Experiences of women in secure care who have been prescribed clozapine for borderline personality disorder

Background: Clozapine is an atypical antipsychotic medicine which can cause significant side-effects. It is often prescribed off-license in severe cases of borderline personality disorder contrary to national treatment guidelines. Little is known about the experiences of those who take clozapine for borderline personality disorder. We explored the lived-experience of women in secure inpatient care who were prescribed clozapine for borderline personality disorder. Findings: Adult females (N=20) participated in audio-taped semi-structured interviews. Transcripts were subject to thematic analysis. The central themes related to evaluation, wellbeing, understanding and self-management; for many, their subjective wellbeing on clozapine was preferred to prior levels of functioning and symptomatology, sometimes profoundly so. The negative and potentially adverse effects of clozapine were explained as regrettable but relatively unimportant. Conclusions: When psychological interventions are, at least initially, ineffective then clozapine treatment is likely to be evaluated positively by a group of women with borderline personality disorder in secure care despite the potential disadvantages.

Missing women: policing absence

This paper considers the neglected mobilities associated with a sample of UK women reported as missing.Refracted through literatures on gendered mobility and abandonment, the paper argues that the journeys of thesewomen in crisis are not well understood by police services, and that normative gender relations may infuse theirmanagement. By selectively exploring one illustrative police case file on Kim, we highlight how reported andobserved socio-spatial relationships within private and public spaces relate to search actions. We argue that Kim’smobility and spatial experiences are barely understood, except for when they appear to symbolise disorder anddanger. We address the silences in this singular case by using the voices of other women reported as missing, ascollected in a research project to explore the agency, experience and meaning of female mobility during absence.We argue that women reported as missing are not abandoned by UK policing services, but that a policy ofcontinued search for them may be at risk if they repeatedly contravene normative socio-spatial relationshipsthrough regular absence mobilities. By way of conclusion, we address recent calls for research that explores therelationships between gender and mobility.