Learning the subtle dance: The experience of therapists who deliver mentalisation‐based therapy for borderline personality disorder.

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Title: Learning the subtle dance: The experience of therapists who deliver mentalisation‐based therapy for borderline personality disorder.
Authors: Gardner, Kathryn Jane (AUTHOR), Wright, Karen M. (AUTHOR), Elliott, Alison (AUTHOR), Lamph, Gary (AUTHOR), Graham, Simon (AUTHOR), Parker, Lucy (AUTHOR), Fonagy, Peter (AUTHOR)
Source: Journal of Clinical Psychology. Feb2022, Vol. 78 Issue 2, p105-121. 17p. 2 Charts.
Subjects: Borderline personality disorder, Quality of service, Semi-structured interviews, Focus groups, Psychotherapists, Work experience (Employment)
Abstract: Objectives: This study aimed to understand therapists' lived experiences of delivering mentalisation‐based therapy (MBT), including their experiences of service user change. Method: One‐to‐one semi‐structured interviews or focus groups were conducted with 14 MBT therapists and analysed using interpretative phenomenological analysis (IPA). Results: Four superordinate themes were identified: (1) experiencing the challenges and complexities of being with service users during MBT; (2) being on a journey of discovery and change; (3) being an MBT therapist: a new way of working and developing a new therapeutic identity; and (4) being a therapist in the group: seeing it all come together. Conclusion: Our findings highlight the complexity, challenges and individualised experience of working therapeutically with service users with a diagnosis of BPD. The study provides a perspective of service use change that is enriched by idiosyncrasies within the therapeutic encounter. We conclude with a consideration of implications for MBT research and clinical practice. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Learning the subtle dance: The experience of therapists who deliver mentalisation‐based therapy for borderline personality disorder.
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  Data: <searchLink fieldCode="AR" term="%22Gardner%2C+Kathryn+Jane%22">Gardner, Kathryn Jane</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wright%2C+Karen+M%2E%22">Wright, Karen M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Elliott%2C+Alison%22">Elliott, Alison</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lamph%2C+Gary%22">Lamph, Gary</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Graham%2C+Simon%22">Graham, Simon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Parker%2C+Lucy%22">Parker, Lucy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fonagy%2C+Peter%22">Fonagy, Peter</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Psychology%22">Journal of Clinical Psychology</searchLink>. Feb2022, Vol. 78 Issue 2, p105-121. 17p. 2 Charts.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Borderline+personality+disorder%22">Borderline personality disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+service%22">Quality of service</searchLink><br /><searchLink fieldCode="DE" term="%22Semi-structured+interviews%22">Semi-structured interviews</searchLink><br /><searchLink fieldCode="DE" term="%22Focus+groups%22">Focus groups</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapists%22">Psychotherapists</searchLink><br /><searchLink fieldCode="DE" term="%22Work+experience+%28Employment%29%22">Work experience (Employment)</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objectives: This study aimed to understand therapists' lived experiences of delivering mentalisation‐based therapy (MBT), including their experiences of service user change. Method: One‐to‐one semi‐structured interviews or focus groups were conducted with 14 MBT therapists and analysed using interpretative phenomenological analysis (IPA). Results: Four superordinate themes were identified: (1) experiencing the challenges and complexities of being with service users during MBT; (2) being on a journey of discovery and change; (3) being an MBT therapist: a new way of working and developing a new therapeutic identity; and (4) being a therapist in the group: seeing it all come together. Conclusion: Our findings highlight the complexity, challenges and individualised experience of working therapeutically with service users with a diagnosis of BPD. The study provides a perspective of service use change that is enriched by idiosyncrasies within the therapeutic encounter. We conclude with a consideration of implications for MBT research and clinical practice. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/jclp.23208
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        Text: English
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      – SubjectFull: Borderline personality disorder
        Type: general
      – SubjectFull: Quality of service
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      – SubjectFull: Semi-structured interviews
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      – SubjectFull: Work experience (Employment)
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      – TitleFull: Learning the subtle dance: The experience of therapists who deliver mentalisation‐based therapy for borderline personality disorder.
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              Text: Feb2022
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              Y: 2022
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