Department of Psychiatry and Behavioral Sciences, University of Washington at Harborview Medical Center, 325 9th Ave, Box 359911, Seattle, WA, 98104, USA.
Department of Psychology, Catholic University of America, 620 Michigan Ave NE, Washington, DC, 20064, USA.
Personal Ment Health. 2018 Feb;12(1):38-48. doi: 10.1002/pmh.1397. Epub 2017 Oct 12.
Social-environmental factors have been found to be an integral part in the recovery process for individuals with psychiatric disabilities. There are few studies that have obtained patient perspectives of how their social and treatment environments help facilitate or impede the recovery process. The following study examined the self-reported interpersonal barriers to recovery among a sample of individuals (N = 31) with borderline personality disorder who were receiving dialectical behaviour therapy. The goal of study was to identify self-reported problematic behaviour that interferes with recovery goals and identify types of family, friend and/or provider behaviours that increased the likelihood of patients engaging in these problematic behaviours. A content analysis yielded three themes of problematic behaviour, and how these behaviours were reinforced by others, including (1) avoidance behaviours, (2) encouragement of negative coping and (3) communication of low behavioural expectations. Implications for the impact of these patterns of reinforcement within behavioural health settings are discussed. Copyright © 2017 John Wiley & Sons, Ltd.
社会环境因素被发现是精神障碍患者康复过程的一个组成部分。很少有研究获得患者的观点，了解他们的社会和治疗环境如何帮助促进或阻碍康复过程。本研究调查了接受辩证行为治疗的边缘型人格障碍患者样本（N=31）报告的自我人际障碍对康复的影响。研究的目的是确定自我报告的妨碍康复目标的行为问题，并确定增加患者发生这些行为问题的可能性的家庭、朋友和/或提供者行为类型。内容分析产生了三个行为问题主题，以及这些行为是如何被他人强化的，包括（1）回避行为，（2）鼓励消极应对，以及（3）传达低行为期望。讨论了这些强化模式在行为健康环境中的影响。版权所有©2017 约翰威利父子有限公司。
