Responding to self-harm in borderline personality disorder : from clinician frustration to therapeutic enquiry Commons Treloar, Amanda and Lewis, Andrew 2007, Responding to self-harm in borderline personality disorder : from clinician frustration to therapeutic enquiry, Psychotherapy in Australia, vol. 14, no. 1, pp. 34-40. Attached Files Name Description MIMEType Size Downloads Title Responding to self-harm in borderline personality disorder : from clinician frustration to therapeutic enquiry Author(s) Commons Treloar, Amanda Lewis, Andrew orcid.org/0000-0002-2519-7976 Journal name Psychotherapy in Australia Volume number 14 Issue number 1 Start page 34 End page 40 Publisher Psychoz Publications Place of publication Collingwood, Vic. Publication date 2007-11 ISSN 1323-0921 Summary Pessimistic attitudes and reactive behavioural management strategies act as a major barrier to effective service provision for patients with borderline personality disorder. This paper reviews research on countertransference reactions (negative professional attitudes) towards these patients and the professional response to the common presentation of self harm in this particular client group. The psychotherapeutic treatment of patients with borderline personality disorder is complex and both professionally and personally demanding. A clinical framework is proposed that enables clinicians to develop a more nuanced and empathic understanding of self harm within the context of personality disorder in order to facilitate enhanced therapeutic engagement with these challenging patients. A clinical case study illustrates the use of this framework and the potential for enhanced therapeutic management in conjunction with the recognition and reduction of clinician indifference and rejection, thus improving patient outcomes. (editor abstract)Pessimistic attitudes and reactive behavioural management strategies act as a major barrier to effective service provision for patients with borderline personality disorder. This paper reviews research on countertransference reactions (negative professional attitudes) towards these patients and the professional response to the common presentation of self harm in this particular client group. The psychotherapeutic treatment of patients with borderline personality disorder is complex and both professionally and personally demanding. A clinical framework is proposed that enables clinicians to develop a more nuanced and empathic understanding of self harm within the context of personality disorder in order to facilitate enhanced therapeutic engagement with these challenging patients. A clinical case study illustrates the use of this framework and the potential for enhanced therapeutic management in conjunction with the recognition and reduction of clinician indifference and rejection, thus improving patient outcomes. Language eng Field of Research 170106 Health, Clinical and Counselling Psychology HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2007, Psychoz Publications Persistent URL http://hdl.handle.net/10536/DRO/DU:30007645 Document type: Journal Article Collections: Faculty of Health School of Psychology   Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Tue, 10 Mar 2009, 14:08:52 EST Fri, 15 Jul 2011, 11:32:44 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 0 times in Scopus Search Google Scholar Access Statistics: 1239 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Mon, 29 Sep 2008, 08:54:30 EST

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