Imperial College London
Alternate

DrKirstenBarnicot

Faculty of Medicine, Department of Brain Sciences

Honorary Lecturer
 
 
 
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Contact

 

k.barnicot

 
 
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Location

 

3/8Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Barnicot:2021:10.1111/papt.12362,
author = {Barnicot, K and Redknap, C and Coath, F and Hommel, J and Couldrey, L and Crawford, M},
doi = {10.1111/papt.12362},
journal = {Psychology and Psychotherapy: theory, research and practice},
pages = {1--22},
title = {Patient experiences of therapy for borderline personality disorder: Commonalities and differences between dialectical behaviour therapy and mentalization-based therapy and relation to outcomes},
url = {http://dx.doi.org/10.1111/papt.12362},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - ObjectivesDialectical behaviour therapy (DBT) and mentalization-based therapy (MBT) are widely used evidence-based psychological treatments for borderline personality disorder (BPD). The study aimed to establish evidence on common and unique, and helpful and unhelpful, treatment processes.DesignMixed-methods.MethodsIn-depth qualitative interview data on patient experiences during treatment were combined with quantitative outcome measures in 73 patients diagnosed with a personality disorder and receiving DBT or MBT.ResultsAcross both DBT and MBT, accounts of learning not to react impulsively, learning to question one’s thoughts and assumptions, learning to communicate more effectively, and exposure to painful emotions that may previously have been avoided were each associated with less baseline-adjusted self-harm at the end of treatment. Difficulties in interacting with other group members were more likely to be described by patients receiving MBT than DBT, whilst difficulties in the therapeutic relationship were equally common. Both of these types of difficult experience were associated with higher baseline-adjusted levels of BPD traits and emotional dysregulation, at the end of the 12-month study period.ConclusionsThe findings identify novel evidence of common therapeutic processes across DBT and MBT that may help to reduce self-harm. The findings also highlight the potential iatrogenic effect of difficulties in the alliance with therapists or with other group members. This underscores the importance of listening to patients’ voices about what they are finding difficult during therapy and working to address these relational challenges, so that the patient is able to progress and make best use of the treatment.Practitioner pointsRegardless of whether dialectical behaviour therapy or mentalization based therapy is used, helping service-users to learn not to react impulsively, to question their thoughts and assumptions, and to communicate more effectively
AU  - Barnicot,K
AU  - Redknap,C
AU  - Coath,F
AU  - Hommel,J
AU  - Couldrey,L
AU  - Crawford,M
DO  - 10.1111/papt.12362
EP  - 22
PY  - 2021///
SN  - 1476-0835
SP  - 1
TI  - Patient experiences of therapy for borderline personality disorder: Commonalities and differences between dialectical behaviour therapy and mentalization-based therapy and relation to outcomes
T2  - Psychology and Psychotherapy: theory, research and practice
UR  - http://dx.doi.org/10.1111/papt.12362
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000690783200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/papt.12362
ER  -
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