Title:
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Admission to discharge : experiences of inpatient mental care from the perspective of individuals with a diagnosis of borderline personality disorder
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This thesis explored the experience of inpatient mental health care from the perspective
of individuals diagnosed with Borderline Personality Disorder (BPD).
The literature review synthesised the findings from 11 qualitative studies that reported
on experiences of inpatient stays. The process elicited five main themes; (1) positions of
control; (2) a volatile environment; (3) negative attitudes and responses; (4) the impact of
negative attitudes and responses; (5) the absence but importance of talking. The findings
suggest that inpatient services can provide the safety, security and support people with a
diagnosis of BPD desire. However, they can also repeat unpleasant experiences of the past and
therefore trigger distress and contribute to several difficulties associated with this personality
disorder.
The research study employed a qualitative Interpretative Phenomenological Analysis
design to investigate the experiences of discharge from inpatient services. The aim was to
explore how and why these experiences have an impact on this client group. Four superordinate
themes emerged: (1) from a protective to an isolated space; (2) tensions around
accessing support; (3) withholding the truth and guarding the true self; (4) a perpetuation of
previous loss. The findings suggest that the transition from hospital to the community can be
difficult for people with a diagnosis of BPD. Further difficulties can occur following discharge
as a result of experiencing tension between wanting and resisting support. An unwillingness to
share true thoughts and feelings can lead to distress and this can be made worse by the overall
discharge experience that seems to remind some of previous experiences of loss.
The critical review detailed a number of important issues that arose during the
completion of this thesis. It also included an evaluation of the research study and discussions
that arose from personal reflections.
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