Recovery approaches with women with a diagnosis of personality disorder in secure care

Millar, Hayleigh (2011) Recovery approaches with women with a diagnosis of personality disorder in secure care. D.Clin.Psych. thesis, Canterbury Christ Church University.

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Abstract

A literature review in Section A reviews the conceptual and empirical literature with regard to the usefulness and challenges inherent in applying recovery approaches in secure services, with a particular focus on women with a diagnosis of personality disorder.
Section B. Background: Some studies have suggested that recovery approaches could be facilitated in secure mental health services despite a number of inherent tensions. However, none have explored if this applies to women with a diagnosis of personality disorder in secure care. A group whose needs have historically been overlooked, and can present with complex care-seeking behaviours.
Aims. To explore how staff working with these women understand and apply recovery approaches in secure units.
Method. Eleven multidisciplinary staff members working in a medium-secure unit in the UK participated in in-depth interviews. The data was analysed using grounded theory.
Results. A preliminary model was generated, which comprised of five categories: secure base, balancing tensions, therapeutic relationship, initiating recovery, and nurturing recovery.
These appeared to interact and influence each other throughout the recovery process.
Conclusions. Staff are required to continually balance a number of tensions and as such they need a secure base from which to explore the service-users’ unique recovery process through the medium of collaborative therapeutic relationships. Staff sharing a recovery ethos that is embedded in the culture of a conducive environment, and is supported by supervision and teamwork, fosters the actualisation of recovery principles of empowerment, identity formation, and hope.
Section C provides a critical appraisal of the study as well as a personal reflection on what was learnt through the process of the conducting the study.

Item Type: Thesis (Doctoral)
Uncontrolled Keywords: Personality disorders; Women; Forensic psychiatry; Secure care; Recovery; Grounded theory
Subjects: R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine > RA1151 Forensic psychiatry
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0790 Mental health services. Mental illness prevention
R Medicine > RC Internal medicine > RC0435 Psychiatry > RC0475 Therapeutics. Psychotherapy
R Medicine > RC Internal medicine > RC0435 Psychiatry > RC0554 Personality disorders. Behavior problems
Divisions: pre Nov-2014 > Faculty of Social and Applied Sciences > Applied Psychology
Depositing User: Users 36 not found.
Date Deposited: 28 Oct 2011 14:10
Last Modified: 21 Sep 2016 14:50
URI: https://create.canterbury.ac.uk/id/eprint/10263

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Last edited: 29/06/2016 12:23:00