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Borderline personality disorder: a pilot survey about clinician views on defensive practice

Roy Krawitz¹, Mike Batcheler

¹Waikato District Health Board, Hamilton, New Zealand. roykrawitz@xtra.co.nz

Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists

|August 23, 2006

Abstract

Objective:

To conduct a pilot survey about clinician views on defensive practice when working with adults with borderline personality disorder.

Method:

All mental health clinicians from adult community, crisis and inpatient services of a district public mental health service who attended a routine team meeting completed a survey questionnaire (n = 29).

Results:

Defensive practice was common, with 85% of clinicians having practised in the previous year in a manner that they believed was not in the best interests of their patients.

Conclusions:

The findings support clinical impressions of a significant gap between clinician views on best practice and actual practice. The potential importance of the findings warrants a comprehensive multicentred study.

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