Title:
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Relationships with staff in a community-based forensic personality disorder service : service users' perspectives
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Researchers return again and again to the therapeutic relationship as it is
such a fundamental part of any type of therapeutic work. However, developing
relationships with individuals diagnosed as having a `personality disorder' has
been considered to be difficult. Those thought to be particularly difficult to
engage in relationships are those within the forensic population who have
attracted a diagnosis of `personality disorder' and who have histories of
reoffending. This study attempts to understand the experiences of therapeutic
relationships of these individuals in a community-based forensic personality
disorder service. As much of the current research points out problems and
negative experiences of relationships, this study aims to explore positive
examples of relationships as well.
Six male service users from a community-based forensic personality disorder
service were interviewed using semi-structured interviews. An interpretative
phenomenological analysis (IPA) was used to develop four themes from the
interview data.
The analysis revealed that relationships between participants and staff were
complicated by their own concerns about engaging in close relationships
('stopping myself from getting close'). Difficulties also arose due to how staff
were experienced ('other people stop me from getting close'). However, more
positive experiences of relationships were talked about ('working the
relationship out together') and participants found themselves to be active in
their own rehabilitation when they felt empowered by relationships ('now I can
make it happen').
The findings are discussed in relation to other research with this client group
and theoretical understandings of relationships. Recommendations are made
for how clinical psychologists can work directly with these clients and support
others working with them. It is suggested that future research into
relationships could focus on positive as well as more problematic experiences
of relationships.
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