Kealy David, Ogrodniczuk John S
Surrey Mental Health & Addictions, Surrey, British Columbia.
J Psychiatr Pract. 2010 May;16(3):145-54. doi: 10.1097/01.pra.0000375710.39713.4d.
Individuals with borderline personality disorder (BPD) face considerable difficulties, both in terms of their symptom and functional status, as well as in attempting to obtain professional help. Their exclusion from appropriate mental health care and opportunities for recovery can be examined using the social construct of marginalization. Pervasive attitudes among clinicians, health care administrators, and policy-makers perpetuate the marginalization of BPD within systems of mental health care. Patients with BPD may be regarded as not suffering from a legitimate disorder, comprising a minority of the clinical population, and/or being a chronic drain on health care resources. Lack of suitable mental health services may be rationalized based on these attitudes. Considerable development in the empirical understanding of BPD challenges these stigmatizing attitudes and calls for critical questioning of the marginalized status of patients with BPD.
边缘型人格障碍（BPD）患者在症状和功能状态方面以及在寻求专业帮助时都都面临专业帮助时都面临着相当大的困难。可以使用边缘化的社会建构来审视他们被排除在适当的心理健康护理和康复机会之外的情况。临床医生、医疗保健管理人员和政策制定者中普遍存在的态度使BPD在心理健康护理系统中持续处于边缘化状态。BPD患者可能被视为没有患合理的疾病，在临床人群中占少数，和/或被视为对医疗保健资源的长期消耗。基于这些态度，缺乏合适的心理健康服务可能被合理化。对BPD的实证理解有了相当大的发展，这对这些污名化态度提出了挑战，并要求对BPD患者的边缘化地位进行批判性审视。
