6 CONCLUSIONS - AFFECT REVOLUTION/INTERPERSONAL DYNAMICS

• Complex emotional needs then – what are they at their core? A need for belonging (c.f. Hillman, Fowlie & MacDonald, 2023)
• Laurenceau et al. (2004). Intimacy as an interpersonal process

  Intimacy is a personal, subjective (and often momentary) sense of connectedness
• Liebke et al. (2017). Loneliness, social networks and social functioning in borderline personality disorder

  • Persistent loneliness feature of BPD
  • BPD patients reported stronger feelings of loneliness – but determinants unclear
• Stengel (1952). Enquiries into attempted suicide

  Kreitman, Smith & Tan (1970). Attempted suicide as language
• ‘affective revolution’ [Hogg & Vaughan, 2022, p74]
• Haslam et al. (2024) Caregiving and receiving for people with complex emotional needs within a CRHT

  • Practitioners focused with risk
  • Service users felt invalidated neither ‘listened to’ or ‘taken seriously’
  • Stress collaborative sense-making
• Story et al. (2024). A Social Inference Model of Idealization and Devaluation

  • Social inference theory
  • Those with BPD more likely to Binary ‘all-good’ or ‘all-bad’
  • Implications for therapeutic context?
• Grenyer & Bailey (2024). Implementing stepped care approach to PD treatment

  • Training to improve attidues (inc reducing stigma and treatment nihilism)
  • Improved clinician attitudes
• Haigh & Benefield (2024) The Development of a Relational Practice Movement

  • Relational practice gives priority to relationships over procedure and is the foundation upon which effective interventions are made.
  • It forms the conditions for a healthy and enabling environment. It is the antidote to dehumanisation, commodification and the loss of human dignity and agency