title: Recovery in Borderline Personality Disorder (BPD): a qualitative study of service users' perspectives.
abstract: BACKGROUND
  Symptom improvement in Borderline Personality Disorder (BPD) is more common than previously hypothesised. However, it remains unclear whether it reflects service users' personal goals of recovery. The present study aimed to explore what service users with BPD view as recovery.
  
  
  METHODS
  48 service users were recruited from secondary mental health services and their views on their personal goals and the meaning of recovery were explored in in-depth semi-structured interviews. The study drew on grounded theory and thematic analysis.
  
  
  RESULTS
  Service users believed that recovery involved developing self-acceptance and self-confidence, gaining control over emotions, improving relationships, employment, and making progress in symptoms like suicidality and self-harming. They felt that psychotherapies for BPD often had an extreme focus on specific areas, like self-harming or relationships, and that some of their goals were neglected. Although full recovery was seen as a distant goal, interviewees felt that they could learn how to deal with their problems in more effective ways and make meaningful progress in their lives.
  
  
  CONCLUSIONS
  Specialist therapies for BPD explicitly address some of the recovery goals that are important to service users, whereas other goals are only indirectly or poorly addressed. Professionals might need to work with service users towards devising comprehensive individualised case formulations, including all treatment targets that are important to service users, their priorities, and long-term plans on how their targets might be met and which services might be involved.
authors.affiliation: Unit for Social and Community Psychiatry, Queen Mary University of London, London, United Kingdom. c.katsakou@qmul.ac.uk
authors.forename: Christina
authors.initials: C
authors.lastname: Katsakou
authors.forename: Stamatina
authors.initials: S
authors.lastname: Marougka
authors.forename: Kirsten
authors.initials: K
authors.lastname: Barnicot
authors.forename: Mark
authors.initials: M
authors.lastname: Savill
authors.forename: Hayley
authors.initials: H
authors.lastname: White
authors.forename: Kate
authors.initials: K
authors.lastname: Lockwood
authors.forename: Stefan
authors.initials: S
authors.lastname: Priebe
mesh_terms: D000328:Adult; D001883:Borderline Personality Disorder / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged