St Helens Recovery Team, Harry Blackman House, Peasley Cross Hospital, St Helens, UK.
Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Personal Ment Health. 2020 Aug;14(3):263-283. doi: 10.1002/pmh.1478. Epub 2020 Feb 19.
There is ongoing controversy regarding the borderline personality disorder (BPD) diagnosis. Whilst the experiences of people living with BPD have been widely acknowledged, the process of receiving the diagnosis is poorly described. This systematic review aimed to synthesize the existing research exploring people's experiences of receiving a diagnosis of BPD, as well as examining what is considered best practice in the diagnostic delivery process. The findings from 12 qualitative studies were synthesized using thematic analysis, generating two overarching themes: negative and positive experiences of receiving a diagnosis of BPD. These themes were described using the following sub-themes: the communication of diagnosis and meaning made of it, validity around diagnosis and attitudes of others. Results indicate that there is a substantial difference between a well-delivered and poorly delivered diagnosis. The diagnostic delivery process is fundamental to how people understand and interpret the BPD diagnosis. The way in which the BPD diagnosis is shared with people can ultimately shape their views about hope for recovery and their subsequent engagement with services. © 2020 John Wiley & Sons, Ltd.
关于边缘型人格障碍（BPD）的诊断存在持续的争议。尽管人们普遍承认患有 BPD 的人的经历，但对获得诊断的过程却描述得很差。本系统评价旨在综合现有的研究，探索人们对 BPD 诊断的体验，以及检查诊断提供过程中哪些被认为是最佳实践。使用主题分析对 12 项定性研究的结果进行综合，生成两个总体主题：接受 BPD 诊断的负面和正面体验。这些主题使用以下子主题来描述：诊断的沟通和赋予的意义、诊断的有效性以及他人的态度。结果表明，良好的诊断和较差的诊断之间存在实质性差异。诊断提供过程对于人们理解和解释 BPD 诊断至关重要。与人们分享 BPD 诊断的方式最终可以塑造他们对康复希望的看法以及他们随后对服务的参与度。 © 2020 约翰威立父子公司
