Abstracts
Résumé
Cet article présente les effets d’une formation portant sur l’intervention auprès des TP sur les attitudes des professionnels de la santé mentale à l’endroit du TPL. Les participants ont rempli un questionnaire sociodémographique ainsi que l’Échelle d’attitudes à l’égard des personnes présentant un TPL (ÉA-TPL; Bouchard, 2001), une mesure québécoise qui jouit d’une validation factorielle préliminaire. Les résultats démontrent une amélioration au niveau du score global ainsi qu’aux deux facteurs, Perceptions positives et Aisance en interaction. La quantité supérieure d’heures de formation antérieure, la qualité meilleure de celle-ci, ainsi que le plus grand volume de clientèle présentant un TPL étaient associés à des attitudes plus positives chez les professionnels de la santé mentale avant la formation. Travailler dans un milieu qui n’offre pas nécessairement de services en santé mentale et avoir 40 ans ou plus étaient associés à une moindre susceptibilité au changement après l’atelier.
Mots-clés :
- troubles de la personnalité,
- trouble de personnalité limite,
- attitudes,
- professionnels de la santé mentale,
- atelier de formation
Abstract
This article presents the effects of a 12 hour training workshop about the intervention and treatment of personality disorders (PD) on attitudes toward borderline personality disorder (BPD) and highligts the differences among mental health professionals. Participants completed a sociodemographic questionnaire and a French language scale designed in Quebec to measure attitudes toward BPD (ÉA-TPL; Bouchard, 2001) that benefits from a preliminary factorial validation. The results suggest that there was an improvement in the overall score as well as in the two factors, Favorable Perceptions and Ease with Interactions. The higher amount of previous training, the better perceived quality of it as well as the greater volume of clientele with BPD were associated with more positive attitudes prior to the workshop. Working in a setting that does not necessarily offer mental health services and being 40 or older were associated with less susceptibility to change after the workshop.
Keywords:
- personality disorders,
- borderline personality disorder,
- attitudes,
- mental health professionals,
- training workshop
Appendices
Bibliographie
- Aviram, R. B., Brodsky, B. S. et Stanley, B. (2006). Borderline personality disorder, stigma, and treatment implications. Harvard Review of Psychiatry, 14(5), 249-256.
- Bateman, A. et Fonagy, P. (2004). Psychotherapy for borderline personality disorder: Mentalization-based treatment. Oxford University Press.
- Blum, N., St John, D., Pfohl, B., Stuart, S., McCormick, B., Allen, J., Arndt, S. et Black, D. W. (2008). Systems Training for Emotional Predictability and Problem Solving (STEPPS) for outpatients with borderline personality disorder: a randomized controlled trial and 1-year follow-up. The American journal of psychiatry, 165(4), 468-478.
- Bodner, E., Cohen-Fridel, S., Mashiah, M., Segal, M., Grinshpoon, A., Fischel, T. et Iancu, I. (2015). The attitudes of psychiatric hospital staff toward hospitalization and treatment of patients with borderline personality disorder. BMC Psychiatry, 15(1), 2.
- Bouchard S. (2001). Questionnaire d’attitudes à l’égard du trouble de personnalité limite (QATPL). Document non publié. Institut universitaire en santé mentale de Québec, Québec, Canada.
- Bouchard, S. (2010). Impasses et opportunités dans le traitement des personnes souffrant d’un trouble sévère de la personnalité limite. Santé mentale au Québec, 35(2), 61-85.
- Bouchard, S., Tremblay, G. et Lecomte, Y. (2015). Théories et clinique des patients difficiles selon les professionnels de la santé mentale, Filigrane, 1, 17-80.
- Bowers, L. et Allan, T. (2006). The Attitude to Personality Disorder Questionnaire: Psychometric properties and results. Journal of Personality Disorders, 20(3), 281-293.
- Commons Treloar, A.J. (2009). Effectiveness of education programs in changing clinicians’ attitudes toward treating Borderline Personality Disorder. Psychiatric Services, 60(8), 1128-1131.
- Deans, C. et Meocevic, E. (2006). Attitudes of registered psychiatric nurses towards patients diagnosed with borderline personality disorder. Contemporary Nurse: A Journal for the Australian Nursing Profession, 21(1), 43-49.
- Egan, S. J., Haley, S. et Rees, C. S. (2014). Attitudes of clinical psychologists towards clients with personality disorders. Australian Journal of Psychology, 66(3), 175-180.
