Centre for People, Organisation and Work, RMIT University, Melbourne, Australia.
Social and Global Studies Centre, RMIT University, Melbourne, Australia.
Health Sociol Rev. 2020 Mar;29(1):1-15. doi: 10.1080/14461242.2020.1715815. Epub 2020 Jan 19.
Borderline Personality Disorder (BPD) is a highly contentious psychiatric diagnosis with ongoing tensions over nomenclature, aetiology and treatment recommendations. This article examines a number of these tensions and assesses how greater attention to the voices of people living with BPD may help inform the delivery of new modes of person-centred care. To this end, we present a critical social science research agenda for investigating the experiences, social contexts and support needs of people living with BPD. We canvass issues pertaining to the diagnosis of BPD (including its name), the strongly gendered dimensions of BPD, and the pressing need to improve support for people living with this condition. Throughout our analysis, we indicate how critical interdisciplinary inquiry may drive new responses to these challenges. Our analysis is illustrated with reference to experiences of BPD recounted in two Australia-wide surveys conducted in 2011 and 2017. We argue that greater progress towards person-centred care requires novel forms of evidence grounded in critical social inquiry into experiences of treatment and support among people living with BPD, and the varied social, cultural and political contexts underpinning these experiences.
边缘型人格障碍（BPD）是一种极具争议的精神科诊断，其名称、病因和治疗建议一直存在争议。本文探讨了其中的一些争议，并评估了更多关注患有 BPD 人群的声音如何有助于为新的以患者为中心的护理模式提供信息。为此，我们提出了一个批判性的社会科学研究议程，以调查患有 BPD 的人的经历、社会背景和支持需求。我们讨论了与 BPD 诊断（包括其名称）、BPD 的强烈性别维度以及迫切需要改善对患有这种疾病的人的支持有关的问题。在我们的分析中，我们指出批判性跨学科探究如何为应对这些挑战提供新的回应。我们的分析通过参考 2011 年和 2017 年在澳大利亚进行的两项全国性调查中所描述的 BPD 经历进行说明。我们认为，要实现以患者为中心的护理，就需要以批判性社会探究为基础，获得新的形式的证据，以了解患有 BPD 的人的治疗和支持经历，以及支撑这些经历的各种社会、文化和政治背景。
