针对边缘型人格障碍的同伴支持:对其可行性、可接受性以及与康复理念的一致性进行批判性审查。

Personality disorders Pub Date : 2024-11-01 Epub Date: 2024-08-05 DOI:10.1037/per0000683
Brianna J Turner, Baylie McKnight, Carolyn E Helps, Si-Ning Yeo, Skye Barbic
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引用次数: 0

摘要

许多组织都采用同伴支持来提高服务与以康复为导向的原则的一致性。然而,很少有研究对边缘型人格障碍(BPD)特有的 "康复 "和 "以康复为导向的实践 "概念进行仔细研究,也很少有研究对现有同伴支持服务(PSS)与这些概念的一致性程度进行评估。我们分四个阶段填补了这些知识空白:(a)文献综述,以了解 BPD 特定的 "康复 "和 "以康复为导向的实践 "的概念;(b)文献综述和开放式网络搜索,以描述针对 BPD 患者的同伴支持服务的实施情况、可行性或有效性;(c)对项目管理人员进行有关其 BPD-PSS 项目的景观调查;以及(d)对当前针对 BPD 的同伴支持在多大程度上与 "康复 "和 "以康复为导向的实践 "相一致进行批判性评述。我们确定了 40 个与 BPD 有关的定义为 "康复 "或 "以康复为导向的实践 "的公开资料来源,并对这些结果进行了叙述性总结,还确定了 9 个描述 BPD 患者同伴支持服务的资料来源,并收到了 7 个 BPD-PSS 项目管理人员的调查回复。我们的批判性综述强调了 "临床康复 "与 "个人康复 "这两个截然不同但又相互重叠的概念,并强调了 BPD-PSS 与个人康复目标的一致性,包括增强自我认识和接纳、希望、参与有意义的社会角色和关系以及自我决定。虽然服务使用者、同伴支持者和临床医生都对同伴支持有积极的体验,但面临的挑战包括设定界限、尽量减少双重角色、确保充分的培训、监督和个人支持以减少职业倦怠。同伴支持似乎是实现 BPD 患者个人康复目标的一个可行途径;但是,还需要进行正式的项目评估。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Peer support for borderline personality disorder: A critical review of its feasibility, acceptability, and alignment with concepts of recovery.

Many organizations have adopted peer support to increase service alignment with recovery-oriented principles. Yet, few studies have scrutinized borderline personality disorder (BPD)-specific concepts of "recovery" and "recovery-oriented practice," nor evaluated the extent to which existing peer support services (PSS) align with these concepts. We addressed these knowledge gaps in four phases: (a) a literature review to understand BPD-specific concepts of "recovery" and "recovery-oriented practice," (b) a literature review and open web search to describe the implementation, feasibility, or effectiveness of PSS for people with BPD, (c) a landscaping survey of program administrators regarding their BPD-PSS programs, and (d) a critical review of the extent to which current peer support for BPD aligns with "recovery" and "recovery-oriented practice." We identified 40 published sources that defined "recovery" or "recovery-oriented practice" as it pertains to BPD, and narratively summarize these results, nine sources that described PSS for people with BPD, and received survey responses from seven BPD-PSS program administrators. Our critical review highlighted the distinctive but overlapping concepts of "clinical recovery" versus "personal recovery" and underscored the alignment of BPD-PSS with personal recovery goals, including increased self-knowledge and -acceptance, hope, engagement in meaningful social roles and relationships, and self-determination. While peer support is experienced positively by service users, peer supporters, and clinicians, challenges include setting boundaries, minimizing dual roles, and ensuring adequate training, supervision, and personal support to reduce burnout. Peer support appears to be a feasible avenue for meeting the personal recovery goals of people with BPD; however, formal program evaluations are needed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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