- Fraser, K. et Gallop, R. (1993). Nurses’ confirming/disconfirming responses to patients diagnosed with borderline personality disorder. Archives of Psychiatric Nursing, 7(6), 336-341.
- Gabbard, G.O. (1993). An overview of countertransference with borderline patients. Journal of Psychotherapy Practice and Research, 2(1), 7-18
- Gunderson, J. G. et Links, P. S. (2014) Handbook of good psychiatric management for borderline personality disorder. American Psychiatric Publishing
- Hauck, J. L., Harrison, B. E. et Montecalvo, A. L. (2013). Psychiatric nurses’ attitudes toward patients with borderline personality disorder experiencing deliberate self-harm. Journal of Psychosocial Nursing and Mental Health Services, 51(1), 20-29.
- Imbeau, D., Bouchard, S., Terradas, M. M. et Simard., V. (2014a). Attitudes des médecins et des résidents en médecine familiale à l’endroit des personnes souffrant d’un trouble de personnalité limite. Santé mentale au Québec, 39(1), 273-289.
- Imbeau, D., Bouchard Sébastien, Terradas, M. M., et Villeneuve, E. (2014b). Échelle d’attitudes à l’égard des personnes présentant un trouble de personnalité limite : structure factorielle et validation préliminaire. Annales médico-psychologiques, 172(6), 479-485.
- Kellogg, S. H. et Young, J. E. (2006) Schema therapy for borderline personality disorder. Journal of Clinical Psychology, 62(4), 445-458.
- Keuroghlian, A. S., Palmer, B. A., Choi-Kain, L. W., Borba, C. C., Links, P. S. et Gunderson, J.G. (2016). The effect of attending Good Psychiatric Management (GPM) workshops on attitudes toward patients with borderline personality disorder. Journal of Personality Disorders, 30(4), 567-576.
- Krawitz R. (2004). Borderline personality disorder: attitudinal change following training. Australia and New Zealand Journal of Psychiatry, 38, 554-559.
- Levy, K. N., Clarkin, J. F., Yeomans, F. E., Scott, L. N., Wasserman, R. H. et Kernberg, O. F. (2006). The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy. Journal of Clinical Psychology, 62(4), 481-501.
- Liebman, R. E. et Burnette, M. (2013). It's not you, it's me: an examination of clinician-and client-level influences on countertransference toward borderline personality disorder. American Journal of Orthopsychiatry, 83(1), 115-125.
- Linehan, M. M. (1987). Dialectical behavior therapy for borderline personality disorder. Theory and method. Bulletin of the Menninger Clinic, 51(3), 261-276.
- Ma, W. F., Shih, F. J., Hsiao, S. M., Shih, S. N. et Hayter, M. (2009). ‘Caring across thorns’: Different care outcomes for borderline personality disorder patients in Taiwan. Journal of Clinical Nursing, 18(3), 440-450.
- McAllister, M., Creedy, D., Moyle, W. et Farrugia, C. (2002). Nurses’ attitudes toward clients who self-harm. Journal of Advanced Nursing, (40)5, 578-586.
- McIntyre, S. M. et Schwartz, R. C. (1998). Therapists' differential countertransference reactions toward clients with major depression or borderline personality disorder. Journal of Clinical Psychology, 54(7), 923-931.
- McKenzie, K., Gregory, J. et Hogg, L. (2022). Mental health workers' attitudes towards individuals with a diagnosis of borderline personality disorder: a systematic literature review. Journal of Personality Disorders, 36(1), 70-98.
- Sansone, R. A. et Sansone, L. A. (2013). Responses of mental health clinicians to patients with borderline personality disorder. Innovations in Clinical Neuroscience, 10(5-6), 39-43.
- Shanks, C., Pfohl, B., Blum, N. et Black, D. W. (2011). Can negative attitudes toward patients with borderline personality disorder be changed? The effect of attending a STEPPS workshop. Journal of Personality Disorders, 25(6), 806-812.
- Sulzer, S. H. (2015). Does «difficult patient» status contribute to de facto demedicalization? The case of borderline personality disorder. Social Science & Medicine, 142, 82-89.
- Webb, D. et McMurran, M. (2007). Nursing staff attitudes towards patients with personality disorder. Personality and Mental Health, 1, 154-160.
- Westwood, L. et Baker, J. (2010). Attitudes and perceptions of mental health nurses towards borderline personality disorder clients in acute mental health settings: A review of the literature. Journal of Psychiatric and Mental Health Nursing, 17(7), 657-662.