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Meanings of caring for people who self-harm as disclosed in narratives of dialectical behaviour therapy professionals
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0002-3360-5589
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0003-0208-4343
2015 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 22, no 6, 371-378 p.Article in journal (Refereed) Published
Abstract [en]

Accessible summary This paper adds a phenomenological hermeneutic perspective on meanings of caring for adult people who self-harm as disclosed in narratives of dialectical behaviour therapy (DBT)-trained professionals. This paper shows that providing DBT care for people who self-harm means embarking an unpredictable journey, sometimes lonely, but also often together with the person who self-harm and with the DBT team. This paper emphasizes professionals' benefits of the tools and structure offered by DBT; however, the text points to the importance of the genuine meeting, including confirmation, as a prerequisite to recovery. This paper suggests that further research might focus on the meanings of genuine meetings and their organizational prerequisites. AbstractIn this paper, we aim to explore meanings of caring for adult people who self-harm as described in the narratives of professionals trained in dialectical behaviour therapy (DBT). We conducted narrative interviews with nine professionals working in a DBT team and used a phenomenological hermeneutical method to analyse their narratives. Our comprehensive understanding cast the caring relationship as an unpredictable journey, in which the professionals were guides or companions who aimed to walk side-by-side with the person who self-harms, prove to be trustworthy, and keep on track. They sometimes saw the journey as lonely and sometimes as a joint endeavour. Our analysis was informed by Martin Buber's writings on the genuine meeting' and confirmation. The professionals emphasized the importance of the tools and structure offered by DBT; however, the text points to the importance of the genuine meeting, including confirmation, as a prerequisite to recovery. Mental health nurses need opportunities for continuous training and counselling.

Place, publisher, year, edition, pages
John Wiley & Sons, 2015. Vol. 22, no 6, 371-378 p.
Keyword [en]
dialectical behaviour therapy, mental health nursing, phenomenological hermeneutics, professional regivers, self-harm
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-106764DOI: 10.1111/jpm.12196ISI: 000357972400004PubMedID: 25655648OAI: oai:DiVA.org:umu-106764DiVA: diva2:847399
Available from: 2015-08-20 Created: 2015-08-07 Last updated: 2017-12-04Bibliographically approved

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Lindgren, Britt-MarieHällgren Graneheim, Ulla

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