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INSIGHT INTO THE OCCUPATIONAL LIVES OF ADULTS WITH BORDERLINE PERSONALITY DISORDER: A GROUNDED THEORY APPROACH Public Deposited

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MLA citation style

Szymaszek, Karolina, et al. Insight Into The Occupational Lives Of Adults With Borderline Personality Disorder: A Grounded Theory Approach. Wasmuth, Sally.University of Indianapolis. 1212. https://uindy.hykucommons.org/concern/generic_works/f65e9072-f9b6-4f63-86f6-d0e323e935f3?locale=en

APA citation style

Szymaszek, Karolina, Gaerke, Kyra-Jo, Manspeaker, Trevor, & Mokil, Emily. (1212). INSIGHT INTO THE OCCUPATIONAL LIVES OF ADULTS WITH BORDERLINE PERSONALITY DISORDER: A GROUNDED THEORY APPROACH. https://uindy.hykucommons.org/concern/generic_works/f65e9072-f9b6-4f63-86f6-d0e323e935f3?locale=en

Chicago citation style

Szymaszek, Karolina, Gaerke, Kyra-Jo, Manspeaker, Trevor, and Mokil, Emily. Insight Into The Occupational Lives Of Adults With Borderline Personality Disorder: A Grounded Theory Approach. University of Indianapolis. 1212. https://uindy.hykucommons.org/concern/generic_works/f65e9072-f9b6-4f63-86f6-d0e323e935f3?locale=en

Note: These citations are programmatically generated and may be incomplete.

Borderline personality disorder (BPD) is characterized by intense emotions, self-harm, low or unstable self-image, and risky behaviors, among other symptoms (American Psychiatric Association, 2013). The purpose of this study was to explore and better understand, through grounded theory analysis, the occupational lives of people with BPD to identify how occupational therapy (OT) may improve occupational lives for this population. There is limited research that specifically focuses on the impact of BPD on occupational participation, which is important for informing OT treatment planning. This study uses a grounded theory design with existing data from a larger study looking at metacognition and function in people with BPD. Eighteen participants were recruited via convenience sampling from a Veteran Affairs Hospital inpatient/outpatient clinic in an urban midwestern area. Data were collected with the Indiana Psychiatric Illness Interview (IPII), a semi-structured interview designed to elicit illness personal narratives (Lysaker & Lysaker, 2002). Eighteen IPII transcripts were analyzed using the grounded theory steps including initial coding, focused coding, axial coding, and theoretical coding (Charmaz, 2014). Findings illustrated a bidirectional interaction between the main themes of occupation and influencing environment. Participants' environments contributed to their chosen occupations, which in turn continued to influence their environments. A bidirectional interaction was also evident between the themes of occupation and internal experiences. Internal experiences contributed to the types of occupations participants chose – feelings of shame and low self-worth, for example, contributed to participation in relationships that reinforced these feelings. Data in this study illustrated a one way interaction between the themes of environment and internal experience. Environmental contexts impacted participants' internal experiences; however, while internal experiences impacted occupational choices which then contributed to shaping participants' environments, internal experiences did not directly shape the environments of participants. This research highlights how occupational participation can powerfully impact lives of people with BPD. Data illustrated that occupations affected both environmental contexts and internal experiences. Therefore, occupation may be a powerful mechanism of change that affects internal experience and environments. Occupational therapists can build on the findings of this study by helping clients intentionally use occupation to change their experiences related to BPD, including problematic self-image, self-harm, and risky or disaffirming environments.

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