Baker James, Edwards Ian, Beazley Peter
Department of Clinical Psychology and Psychological Therapies (CPPT), Norwich Medical School, University of East Anglia, Norwich, UK.
Norfolk and Suffolk Mental Health Trust, Norwich, UK.
Psychiatr Psychol Law. 2021 Aug 17;29(4):516-534. doi: 10.1080/13218719.2021.1938273. eCollection 2022.
Stigma is an established consequence of the Borderline Personality Disorder (BPD) diagnosis. This diagnosis is subject to revision in the International Classification of Diseases-11th Revision (ICD-11). Using the legal issue of diminished responsibility, this study applied an experimental mock-jury methodology to explore the impact of diagnostic stigma of BPD on jury decision-making. Participants were allocated to one of two versions of a simplified fictitious homicide trial. The group whose defendant was described as having a 'severe personality disorder, borderline pattern' rated the defendant as more dangerous, and more in need of segregation and coercive treatment, than controls where the defendant was described as having a 'complex mental health problem'. Between-group differences in other measures, including the decision to agree a verdict of diminished responsibility, were not found. The ICD-11 'severe personality disorder, borderline pattern' diagnosis may adversely impact the attitudes of jurors considering the question of diminished responsibility.
污名化是边缘性人格障碍（BPD）诊断的既定后果。该诊断在《国际疾病分类第11次修订本》（ICD - 11）中有待修订。本研究利用减轻责任这一法律问题，采用模拟陪审团实验方法，探讨BPD诊断污名化对陪审团决策的影响。参与者被分配到一个简化的虚构杀人审判的两个版本之一。与被告被描述为患有“复杂心理健康问题”的对照组相比，被告被描述为患有“严重人格障碍，边缘型”的组认为被告更危险，更需要隔离和强制治疗。在包括判定减轻责任裁决的决定在内的其他指标上，未发现组间差异。ICD - 11的“严重人格障碍，边缘型”诊断可能会对考虑减轻责任问题的陪审员态度产生不利影响。
