People diagnosed with a personality disorder are generally considered particularly difficult to manage, treat, and interact with; they are often hated by health professionals; and are widely considered to have a negative impact on staff working with them (Freestone et al, 2015). Professionals can also have an impact on service users, which contributes to the nature of the environment in which they work. I will reflect on how staff and patients influence each other, both positively and negatively, in this service environment. The model I will use is Borton's (1970) reflective model, which includes the subheadings what, then what, and now what. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get an original essay During one of my shifts, I passed the shift as usual and observed the interaction between staff and patients. It was a very demanding day for patients and gave me an insight into what the service can be like. I was not mentally prepared for such an experience. I found that some staff influenced patient behavior and if it was my first day I wouldn't have been able to tell the difference between who was a patient and who was a staff member. The change became heavy and overwhelming for me, but I was very conscious of not letting my feelings show. I struggled to overcome my fear of interacting with some patients who were demanding of staff. So what? After a discussion with my mentor, I decided to research how staff are affected by working alongside people with a personality disorder. According to Moore (2012) and Adshead (2002), working with patients with a personality disorder is considered challenging and emotionally demanding and can lead to feelings of helplessness, therapeutic failure and anger in the patient. personal and the desire to maintain social distancing. These challenges can arguably be amplified in a secure environment where patients may present both “distressed and very distressing in the actions they take” and where staff are required to manage both risk and vulnerability patients. Negative attitudes contribute to feelings of stigma, which can impact therapeutic relationships with patients, hinder any treatment efforts, and negatively impact clinical outcomes. Negative staff attitudes may also influence the likelihood that patients will seek help or assistance with their care. Positive attitudes lead to positive outcomes in terms of health, motivation, low rates of illness and staff burnout (Bowers et al, 2003). Another topic I researched was handoff between staff and patients. Transference is a situation in which feelings, desires, and expectations are redirected or applied to another person. This was something to consider, especially when working with people diagnosed with a personality disorder. It is something that is done unconsciously, but has an impact on the delivery of care. Transference is something that must be managed effectively by maintaining and paying attention to boundaries. Recognizing the possibility of transference, countertransference as well as repetitive patterns of behavior is essential to ensure that nurses..