{"title":"Spaghettification and the Conceptual Black Hole of Borderline Personality Disorder: A Qualitative Discussion Around Competing Meanings Given to the Diagnosis and Their Potential Consequences.","authors":"Dan Warrender","doi":"10.1080/01612840.2025.2558056","DOIUrl":"10.1080/01612840.2025.2558056","url":null,"abstract":"<p><p>This paper explores competing meanings which may arise through receiving a diagnosis of \"borderline personality disorder,\" discussing how this may impact a person's treatment and their sense of self. This paper is informed by qualitative case study research, which utilized interviews to explore experiences of crisis and crisis intervention for people diagnosed with borderline personality disorder, their family and friends, and professionals who work with them. Utilizing this qualitative research data, alongside wider literature, the conceptualization of \"borderline personality disorder\" and the actual and potential real-world consequences of receiving this label are explored. Potential meanings are mapped onto a \"black hole\" model where potential competing meanings exist in the same place at the same time, and harm a persons sense of self. \"Borderline personality disorder\" is the most controversial personality disorder diagnosis. People may conceptualize their distress through four different labels for borderline personality disorder, be seen as \"not real mental illness,\" \"borderline of what?\", not personality disorder, only personality disorder, and too unstable for therapy. Spaghettification, a term from astrophysics, is used as a metaphor to explain how a persons sense of self can fragment as they are pulled into the confusion of this black hole.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-13"},"PeriodicalIF":1.4,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychosocial and Mental Health Challenges and Coping Strategies Among Asian Americans and Immigrants in New Mexico in Response to Pandemic-Driven Racism.","authors":"Jongwon Lee, Mauricio Carvallo","doi":"10.1080/01612840.2025.2559055","DOIUrl":"https://doi.org/10.1080/01612840.2025.2559055","url":null,"abstract":"<p><p>Asian Americans and immigrants (AAIs) faced unprecedented challenges during the pandemic due to anti-Asian racist acts fueled by COVID19 rhetoric and the resulting racial trauma. This study explored AAIs' perceptions of these anti-Asian acts and their impact on psychosocial and mental health in the state of New Mexico (NM). Meyer's Minority Stress Theory provided the conceptual framework for the study. Sixty AAIs were conveniently recruited through various social networks in NM. Semi-structured interviews were conducted remotely, primarily in English. All interviews were transcribed verbatim. Thematic content analysis was used to identify codes, categories, and patterns across the transcripts. Most participants viewed anti-Asian racism as an inseparable part of their lives, describing direct or vicarious experiences of racism as surreal and emotionally torturous. Many reported feelings trapped in a \"rabbit hole,\" alienated from mainstream society, and on the verge of emotional eruption. AAIs employed both unhealthy and healthy coping strategies for survival. The findings highlight the profound, life-altering distress-defined as suffering that disrupts the ability to cope with daily life-experienced by NM AAIs, underscoring the urgent need for long-lasting, tailored resilience programs (e.g. culture-specific counseling) to support their psychosocial and emotional well-being and foster a renewed sense of community-belonging.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emilie Magnusson, Hanna Tuvesson, Mikael Rask, Ulrica Hörberg
{"title":"Healthcare Staff's Experiences of Caring for Women in Compulsory Psychiatric Inpatient Care.","authors":"Emilie Magnusson, Hanna Tuvesson, Mikael Rask, Ulrica Hörberg","doi":"10.1080/01612840.2025.2558052","DOIUrl":"https://doi.org/10.1080/01612840.2025.2558052","url":null,"abstract":"<p><p>Caring for women in compulsory psychiatric inpatient care entails having to make a number of different moral considerations. Using coercive measures leads to difficulties in creating a caring relationship and the care given to the women thus needs to be as ethical as possible. The aim was to describe healthcare staff's experiences of caring for women in compulsory psychiatric inpatient care. Eleven healthcare staff were interviewed, and the material was analyzed with a Reflective Lifeworld Research approach. The results show that healthcare staff move between self-examination and examining their colleagues closely and are also careful about protecting the women's privacy. An emotional rollercoaster is set in motion when the women's life situation affects the healthcare staff. Bridges are built, both with the next of kin but also with other authorities. It can be challenging to include the next of kin in the care for women in compulsory care since they may have a different view to that of the healthcare staff. Providing the healthcare staff with professional support and a supportive care environment may enhance their ability to provide a personalized care for the women in compulsory care.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145212590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catherine Hungerford, Denise Blanchard, Jennifer Mulvogue, Julie Bradshaw
{"title":"Self-Disclosure as a Therapeutic Tool.","authors":"Catherine Hungerford, Denise Blanchard, Jennifer Mulvogue, Julie Bradshaw","doi":"10.1080/01612840.2025.2484597","DOIUrl":"10.1080/01612840.2025.2484597","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1057-1061"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Do Family Members Describe Their Experience of Losing a Loved One to COVID-19 in a Hospital During the First Wave of the Pandemic? Part 3.","authors":"Lisa A Dodge","doi":"10.1080/01612840.2025.2507721","DOIUrl":"10.1080/01612840.2025.2507721","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1054-1056"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Professionality: A Concept Analysis Supporting Peer Support Workers (and Interprofessional Learning) in Mental Health Care.","authors":"T Viking, U Hylin","doi":"10.1080/01612840.2025.2549571","DOIUrl":"10.1080/01612840.2025.2549571","url":null,"abstract":"<p><p>Peer support workers (PSWs), who through their experience-based expertise support the recovery of people using mental health services, have been shown to facilitate interprofessional learning. However, due to hierarchical teams, this learning has been challenged. To facilitate interprofessional learning, mental health professions need to understand the nature of the professionality of PSWs. This study aims to explore the concept of 'professionality' through conceptual analysis, applying Walker and Avant's stepwise approach. The findings show that the key attribute of PSWs' professionality is equality. By being characterized by equality, presupposes that PSWs may need to cross boundaries. This boundary crossing needs to be considered to be able to use the PSWs' expertise and facilitate interprofessional learning in teamwork. The conclusion is that by acknowledging this professionality, which means that the transgression of professional boundaries can be justified, hierarchy can be counteracted. This is important to stimulate interprofessional learning and increase the quality of services.