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Working with borderline personality disorder: A small‐scale qualitative investigation into community psychiatric nurses' constructs of borderline personality disorder
Author(s) -
Stroud James,
Parsons Rachel
Publication year - 2013
Publication title -
personality and mental health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 22
eISSN - 1932-863X
pISSN - 1932-8621
DOI - 10.1002/pmh.1214
Subject(s) - borderline personality disorder , psychology , pejorative , meaning (existential) , personality , presentation (obstetrics) , qualitative research , interpretative phenomenological analysis , scale (ratio) , clinical psychology , psychotherapist , social psychology , medicine , linguistics , philosophy , social science , sociology , radiology , physics , quantum mechanics
Borderline personality disorder (BPD) is a complex presentation that can have a significant impact upon the individual and on his or her quality of life. BPD has often been associated with negative connotations (e.g. ‘manipulative’, ‘attention seeking’). The aim of the current study was to gain a fuller understanding of how community psychiatric nurses (CPNs) make sense of the diagnosis of BPD and how their constructs of BPD impact their approach to this client group. Four CPNs, three women and one man, were interviewed using a semi‐structured interview schedule. The data were analysed using interpretative phenomenological analysis, to reveal over‐arching and sub‐themes. The results indicated that participants attempted to ascribe meaning to the client's presentation ‘in the moment’. When they had a framework to explain behaviour, participants were more likely to express positive attitudes. When they did not have such a framework, participants could view clients in more pejorative terms. As participants were deriving meaning ‘in the moment’, there could be fluidity with regards to participants' attitudes, ranging from ‘dread’ to a ‘desire to help’. This could lead to participants shifting between ‘connected’ and ‘disconnected’ interactions with clients. The limitations and implications for clinical practise will also be considered. Copyright © 2012 John Wiley & Sons, Ltd.