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Effectiveness of Education Programs in Changing Clinicians' Attitudes Toward Treating Borderline Personality Disorder

Ms. Commons Treloar is affiliated with the School of Psychiatry, Psychology, and Psychological Medicine, Monash University, c/o Ballan District Health and Care, 33 Cowie St., Ballan, Victoria 3342, Australia (e-mail: mcandpt{at}bigpond.net.au).

OBJECTIVE: This exploratory study was conducted in Australia and New Zealand and examined the impact of two types of education programs (cognitive-behavioral and psychoanalytic) on clinicians' attitude toward deliberate self-harm behaviors in borderline personality disorder and toward working with patients with this disorder. METHODS: The Attitudes Towards Deliberate Self-Harm Questionnaire was used to assess the attitudes of mental health and emergency medicine clinicians (N=65) before and after attending an education program and at the six-month follow-up. RESULTS: Compared with participants in the control group (N=22), participants in the cognitive-behavioral program (N=18) showed significant improvement in attitudes immediately after attending the program (p=.02), as did participants in the psychoanalytic education program (N=25) (p<.01). However, the six-month follow-up revealed that only the psychoanalytic education group maintained significant changes in attitude (p<.05). CONCLUSIONS: Results are discussed in terms of the use of relatively brief educational interventions in facilitating enduring attitude change toward working with patients with borderline personality disorder.

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