admission to mental health services in Denmark: A nationwide 9-year register-based study. Journal of Personality Disorders, 33(3), 326-340. https://doi.org/10.1521/pedi_2018_32_344.
Hastrup, L.H., Kristensen, J. & Kongerslev, M.T. (2017). Psykosocial rehabilitering og samfundsøkonomiske omkostninger ved personlighedsforstyrrelser. I: E. Simonsen & B.B. Mathiesen (red.), Personlighed og personlighedsforstyrrelser. En grundbog (s. 627 648). Hans Reitzels Forlag.
IsHak, W.W., Elbau, I., Ismail, A., Delaloye, S., Ha, K., Bolotaulo, N.I. … Wang, C. (2013). Quality of life in borderline personality disorder. Harvard Review of Psychiatry, 21(3), 138-150. https://doi.org/10.1097/HRP.0b013e3182937116.
Karterud, S. (2015). Mentalization-Based Group Therapy (MBT-G): A Theoretical, Clinical, and Research Manual. Oxford University Press. https://doi.org/10.1093/med:psych/9780198753742.001.0001.
Karterud, S. (2019). Manual for gruppekurs om personlighet og personlighetsproblemer. Gyldendal.
Karterud, S., Folmo, E. & Kongerslev, M.T. (2020). Mentaliseringsbasert terapi (MBT). Gyldendal Akademisk. Manuscript in press.
Karterud, S.W. & Kongerslev, M.T. (2019). A temperament-attachment-mentalizationbased (TAM) theory of personality and its disorders. Frontiers in Psychology, 10, 518. https://doi.org/10.3389/fpsyg.2019.00518.
Katzenelson, B. (1994). Mennesketilblivelsens koreografi og kundskabens grundlag: Et evolutionært perspektiv på projekt menneske. I: A. Neumann (red.), Det særligt menneskelige: udviklingspsykologiske billeder (s. 59-105). Hans Reitzels Forlag.
Kongerslev, M.T. & Simonsen, E. (2017). Personlighedens psykopatologi. Psykiatrisk klassifikation, klinisk fremtræden og diagnostisk udredning. I: E. Simonsen & B.B. Mathiesen (red.), Personlighed og personlighedsforstyrrelser. En grundbog (s. 175-221). Hans Reitzels Forlag.
Kongerslev, M.T., Storebø, O.J. & Simonsen, E. (2021). Status og perspektiver på forskning i psykoterapeutisk behandling af borderline personlighedsforstyrrelse. Psyke & Logos, 42(1), 39-55. https://doi.org/10.7146/pl.v42i1.128764.
Kvale, S. (1997). Interview: en introduktion til det kvalitative forskningsinterview. Hans Reitzels Forlag.
Linden, M. (2013). How to define, find and classify side effects in psychotherapy: From unwanted events to adverse treatment reactions. Clinical Psychology & Psychotherapy, 20(4), 286-296. https://doi.org/10.1002/cpp.1765.
Luyten, P., Campbell, C. & Fonagy, P. (2022). The fear of insignificance from a sociocommunicative perspective: Reflections on the role of cultural changes in Carlo Strenger’s thinking. Psychoanalytic Psychology, 39(1), 20-26. https://doi.org/10.1037/pap0000398.
Mackrill, T. (2009). A cross-contextual construction of clients’ therapeutic practice. Journal of Constructivist Psychology, 22(4), 283-305. https://doi.org/10.1080/10720530903113839.
Malterud, K. (2012). Systematic text condensation: A strategy for qualitative analysis. Scandinavian Journal of Public Health, 40(8), 795-805. DOI: 10.1177/1403494812465030.Norris, N. (2007). Error, bias and validity in qualitative research. Educational Action Research, 5(1), 172-176. https://doi.org/10.1080/09650799700200020.
O’Keeffe, S., Martin, P., Target, M. & Midgley, N. (2019). ”I just stopped going”: A mixed methods investigation into types of therapy dropout in adolescents with depression. Frontiers in Psychology, 10, 75. https://doi.org/10.3389/fpsyg.2019.000.
Palmér, L., Nyström, M., Ekeberg, M., Lindberg, E. & Karlsson, K. (2022). Pre-understanding – A threat to validity in qualitative caring science research? International Journal for Human Caring, 26(4), 254-262. https://doi.org/10.20467/ijhc-2021-0013.
Poulsen, S. (2000). Terapeutiske faktorer i kortidsgrupper 1. Kategorisystemer for terapeutiske faktorer. Matrix, 17(2), 207-237.
Scheirs, J.G. & Bok, S. (2007). Psychological distress in caretakers or relatives of patients with borderline personality disorder. International Journal of Social Psychiatry, 53(3), 195-203. https://doi.org/10.1177/0020764006074554.
Sharp, C. & Bevington, D. (2022). Mentalizing in Psychotherapy. Guilford.
Stern, D.N. (2000). The Interpersonal World of the Infant: A View from Psychoanalysis & Developmental Psychology. Basic Books.
Stoffers-Winterling, J.M., Storebø, O.J., Kongerslev, M.T., Faltinsen, E., Todorovac, A., Sedoc Jørgensen, M.S. … Simonsen, E. (2022). Psychotherapies for borderline personality disorder: A focused systematic review and meta-analysis. The British Journal of Psychiatry, 221(3), 538-552. https://doi.org/doi:10.1192/bjp.2021.204.
Storebø, O.J., Stoffers-Winterling, J.M., Völlm, B.A., Kongerslev, M.T., Mattivi, J.T., Jørgensen, M.S. … & Simonsen, E. (2020). Psychological therapies for people with borderline personality disorder (review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD012955.pub2.
Stringer, E.T. & Aragón, A.O. (2021). Action Research (5. udg.). SAGE. Yalom, I.D. (1995). The Theory and Practice of Group Psychotherapy. Basic Books.
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