Ma Ruofan, Else-Quest Nicole M
University of North Carolina at Chapel Hill, USA.
Fem Psychol. 2025 Feb;35(1):3-21. doi: 10.1177/09593535241278213. Epub 2024 Sep 23.
Borderline personality disorder (BPD) is a serious psychiatric condition, especially stigmatized in women. Stigma is a social injustice, as it discredits and reduces the wholeness of a person to one of taint and discount. Psychological scientists play a uniquely powerful role in the stigmatization and destigmatization of BPD by constructing the meaning of BPD at each step of the research process. We discuss this powerful role and how to destigmatize BPD by incorporating an intersectionality framework that includes disability as a category of difference (as with gender, race, and sexuality). This framework centers the role of systems and structures in creating and maintaining stigma, while emphasizing the close interactions between interpersonal and structural stigma. This article illustrates researchers' power to assign meaning to BPD in research and highlights the importance of considering individuals as embedded in intersectional social categories, which are multidimensional and dynamic in nature. We propose that intersectional cultural humility, with its social justice aim and feminist origins, can guide BPD researchers to conduct nonstigmatizing and rigorous research on BPD. To inform clinical practice and advance social justice, we offer action steps for researchers to destigmatize BPD with intersectional cultural humility at multiple steps in the research process.
边缘型人格障碍(BPD)是一种严重的精神疾病,在女性中尤其受到污名化。污名是一种社会不公,因为它诋毁并将一个人的完整性贬低为有污点和被轻视的人。心理科学家在BPD的污名化和去污名化过程中发挥着独特而强大的作用,他们在研究过程的每一步都构建着BPD的意义。我们讨论了这一强大作用,以及如何通过纳入一个交叉性框架来消除BPD的污名,该框架将残疾作为一种差异类别(如同性别、种族和性取向一样)。这个框架将系统和结构在制造和维持污名方面的作用置于中心位置,同时强调人际污名和结构性污名之间的紧密互动。本文阐述了研究人员在研究中赋予BPD意义的权力,并强调了将个体视为嵌入交叉性社会类别中的重要性,这些类别本质上是多维且动态的。我们提出,具有社会正义目标和女性主义根源的交叉性文化谦逊,可以引导BPD研究人员对BPD进行无污名化且严谨的研究。为了为临床实践提供信息并推动社会正义,我们为研究人员提供了在研究过程的多个步骤中以交叉性文化谦逊消除BPD污名的行动步骤。