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Borderline personality disorder

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Challenging The Discourse Of Untreatability For Borderline Personality Disorder: A Call For Comparative Research, Sandra H. Sulzer Dec 2015

Challenging The Discourse Of Untreatability For Borderline Personality Disorder: A Call For Comparative Research, Sandra H. Sulzer

Kinesiology and Health Science Faculty Publications

A diagnosis of Borderline Personality Disorder (BPD) often signals the quintessential “difficult patient” status to clinicians, with at least one scholar arguing the condition itself was created to name and group difficult patients. While patients who are deemed difficult are often dispreferred for care, does this have an impact on their overall status as medicalized patients who have successfully achieved a sick role? This study relies on (n = 22) in-depth interviews with mental health clinicians in the United States from 2012 to evaluate how they describe patients with BPD, how the diagnosis of BPD affects the treatment clinicians are willing ...


Improving Patient-Centered Communication Of The Borderline Personality Disorder Diagnosis, Sandra H. Sulzer, Elizabeth Muenchow, Annabelle Potvin, Jessica Harris, Grant Gigot Sep 2015

Improving Patient-Centered Communication Of The Borderline Personality Disorder Diagnosis, Sandra H. Sulzer, Elizabeth Muenchow, Annabelle Potvin, Jessica Harris, Grant Gigot

Kinesiology and Health Science Faculty Publications

Background: Borderline personality disorder (BPD) has historically been difficult to diagnose, and laden with stigma, leading to a variety of clinical responses to patients who present with symptoms. Aims: (1) To understand how clinicians communicate the diagnosis of BPD with patients. (2) To compare these practices with patient communication preferences. (3) To use patient preferences to evaluate clinician practices. Methods: Semi-structured interviews with mental health care providers and experts (n = 32) were compared with patients (n = 10) and primary patient-written accounts (n = 22). Grounded theory was used to explore causal pathways between clinical practice and patient responses. Results: The majority ...