Impact of the diagnosis of borderline personality disorder and its diagnostic process

Winter, Zuzana (2015) Impact of the diagnosis of borderline personality disorder and its diagnostic process. D.Clin.Psychol. thesis, Canterbury Christ Church University.

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Contrary to the long-held assumptions, borderline personality disorder (BPD) is now considered a treatable disorder. Timely assessment has been recognised as one of the key treatment enablers and basic assessment standards have been stipulated by the UK’s National Institute for Health and Clinical Excellence (NICE). The current study was the first to have specifically investigated the quality of the diagnostic process in light of the government recommendations.

Interpretative phenomenological analysis was used to analyse semi-structured interviews with eight adult female service users about their lived experiences with the original diagnostic disclosure of BPD.

Five master themes and several subthemes featured in the majority of the participants’ experience: a) answer with a question mark; b) if only…; c) BPD like a star sign; d) star signs are not enough; it’s what happens afterwards!; e) being at the mercy of the system.

Most participants’ experiences suggested that the original diagnostic process was largely negative and did not follow the national guidelines. Nevertheless, a minority of positive views also emerged. The findings are discussed with reference to the existing literature, whilst also detailing the study’s limitations, clinical and research implications.

Item Type: Thesis (Doctoral)
Uncontrolled Keywords: borderline personality disorder, BPD, diagnostic process/assessment/experience, stigma, NICE
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0790 Mental health services. Mental illness prevention
R Medicine > RC Internal medicine > RC0435 Psychiatry > RC0554 Personality disorders. Behavior problems
R Medicine > RC Internal medicine > RC0435 Psychiatry > RC0467 Clinical psychology
Divisions: Faculty of Social and Applied Sciences > School of Psychology, Politics and Sociology > Salomons Centre for Applied Psychology
Depositing User: Mrs Kathy Chaney
Date Deposited: 31 Mar 2016 10:47
Last Modified: 01 Jun 2018 10:59

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Last edited: 29/06/2016 12:23:00