abstract: 'Borderline Personality Disorder (BPD) is a condition characterised by

  significant social and occupational impairment and high rates of

  suicide. In high income countries, mental health professionals carry

  negative attitudes towards patients with BPD, find it difficult to work

  with patients with BPD, and even avoid seeing these patients. Negative

  attitudes and stigma can cause patients to fear mistreatment by health

  care providers and create additional barriers to care. Patients''

  self-stigma and illness understanding BPD also affects treatment

  engagement and outcomes; better knowledge about mental illness predicts

  intentions to seek care. The perspectives of mental health clinicians

  and patients on BPD have not been researched in the Pakistani setting

  and likely differ from other settings due to economic, cultural, and

  health care system differences. Our study aims to understand the

  attitudes of mental health clinicians towards patients with BPD in

  Pakistan using a self-report survey. We also aim to explore explanatory

  models of illness in individuals with BPD and their family

  members/carers using a Short Explanatory Model Interview (SEMI). The

  results of this study are important as we know attitudes and illness

  understanding greatly impact care. Results of this study will help guide

  BPD-specific training for mental health clinicians who care for patients

  with BPD and help inform approaches to interventions for patients with

  BPD in Pakistan.'
affiliation: 'Hedemann, TL (Corresponding Author), Univ Toronto, Dept Psychiat, Toronto,
  ON, Canada.

  Hedemann, Thea Lynne; Zaheer, Juveria; Husain, M. Ishrat; Husain, M. Omair, Univ
  Toronto, Dept Psychiat, Toronto, ON, Canada.

  Asif, Muqaddas; Bukhsh, Ameer; Kiran, Tayyeba; Ahsan, Umair; Chaudhry, Nasim, Pakistan
  Inst Living \& Learning, Karachi, Pakistan.

  Aslam, Huma, Allama Iqbal Med Coll \& Jinnah Hosp, Dept Psychiat \& Behav Sci, Lahore,
  Pakistan.

  Maqsood, Aneela, Fatima Jinnah Women Univ, Rawalpindi, Pakistan.

  Shahzad, Salman, Univ Karachi, Inst Clin Psychol, Karachi, Pakistan.

  Zaheer, Juveria; Husain, M. Ishrat; Husain, M. Omair, Ctr Addict \& Mental Hlth,
  Toronto, ON, Canada.

  Lane, Steven, Univ Liverpool, Liverpool, England.'
author: Hedemann, Thea Lynne and Asif, Muqaddas and Aslam, Huma and Maqsood, Aneela
  and Bukhsh, Ameer and Kiran, Tayyeba and Ahsan, Umair and Shahzad, Salman and Zaheer,
  Juveria and Lane, Steven and Chaudhry, Nasim and Husain, M. Ishrat and Husain, M.
  Omair
author-email: thea.hedemann@mail.utoronto.ca
author_list:
- family: Hedemann
  given: Thea Lynne
- family: Asif
  given: Muqaddas
- family: Aslam
  given: Huma
- family: Maqsood
  given: Aneela
- family: Bukhsh
  given: Ameer
- family: Kiran
  given: Tayyeba
- family: Ahsan
  given: Umair
- family: Shahzad
  given: Salman
- family: Zaheer
  given: Juveria
- family: Lane
  given: Steven
- family: Chaudhry
  given: Nasim
- family: Husain
  given: M. Ishrat
- family: Husain
  given: M. Omair
da: '2023-09-28'
doi: 10.1371/journal.pone.0286459
files: []
issn: 1932-6203
journal: PLOS ONE
keywords-plus: EXPLANATORY MODELS; MENTAL-DISORDERS; BARRIERS; STIGMA
language: English
month: JUN 2
number: '6'
number-of-cited-references: '27'
orcid-numbers: Asif, Muqaddas/0000-0003-1605-9181
papis_id: ecf19936028a784e5360c951a98ccc12
ref: Hedemann2023clinicianspatients
researcherid-numbers: 'Husain, Muhammad Ishrat/IYJ-9872-2023

  '
times-cited: '0'
title: 'Clinicians'', patients'' and carers'' perspectives on borderline personality
  disorder in Pakistan: A mixed methods study protocol'
type: article
unique-id: WOS:001000808800004
usage-count-last-180-days: '1'
usage-count-since-2013: '1'
volume: '18'
web-of-science-categories: Multidisciplinary Sciences
year: '2023'