Borderline Personality Disorder and the experience of women's trauma within psychiatry: a service user perspective

边缘性人格障碍和精神病学中女性创伤经历：服务使用者的视角

• 批准号: 2293355
• 金额: --
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2293355
• 关键词: Borderline; Personality; Disorder; experience; women

My research will examine experiences of trauma amongwomen diagnosed with Borderline Personality Disorder (BPD).BPD is a psychiatric diagnosis characterised by symptomssuch as fear of abandonment, suicidal ideation & behaviour,self-harm, stress-related dissociation and unstablerelationships (APA, 2013). It is estimated that 75% of peoplediagnosed with BPD are women (APA, 2013), while variousresearch studies indicate a strong association betweenchildhood trauma and the development of BPD in adult life.Battle et al (2004) estimate that 81% report instances ofchildhood abuse and 90% report neglect. One explanation ofthis is gendered stereotyping of the BPD diagnosis, withwomen perceived to be overly-emotional and attentionseeking. The negative impact of gendered stereotyping iscentral to feminist critiques of BPD diagnosis on the groundsthat it pathologises women's struggles and women'ssocialisation (Becker, 1997). In addition, currentrecommended treatment methods such as DBT (Lineham,2014) and medication (Hilger et al, 2003; Perrella, 2007) failto address the lasting impact of trauma, which may beessential to the aetiology of Personality Disorders (PD's).Sociological and service-user research suggests that voicesof BPD service-users go unheard, in part because mentalhealth professionals perceive people diagnosed with BPD tobe unreliable witnesses to their own experience (Nehls,1999). Significantly, negative, jarring stereotypes at work inthis judgement are found in the work of leading psychiatristsin the field of PD's, such as Peter Tyrer. His new book on BPDis titled: Taming the Beast Within (2018). The book, it mightbe said, is part of a general trend reaching from clinic topopular culture. For instance, a hugely popular 'self-help'book for loved ones of those diagnosed with BPD is titled,Stop Walking On Eggshells (Randy & Mason, 2010). The blurbreads: "Do you feel manipulated, controlled, or lied to? Areyou the focus of intense... irrational rages? ... If the answer is'yes,' someone you care about may have BPD". The problemof stereotypes related to a BPD diagnosis is summarised inthe words of a service user, Rowan-Olive (2018). She writes:"My personality is who I am. You cannot tell me my very selfis disordered and then convince me you do not want toreduce me to a stereotype.

我的研究将检查被诊断为边缘型人格障碍（BPD）的创伤女性的经历。BPD是一种精神病诊断，其特征是诸如害怕被遗弃，自杀意念和行为，自我伤害，与压力相关的解离和不稳定的关系（阿帕，2013）。据估计，75%被诊断患有BPD的人是女性（阿帕，2013），而各种研究表明，童年创伤和成年后BPD的发展之间存在密切联系。Battle等人（2004）估计，81%的人报告了儿童虐待的情况，90%的人报告了忽视。对此的一种解释是BPD诊断中的性别刻板印象，女性被认为过于情绪化和寻求关注。性别陈规定型观念的负面影响是女权主义者对BPD诊断的核心批评，因为它使妇女的斗争和妇女的社会化变得病态（Becker，1997）。此外，目前推荐的治疗方法，如DBT（Lineham，2014）和药物（Hilger等人，2003年; Perrella，2007）未能解决创伤的持久影响，这可能是人格障碍（PD）的病因学。社会学和服务用户的研究表明，BPD服务用户的声音没有被听到，部分原因是心理健康专家认为被诊断为BPD的人对自己的经历是不可靠的证人（Nehls，1999）。值得注意的是，在PD领域的主要精神病学家（如Peter Tyrer）的工作中，发现了这种判断中的负面、不和谐的刻板印象。他关于BPD的新书名为：驯服内心的野兽（2018）。可以说，这本书是从诊所到流行文化的总趋势的一部分。例如，一本非常受欢迎的“自助”书，为那些被诊断患有BPD的人的亲人命名为“停止在蛋壳上行走”（Randy & Mason，2010）。简介：“你觉得被操纵、控制或欺骗吗？你是焦点...非理性的愤怒...如果答案是“是”，那么你关心的人可能患有BPD。与BPD诊断相关的刻板印象问题总结在服务用户的话中，Rowan-Olive（2018）。她写道：“我的个性就是我。你不能告诉我我的自我是混乱的，然后说服我你不想把我降低到一个刻板印象。