Authors: Fiona Ng, Marianne Bourke, Brin Grenyer
Event: 2016 TheMHS Conference
Subject: University of Wollongong, Recovery, Support, Training, Clinical Issues, Lived Experience, Research & Evaluation Informing Practice, BPD
Type of resource: Conference Presentations and Papers
Abstract: Symptom remission from Borderline Personality Disorder (BPD) is understood to be a common experience, but the lived experience of recovery has warranted limited investigation. This systematic review followed the PRISMA guidelines to examine the experience and meanings of recovery in BPD through the perspectives of consumers, clinicians and carers. Nineteen studies, representing 11 unique cohorts, met the inclusion criteria and were included for review. There was an over-representation of studies examining clinical recovery and a limited focus on the lived experience through the perspectives of consumers, clinicians and carers.
Pooling remission and relapse rates from longitudinal studies suggest that an average 15% of consumers will symptomatically remit per annum whilst 6% experience relapse. Findings from qualitative studies provided greater insight into the recovery process, where initial willingness to engage in recovery was required to facilitate symptom change. Despite this, consumers raised concerns over the current conceptualisations of recovery.
These findings are critical for the implementation of personality disorder friendly and recovery oriented mental health services for consumers with BPD. Greater understanding of the meaning of recovery and the perspectives of others involved in a consumer’s recovery process is required to provide tailored and meaningful interventions.