University of Kentucky Good Samaritan Hospital, Lexington, Kentucky 40508, USA.
Issues Ment Health Nurs. 2011;32(5):301-17. doi: 10.3109/01612840.2010.558234.
This exploratory study was designed to determine if three people with the diagnosis of Borderline Personality Disorder (BPD) viewed religion in characteristic and unique ways. The data was analyzed using Object Relations Theory, Attachment Theory, and an integrated cognitive, affect, and object relations theory. I concluded that the participants shared a faith style that resulted from an early developmental failure and that their image and response to God and the moral universe were a re-enactment of the dysfunctional mother/infant dyad. Specifically, God's character was seen as (1) self-evident and inescapable and (2) stationary and large. God was envisioned (3) as a person who is (4) magical; (5) inexplicable, and therefore, unreliable. Participants believed that (6) God's task was to provide and that (7) God created a moral universe. Their responses had an intense and desperate quality, were typified by ambivalence, and emphasized a power differential. Finally, the women's relationship with God took the form of a deal: if she was dependent, then God would provide. The interface between BPD and psychological and spiritual well-being is discussed and a tentative application of the findings is made to the field of mental health nursing. I suggest that an understanding of BPD religious constructs and the sensitive application of a few principles can contribute to the spiritual and psychological well-being of the BPD inpatient.
这项探索性研究旨在确定三位被诊断为边缘型人格障碍 (BPD) 的患者是否以独特的方式看待宗教。该数据使用客体关系理论、依恋理论以及综合认知、情感和客体关系理论进行分析。我得出结论，参与者共享一种源于早期发育失败的信仰风格，他们对上帝和道德宇宙的形象和反应是对功能失调的母婴二元关系的重演。具体来说，人们认为上帝的性格是：(1) 不言而喻和不可避免的；(2) 静止和巨大的。上帝被设想为(3) 一个人；(4) 神奇的；(5) 无法解释，因此不可靠。参与者认为(6) 上帝的任务是提供，(7) 上帝创造了一个道德宇宙。他们的反应具有强烈而绝望的特质，表现出矛盾心理，并强调权力差异。最后，女性与上帝的关系采取了一种交易的形式：如果她依赖，那么上帝就会提供。讨论了 BPD 与心理和精神健康的关系，并对心理健康护理领域进行了初步的应用。我建议，对 BPD 宗教结构的理解和对几个原则的敏感应用，可以促进 BPD 住院患者的精神和心理福祉。
