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Experiences of patients with borderline personality disorder with the brief admission intervention: A phenomenological study
Author(s) -
Helleman Marjolein,
Goossens Peter J. J.,
Kaasenbrood Ad,
Achterberg Theo
Publication year - 2014
Publication title -
international journal of mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.911
H-Index - 54
eISSN - 1447-0349
pISSN - 1445-8330
DOI - 10.1111/inm.12074
Subject(s) - borderline personality disorder , thematic analysis , mental health , intervention (counseling) , interpersonal communication , medicine , personality disorders , personality , interpretative phenomenological analysis , psychiatry , psychology , qualitative research , social psychology , social science , sociology
Brief admission is a crisis intervention for patients with borderline personality disorder (BPD), and refers to a clinical admission at a psychiatric hospital for a period of 1–5 nights. Patients formulate a treatment plan together with their community mental health nurse about the maximum frequency allowed for these brief admissions. The purpose of the study was to describe the lived experiences of patients with BPD with use of the brief admission intervention. The study used a phenomenological approach. Inclusion criteria were a diagnosis of BPD, according to the Diagnostic and Statistical Manual of Mental Disorders–IV criteria; experience with brief admission, and sufficient understanding of the D utch language. A total of 16 female patients and one male patient participated in the study. Thematic analysis of the transcripts of the interviews revealed four major meaning units: (i) organization of the brief admission; (ii) contact with a nurse; (iii) time out from daily life; and (iv) experienced value for the patient. Patients highlighted the quality of the contact with a nurse as the most important aspect of the brief admission. Nurses should be aware of the importance of connecting with patients who have BPD during a brief admission, particularly in light of the interpersonal hypersensitivity that characterizes these patients.