A history of borderline: disorder at the heart of psychiatry
A history of borderline: disorder at the heart of psychiatry
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边缘的历史：精神病学核心的疾病
DOI：
10.1332/147867323x16871713092130
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
D. Jones
中科院分区：
文献类型：
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作者：
D. Jones
这篇文章建议，为了理解围绕“边缘型人格障碍”（BPD）的一些难题，我们需要更多地了解它的历史以及它产生、巩固和扩散的背景和文化。以前关于人格障碍诊断发展的工作（琼斯，2016）指出，它们的出现和形状是由多种力量的相互作用决定的，包括痛苦的个人和社区的需求;寻求为这种痛苦提供解决方案的专业团体的操纵，以及文化，公众和媒体对这些问题的表现和反应以及提出的解决方案。
这篇单独的文章只能开始概述一些关键问题，并将集中在精神病学话语中诊断的出现。正如我们将在BPD的案例中看到的那样，像其他所谓的人格障碍一样，与重大的社会变革有关;特别是与城市化和工业化以及后来的去工业化进程及其对人们生活和身份的影响所引起的一些焦虑有关。
文章认为，诊断的重要根源可以追溯到精神病学学科的主要断层线和关于其自身边界的未解决问题。精神病学是医学专业的一个分支，还是一种跨学科的努力，将心灵作为研究和治疗的对象，而心灵不能仅仅位于个人身上，而是与社会和文化世界内在地联系在一起？
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.
This 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.
The 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?
DOI：
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发表时间：
2015
期刊：
--
影响因子：
--
作者：
Jones David
通讯作者：
Jones David