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Approaching Borderline Personality

Venue: BPS Offices, Tabernacle Street, London
Date: Saturday 14th April 2012

Agenda

09.15 Registration 
   
09.50
  
 Welcome
Dr Peter Martin, DCoP Chair 
   
10.00
  
 

Borderline Personality: A Brief Conceptual History
Dr Barbara Douglas 

   
11.00 Refreshment Break 
   
11.30
  
  
 Clinical Realities of Borderline Personality Disorder; An integrative approach to complexity
Dr Hamilton Fairfax 
   
12.30
  
 Lunch Break
(Please bring your own Lunch) 
   
13.30
    
   
 Working with two clients in NHS adult mental health who have a diagnosis of borderline personality disorder
Prof. Pam James
   
14.30 Refreshment Break 
   
14.45
  
 Setting up a local service for people experiencing borderline personality
Claire John 
   
15.45 Plenary Session
   
16.00  Close 

Outline of the Day

The day is offered by four counselling psychologists who will address the area designated as borderline personality disorder. This is a field of practice which is currently the focus of significant development, including conceptualisation, service design and therapeutic intervention as highlighted in the publication of Borderline Personality Disorder: Treatment and Management (NICE 2009). The day will offer papers and ample discussion opportunities around the following areas
  • The origins of the diagnosis,
  • An integrative approach to intervention with personality disorders in the context of the clinical realities of the NHS.
  • Personal meanings of the diagnosis in individual case studies
  • Designing services that support people with personality difficulties.

Session 1: Dr Barbara Douglas
Borderline Personality: A Brief Conceptual History
The conceptual birth of the borderline personality is usually credited to a seminal paper given by New York analyst Adolph Stern in 1938. Since then it has evolved into a highly visible, and often feared, diagnostic category. Debates centre on its experienced longevity, its treatment, and its meaning to service users and mental health workers, all of which remain controversial. In this session I will explore these issues and their importance for applied psychologists. There will be an opportunity for delegates' discussion of the issues presented. 

Session 2: Dr Hamilton Fairfax
Clinical Realities of Borderline Personality Disorder; An integrative approach to complexity
I will present an integrative approach to intervention with personality disorders in the context of the clinical realities of the NHS. I intend to illustrate this with a brief overview of diagnostic and assessment difficulties and descriptive stats for our service related to referral population, and limited quantitative and qualitative outcome findings. I will be taking a practice-based evidence perspective and allude to the importance of this perspective influencing the prevailing culture of the NHS. There will also be the opportunity for discussion of the model in small groups

Session 3: Professor Pam James
Working with two clients in NHS adult mental health who have a diagnosis of borderline personality disorder.
This session focuses on some of the practice issues that surround working with two clients who have been given a diagnosis of borderline personality disorder. An essentially psychodynamic approach was adopted with both clients, although cognitive strategies were used to look at learnt patterns of behaviour. The
complexities produced by the necessity of working in a multi-disciplinary team in providing a safe containment are outlined. Common features of the process of therapy are identified from each case example and there will then be the opportunity for discussion in small groups.

Session 4: Claire John
Setting up a local service for people experiencing Borderline Personality
The demand for any service which includes clients diagnosed with BDP is finding a way of meeting their needs often with scant resources. In accordance with NICE (DoH 2009) guidelines Dialectical behaviour therapy (DBT) is recognised as an evidenced based treatment for those diagnosed with BPD and Avon and Wilts Mental Health Partnership has invested in the training of staff in DBT. This session explores the development and initial evaluation of its borderline personality disorder service and provides the opportunity for further discussion.

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