University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Clinical Psychologists' Experiences of Decision-Making in Community Mental Health Teams in Relation to Borderline Personality Disorder (Volume I).

Preston, Anna. (2009) Clinical Psychologists' Experiences of Decision-Making in Community Mental Health Teams in Relation to Borderline Personality Disorder (Volume I). Doctoral thesis, University of Surrey (United Kingdom)..

[img]
Preview
Text
27727040.pdf
Available under License Creative Commons Attribution Non-commercial Share Alike.

Download (11MB) | Preview

Abstract

This study sought to explore Clinical Psychologists’ experiences of decision-making in Community Mental Health Teams (CMHTs) in relation to clients with Borderline Personality Disorder (BPD). CMHTs are responsible for the care of an increasing number of people with mental health difficulties, including people with BPD. As a result, professionals within the CMHT are faced with more decisions to make in relation to the care of their clients. These decisions can have a considerable impact on the lives of clients. This presents an important area for research. Within the CMHT, the role of the Clinical Psychologist has widened; partly in response to the New Ways of Working documentation and recent changes in the Mental Health Act. Therefore, it was important to explore specifically Clinical Psychologists’ experiences of team decision-making. Seven Clinical Psychologists working in CMHTs were interviewed about their experiences. Interpretative Phenomenological Analysis was used to analyse the data. Three main themes emerged: a ‘pull’ towards the exclusion of clients with BPD, team dynamics, and the idealisation of a ‘good’ team. The results, understood through a combination of psychoanalytic and systems theories, suggest that decision-making is based largely on emotions and is characterised by inconsistency. There is a need for reflection, model-based decision-making and the nurturing of teams by the wider organisation in order for decision-making to be effective in meeting the needs of clients with BPD.

Item Type: Thesis (Doctoral)
Divisions : Theses
Authors : Preston, Anna.
Date : 2009
Additional Information : Thesis (Psych.D.)--University of Surrey (United Kingdom), 2009.
Depositing User : EPrints Services
Date Deposited : 06 May 2020 14:38
Last Modified : 06 May 2020 14:46
URI: http://epubs.surrey.ac.uk/id/eprint/856342

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800