This letter argues that clinical confidence in personality disorder care should focus on team-level factors affecting patient experiences.
This letter responds to Pingani et al.'s validation of a questionnaire on clinical confidence and psychodynamic skills in personality disorder care. It argues that confidence should be interpreted at the team level, where formulation, boundaries, risk communication, and emotional containment shape the patient's experience of care.
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Lien‐Chung Wei (2026) studied this question.
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