Understanding change within emotionally unstable personality disorder

Qualitative research has begun focussing on the experience of change within psychological therapy for individuals with a diagnosis of Emotionally Unstable Personality Disorder (EUPD). However, many individuals do not access therapy but instead utilise other forms of support. This study aimed to develop a holistic theory of change, applicable to but extendable beyond the remit of psychological therapy.
Twelve individuals were interviewed using semi-structured format about their experience of change. Five individuals with a diagnosis of EUPD were interviewed alongside seven staff members. A Grounded Theory methodology was used.
The key change experience was defined as one of ‘shifting positions’ where the individual began evolving their relationship to themselves, to others and to help. This process was often facilitated by development of safe and trusting relationships and a personal readiness to change. The change process could simultaneously be enhanced and set back by staff and Mental Health Services.
This change process mirrors and expands the findings of previous research and offers a change model applicable across settings. Future research should include the perspective of carers and clinical settings should explore how best to support staff to attune to individuals’ needs in order to facilitate change.