Attitudes Toward Borderline Personality Disorder: <i>A Survey of 706 Mental Health Clinicians</i>

Black, Donald W.; Pfohl, Bruce; Blum, Nancee; McCormick, Brett; Allen, Jeff; North, Carol S.; Phillips, Katharine A.; Robins, Clive J.; Siever, Larry J.; Silk, Kenneth R.; Williams, Janet B. W.; Zimmerman, Mark

doi:10.1017/s109285291200020x

Cited by 89 publications

(109 citation statements)

References 14 publications

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“…The research indicates that health staff tend to have strong reactions to this diagnosis, with more negative attitudes (compared to various other psychiatric diagnoses) and with less empathy (Fraser & Gallop 1993;Markham 2003;Filer 2005;Aviram et al 2006;Deans & Meocevic 2006;Commons Treloar & Lewis 2008a;Westwood & Baker 2010;Black et al 2011). …”

Section: Stigma and Negative Attitudesmentioning

confidence: 95%

People with a borderline personality disorder diagnosis describe discriminatory experiences

Veysey

2014

Kōtuitui: New Zealand Journal of Social Sciences Online

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The psychiatric diagnosis of borderline personality disorder (BPD) attracts considerable stigma. People given this diagnosis may be characterised as manipulative, difficult, attention-seeking or untreatable. This paper describes a New Zealand study where eight people with a BPD diagnosis who selfidentified as encountering discriminatory experiences from healthcare professionals were interviewed. Themes found included that discriminatory experiences contributed to participants' negative selfimage and negative messages about the BPD label were communicated. A self-harm history appeared to be related to an increased number of discriminatory experiences. Connecting with the person and 'seeing more' (beyond an individual's diagnosis and/or behaviour) epitomised helpful experiences. Additionally, a relationship between stigma and the complaints process was noted. This study privileges the voice of those interviewed and may stimulate thought and discussion for services and health professionals working with this group.

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Section: Stigma and Negative Attitudesmentioning

confidence: 95%

People with a borderline personality disorder diagnosis describe discriminatory experiences

Veysey

2014

Kōtuitui: New Zealand Journal of Social Sciences Online

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“…Hospitalized patients with BPD feel hostilely repulsed by staff members and affronted by other patients [41]. Indeed, although BPD is meanwhile considered a valid diagnosis by most clinicians, nearly half of 706 mental health clinicians in the US reported negative attitudes towards patients with BPD [42]. Thus, the diagnosis of BPD maintains a stigmatization that supports pejorative and discriminatory clinical practices such as excessive use of medication [43] despite insufficient evidence of effectiveness in BPD [44].…”

Section: Introductionmentioning

confidence: 99%

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

Jeung¹,

Herpertz²

2014

Psychopathology

100

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Impairments of interpersonal functioning are central to borderline personality disorder (BPD). Patients with BPD suffer from severe psychosocial dysfunction in general and - among others - disturbed romantic relationships. Compounding the problem, the diagnosis of BPD interferes with therapeutic relationships and results in pejorative and discriminatory clinical practices. Previously, interpersonal dysfunction has been related to emotional dysregulation, behavioral dyscontrol, and impaired social cognition. However, these features may be intertwined yet separate. In this review, we will focus on disturbed empathy and intimacy as they are referred to as two discrete impairments of interpersonal functioning in the new DSM-5 Section III. The aim of this review is to contribute to a comprehensive, integral understanding of interpersonal dysfunction in BPD based on the behavioral and neurobiological studies available up to now. Despite some inconsistencies, behavioral studies in BPD patients indicate impaired cognitive and affective empathy particularly in complex and ecologically valid measurements. These findings are reflected even more consistently in functional magnet resonance imaging studies. Low quality of intimate relationships in BPD may at least partially result from lower mentalizing abilities and cognitive empathy, higher personal distress and affective empathy in the social context. Finally, the evaluation of the severity and quality of impairment of interpersonal functioning may enable clinicians and researchers to describe and to understand the mechanisms of interpersonal dysfunction better, and to improve the effectiveness of the treatment of patients with BPD.

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“…However, following psychodynamic formulations, and based on the fact that fear of death explained half of the variance of the entire model, we suggest that psychiatrists' ability to compensate for their fear of death by curing their patients is being hampered among psychiatrists with high death anxiety, when it is activated by their frustrating encounter with BPD patients. These patients impede psychiatrists' need to compensate their own fear of death through professional achievement, by frequently creating hostility and violence, dropping out of treatment, and above allby the possibility of committing suicide (Black et al, 2011;Rizvi et al, 2013). Hence, when psychiatrists' fear of death is high, their professional impotence also increases when treating BPD, and they react to them with negative emotions.…”

Section: Discussionmentioning

confidence: 99%

Psychiatrists׳ fear of death is associated with negative emotions toward borderline personality disorder patients

Bodner

Shrira

Hermesh

et al. 2015

Psychiatry Research

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Attitudes Toward Borderline Personality Disorder: A Survey of 706 Mental Health Clinicians

Abstract: These findings hold important implications for clinician education and coordination of care for patients with BPD.

Cited by 89 publications

References 14 publications

People with a borderline personality disorder diagnosis describe discriminatory experiences

People with a borderline personality disorder diagnosis describe discriminatory experiences

Impairments of Interpersonal Functioning: Empathy and Intimacy in Borderline Personality Disorder

Psychiatrists׳ fear of death is associated with negative emotions toward borderline personality disorder patients

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