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走向联结——一项关于边缘型人格障碍患者康复过程的定性研究。

Moving Toward Connectedness - A Qualitative Study of Recovery Processes for People With Borderline Personality Disorder.

作者信息

Kverme Britt, Natvik Eli, Veseth Marius, Moltu Christian

机构信息

Department of Psychiatry, District General Hospital of Førde, Førde, Norway.

Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Førde, Norway.

出版信息

Front Psychol. 2019 Feb 28;10:430. doi: 10.3389/fpsyg.2019.00430. eCollection 2019.

Abstract

Borderline personality disorder (BPD) is a mental health disorder estimated to affect 1-2% of the general population. As a group, people with BPD endure a high degree of suffering, often leading to suicide attempts, self-harm, and suicide. Comparatively few studies explore the first person perspective of the person suffering from any mental health disorder. This might be especially problematic for people diagnosed with BPD, as this particular diagnosis is followed by stigma potentially making help seeking harder and helping relationships more vulnerable. We interviewed 12 female participants recently diagnosed with BPD in-depth about their experiences with recovery and treatment, and used a stepwise reflective approach to rigorously analyze the data. Results show an overarching theme of working toward connectedness, with four constituent sub-themes. We discuss the findings with regard to empirical work, recovery and autonomy, and the risk of epistemic injustice that people with BPD risk facing.

摘要

边缘型人格障碍(BPD)是一种心理健康障碍,据估计,普通人群中有1%-2%的人受其影响。总体而言,患有边缘型人格障碍的人承受着高度的痛苦,常常导致自杀未遂、自我伤害和自杀。相对而言,很少有研究探讨患有任何心理健康障碍的人的第一人称视角。对于被诊断为边缘型人格障碍的人来说,这可能尤其成问题,因为这种特殊的诊断会带来污名,这可能会使寻求帮助更加困难,使帮助关系更容易受到伤害。我们对12名最近被诊断为边缘型人格障碍的女性参与者进行了深入访谈,了解她们的康复和治疗经历,并采用逐步反思的方法对数据进行了严格分析。结果显示了一个朝着联系努力的总体主题,以及四个组成子主题。我们结合实证研究、康复与自主性以及边缘型人格障碍患者面临的认知不公正风险来讨论这些发现。

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