{"title":"Whose borderline is it anyway? Editorial and overview","authors":"David W. Jones, Jo Lomani","doi":"10.1332/147867321x16878111260082","DOIUrl":"https://doi.org/10.1332/147867321x16878111260082","url":null,"abstract":"","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"18 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79401770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dispelling myths and challenging neglect in ‘borderline personality disorder’ healthcare: a lived-experience perspective","authors":"Wren Aves","doi":"10.1332/147867323x16881441383633","DOIUrl":"https://doi.org/10.1332/147867323x16881441383633","url":null,"abstract":"The healthcare experience of many people carrying the label ‘borderline personality disorder (BPD)’ is one of exclusion, discrimination and neglect. The letters ‘BPD’ replace our very humanity, trampling our right to receive evidence-based, appropriate, lawful and compassionate care. Within mental health services our pain, distress, unusual experiences and self-harm/suicidal actions have been reconceptualised as ‘behavioural’ issues, encouraging the promotion of punitive and cruel responses from professionals in an attempt to discourage us from seeking help. ‘Responsibilisation’ narratives, which prioritise personal independence over all else, legitimise institutional neglect. We are told suicide is a choice we have the capacity to make, while care is actively withheld to avoid us becoming dependent on support. Despite the rising suicide rates of people labelled with a personality disorder diagnosis in the UK, our risk continues to be downplayed; rewritten as a risk of death by ‘misadventure’; and accepted by services and coroners as a justifiable outcome of so-called ‘less is more’ care plans. This article explores the current mental health service landscape in which prejudice and stigma direct ‘BPD’ care through the creation and maintenance of clinical mythology, which despite its popularity across healthcare teams, is not supported by ongoing research findings and recommendations.","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"2008 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90281385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A history of borderline: disorder at the heart of psychiatry","authors":"D. Jones","doi":"10.1332/147867323x16871713092130","DOIUrl":"https://doi.org/10.1332/147867323x16871713092130","url":null,"abstract":"This article suggests that to appreciate some of the conundrums that surround ‘borderline personality disorder’ (BPD), we need to understand more about its history and the contexts and cultures in which it arose, consolidated and proliferated. Previous work on the development of personality disorder diagnoses (Jones, 2016) points to their emergence and shape being determined by the interaction of a multiplicity of forces including the needs of distressed individuals and communities; the manoeuvring of professional groups seeking to provide solutions to that distress and the cultural, public and media representations and responses to those problems and the proposed solutions.\u0000This single article can only begin to outline some of the key issues and will focus on the emergence of the diagnosis within the discourses of psychiatry. As we will see in the case of BPD, like other, so-called, disorders of personality, there are connections to major social changes; in particular to some of the anxieties raised by urbanisation and industrialisation and later processes of deindustrialisation and their impacts on people’s lives and identities.\u0000The article argues that significant roots of the diagnosis can be traced back to major fault lines in the discipline of psychiatry and unresolved questions about its own borders. Is psychiatry a branch of the medical profession or is it a cross-disciplinary endeavour that centres the mind as an object of study and treatment, which cannot merely be located in the individual but is instead immanently connected to the social and cultural world?","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"3 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72922929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Are you borderline or did you grow up without a racial identity? Black mixed-race identity disturbance and an unstable sense of self","authors":"Cassandra Lovelock","doi":"10.1332/147867321x16869242475575","DOIUrl":"https://doi.org/10.1332/147867321x16869242475575","url":null,"abstract":"This article draws on the lived experience of the author to discuss the Black mixed-raced experience of being diagnosed with borderline personality disorder (BPD), particularly in relation to the BPD symptom of troubled identities. This article argues that what psychiatry pathologises as a troubled identity within BPD is actually an everyday experience for a mixed-race person growing up between cultures. This article goes on to discuss Black mixed-race people’s identity through a lens of performativity, how this presents and is weaponised in psychiatry, and why it is important for psychiatry to understand Black mixed-race identities.","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80680311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Serving life due to borderline personality disorder","authors":"_ _","doi":"10.1332/147867321x16869242230927","DOIUrl":"https://doi.org/10.1332/147867321x16869242230927","url":null,"abstract":"A personal account of the inability to discard the borderline personality disorder (BPD) diagnosis decades after it has been applied. The impact of a BPD diagnosis continues long after discharge from treatment services. The author seeks a route map out of BPD labelling but there is no process to follow.","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"90 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89187752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"It’s not my sense of self that’s unstable, it’s the world’s sense of me: the harms of the construct of ‘personality disorders’ towards transgender communities","authors":"Hattie Porter","doi":"10.1332/147867321x16862340840414","DOIUrl":"https://doi.org/10.1332/147867321x16862340840414","url":null,"abstract":"Research indicates transgender people are more likely to be diagnosed with a personality disorder than cisgender people. While this interrelationship is complex and multifaceted, this article discusses the disproportionate rates of personality disorder diagnosis in transgender people as rooted within social and historical contexts; suggesting transgender people are not more likely to have a personality disorder, rather they are more likely to be diagnosed with a personality disorder.