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1048-1053"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Boundaries in Health Settings: A Discursive Paper.","authors":"Catherine L Hungerford","doi":"10.1080/01612840.2025.2551686","DOIUrl":"10.1080/01612840.2025.2551686","url":null,"abstract":"<p><p>All health professionals, including mental health nurses, use professional boundaries to support safe interactions with patients and family members. In contemporary health settings, however, the boundaries between personal, socio-cultural, professional, and virtual settings are not always clear. Boundaries can be explicit or implied, and change according to situation and circumstance. With the normalization of self-disclosure on social media platforms, together with the rise of lived and living experience stories about overcoming health challenges, boundaries between the personal and professional domains have become increasingly complex to negotiate. This discursive review explores the nature of relational boundaries in contemporary health settings and the practical challenges faced by health professionals when establishing boundaries in diverse situations. The paper also considers why boundary transgressions occur, including the notion of boundary creep; together with how boundary-setting can be improved. These improvements include seeking education and professional development opportunities on the issues characterizing contemporary health settings, critically self-reflecting in clinical supervision, clearly delineating boundaries to consumers, and constantly monitoring and calibrating professional boundaries to minimize crossings and transgressions.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"958-965"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Petrea Taylor, Sue O'Donnell, Kelly Scott-Storey, Jeannie Malcolm, Charlene Vincent
{"title":"Compression: The Basic Psycho-Social Problem in Managing Health Among Women with Suicide Ideation.","authors":"Petrea Taylor, Sue O'Donnell, Kelly Scott-Storey, Jeannie Malcolm, Charlene Vincent","doi":"10.1080/01612840.2025.2549570","DOIUrl":"10.1080/01612840.2025.2549570","url":null,"abstract":"<p><p>Suicide ideation (SI) exceeds combined rates of suicide attempts and deaths yet is vastly overlooked in the literature. Understanding SI is crucial for supporting those who live with these thoughts, particularly women, who experience higher rates of SI than men. Women seeking support are not necessarily looking for help with their SI, rather, their health problems and general wellness. For this reason, we used a Glaserian grounded theory approach to understand the strengths and barriers of how women with SI manage or promote their health. Thirty-two women from four Canadian provinces with SI were interviewed. Data was analyzed using a constant comparison method. Using a Glaserian approach, analysis renders an emergent central variable, and findings are written conceptually instead of descriptively. Findings yielded a theoretical rendering of the basic psycho-social problem (central variable) and process of managing or promoting their health. Here, we report on the psycho-social problem, identified as <i>compressio</i>n, the sense of being squeezed out of social spaces due to others' rejection of SI. <i>Compression</i> involves feeling pressured to end SI and to prioritize others' needs above their own, imposing demands on women to remain alive and sustain a high level of functioning. Trauma and violence informed approaches are essential to reduce <i>compression</i>, by offering spaces where women are free to discuss SI and how to manage psychological pain with others.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1034-1047"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction of New Coeditors of the Cultural Competence Column.","authors":"Sandra P Thomas","doi":"10.1080/01612840.2025.2561521","DOIUrl":"https://doi.org/10.1080/01612840.2025.2561521","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"46 10","pages":"957"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammed Qutishat, Majdi Al-Hadidi, Aisha Al-Shdefat, Suhaib Sinan Al-Barwani
{"title":"Nursing in Psychiatric Emergency, Challenges and Future Recommendations. A Scoping Review.","authors":"Mohammed Qutishat, Majdi Al-Hadidi, Aisha Al-Shdefat, Suhaib Sinan Al-Barwani","doi":"10.1080/01612840.2025.2544151","DOIUrl":"10.1080/01612840.2025.2544151","url":null,"abstract":"<p><p>Psychiatric emergencies pose significant challenges for nursing staff, impacting both patient care and the well-being of healthcare professionals. This scoping review aims to explore the difficulties nurses face in psychiatric emergency settings and identify future recommendations for improvement. A scoping review was conducted using Arksey & O'Malley's framework and adhering to PRISMA guidelines. Literature research was performed across multiple databases, including 12 peer-reviewed studies published between 2015 and 2024 that focused on nursing challenges in psychiatric emergencies. The review identified seven key challenges nurses face, including a high-stress environment and inadequate resources. Furthermore, eight recommendations were proposed, including enhanced training programs and increased interdisciplinary collaboration. Addressing these challenges through targeted recommendations can improve care quality in psychiatric emergencies. Emphasizing training, adequate staffing, and supportive systems is crucial for workforce resilience and effective patient management. Optimizing nursing practices in psychiatric emergencies is essential for enhancing patient outcomes and supporting nursing staff, ultimately fostering a more effective mental health care system.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1002-1012"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}