\u0000Transgender identities have historically been framed as a manifestation of mental illness as opposed to an identity and inherent aspect of personhood. This is argued to confine understanding of transgender identities to the parameters of pathology, silencing and marginalising transgender communities. I suggest the disproportionate rate of diagnosis of personality disorders in transgender people is an extension of this historical pathologisation.\u0000Clinician bias may contribute to inappropriate diagnosis of personality disorders in transgender people due to personal values and unfamiliarity with transgender experiences. However, bias is also more deeply rooted within the construct of personality disorders itself, which appears to inherently pathologise deviation from rigid gender norms and expectations. This has implications for the ethical and ontological basis of the diagnostic construct.","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"38 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87370212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The lability and liability of female ‘borderline’ sexuality: a feminist Foucauldian discourse analysis of Thompson et al’s (2017) ‘Sexuality and sexual health among female youth with borderline personality disorder pathology’","authors":"Nina K. Fellows","doi":"10.1332/147867321x16872536791817","DOIUrl":"https://doi.org/10.1332/147867321x16872536791817","url":null,"abstract":"The purpose of this discourse study is to deconstruct how a journal article published in Early Intervention in Psychiatry, ‘Sexuality and sexual health among female youth with borderline personality disorder pathology’ (Thompson et al, 2017), constructs the sexuality of young women diagnosed with ‘borderline personality disorder’. The methodology used was Foucauldian discourse analysis, following Hook’s (2001) recommendation to re-situate a text within its socio-political location and among its material correlates, as well as analysing its intra-textual discursive features. The process of analysis involved repeated close readings of the text by Thompson et al (2017), with a focus on binary oppositions within the text, and the power/knowledge nexus in which it is situated. The analysis identified three key discourses at work in the text: the discourse of the academy, the discourse of dichotomy, and the discourse of ‘borderline’ sexuality, which contains a conceptually unstable paradox concerning female ‘borderline’ sexual agency. The consequences of these findings, their historical context, and implications for practice and classification are discussed.","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"38 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89142452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Women ‘out of order’: inappropriate anger and gender bias in the diagnosis of borderline personality disorder","authors":"Astrid Fly Oredsson","doi":"10.1332/147867323x16863891304659","DOIUrl":"https://doi.org/10.1332/147867323x16863891304659","url":null,"abstract":"I argue that the inappropriate anger criterion for borderline personality disorder (BPD) is likely to contribute to gender bias in the diagnostic process. In its current form, the inappropriate anger criterion is vaguely formulated, providing close to no guidance on to how to distinguish inappropriate from appropriate anger. Further, recent work in moral psychology highlights that the inappropriate anger criterion can be understood and applied in wide range of ways, none of which are required nor excluded by criterion. Moreover, research on public administration and management gives us reason to suspect that the criterion’s ambiguity coupled with the working conditions characteristic of healthcare settings is likely to increase the risk that clinicians will rely on stereotypes in their assessments of the appropriateness of anger. Specifically, various empirical studies point to the existence and widespread influence of gender stereotypes whereby anger is associated with men. Women who display anger are seen as underconforming to prescribed gender roles and, therefore, abnormal. Thus, we have good reason to think that women’s anger will more often be thought inappropriate than men’s, in general and in psychiatry.","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"106 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85337435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Whose borderline is it anyway? The frosted vortex – MY world, THEIR label","authors":"R. Hart","doi":"10.1332/147867321x16861569580196","DOIUrl":"https://doi.org/10.1332/147867321x16861569580196","url":null,"abstract":"Created in response to the question ‘Whose borderline is it anyway’. The aim of the written word and associated graphical expression is to explore the experience of disassociation as someone who has been given the label of borderline personality disorder. More accurately, my experience of disassociation as a response to complex trauma triggers. Highlighting the compounding impact of the fear an individual experiences from a complex history of trauma and the fear of judgement associated with the diagnosis.","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"15 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80772052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The mirror stage: a reflection on borderline personality disorder","authors":"E. Reynolds","doi":"10.1332/147867321x16861559264945","DOIUrl":"https://doi.org/10.1332/147867321x16861559264945","url":null,"abstract":"A personal reflection on the diagnosis of borderline personality disorder.","PeriodicalId":29710,"journal":{"name":"Journal of Psychosocial Studies","volume":"11 12 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79582660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}