Marginalization of borderline personality disorder

Journal of Psychiatric Practice

Volumn 16, Issue 3, 2010, Pages 145-154

  Kealy, David ^a   Ogrodniczuk, John S ^b  

^a FRASER HEALTH AUTHORITY   (Canada)

^b UNIVERSITY OF BRITISH COLUMBIA   (Canada)

Author keywords

Borderline personality disorder; Health care service; Marginalization; Social exclusion; Stigma

Indexed keywords

ATTITUDE TO MENTAL ILLNESS; AUTOMUTILATION; BORDERLINE STATE; CHRONIC DISEASE; CLINICAL FEATURE; COUNTER TRANSFERENCE; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FUNCTIONAL STATUS; HEALTH CARE AVAILABILITY; HEALTH CARE POLICY; HEALTH DISPARITY; HEALTH PERSONNEL ATTITUDE; HELP SEEKING BEHAVIOR; HUMAN; MENTAL HEALTH SERVICE; PATIENT ADVOCACY; REVIEW; SOCIAL DISCRIMINATION; SOCIAL INTERACTION; STIGMA; TRANSFERENCE;

ATTITUDE OF HEALTH PERSONNEL; BIOMEDICAL RESEARCH; BORDERLINE PERSONALITY DISORDER; CROSS-SECTIONAL STUDIES; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; HEALTH POLICY; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HEALTHCARE DISPARITIES; HUMANS; MENTAL HEALTH SERVICES; PREJUDICE; PSYCHOTHERAPY; STEREOTYPING;

EID: 77952856740     PISSN: 15274160     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.pra.0000375710.39713.4d     Document Type: Review

References (67)

1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th edition, text revision. Washington, DC: American Psychiatric Association; 2000.
2. Kernberg O. Severe personality disorders: Psychotherapeutic strategies. New Haven:Yale University Press; 1984.
3. Conklin CZ, Westen D. Borderline personality disorder in clinical practice. Am J Psychiatry 2005;162:867-875
4. Zanarini MC, Frankenburg FR, Reich D, et al. Violence in the lives of adult borderline patients. J Nerv Ment Dis 1999;187:65-71.
5. Pompili M, Girardi P, Ruberto A, et al. Suicide in borderline personality disorder: A meta-analysis. Nord J Psychiatry 2005;59:319-324
6. Oldham JM. Borderline personality disorder and suicidality. Am J Psychiatry 2006;163:20-26
7. Bender DS, Dolan RT, Skodol AE, et al. Treatment utilization by patients with personality disorders. Am J Psychiatry 2001;158:295-302.
8. Skodol A, Gunderson JG, McGlashan TH. Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. Am J Psychiatry 2002;159:276-283
9. Lewis G, Appleby L. Personality disorder: The patients psychiatrists dislike. Br J Psychiatry 1988;153:44-49
10. Gallop R, Lancee WJ, Garfinkel P. How nursing staff respond to the label "borderline personality disorder." Hosp Community Psychiatry 1989;40:815-819
11. Aviram RB, Brodsky BS, Stanley B. Borderline personality disorder, stigma, and treatment implications. Harv Rev Psychiatry 2006;14:249-256 (Pubitemid 44451770)
12. Gabbard GO, Wilkinson SM. Management of countertransference with borderline patients. Northvale NJ: Jason Aronson; 1994.
13. Vasas EB. Examining the margins: A concept analysis of marginalization. ANS Adv Nurs Sci 2005;28:194-202.
14. Ward N. Social exclusion, social identity and social work: Analysing social exclusion from a material discursive perspective. Social Work Education 2009;28:237-252
15. Mullaly R. The new structural social work, third edition. Don Mills, ON: Oxford University Press; 2007.
16. Nehls N. Borderline personality disorder: Gender stereotypes, stigma, and limited system of care. Issues Ment Health Nurs 1998;19:97-112.
17. Hersh R. Confronting myths and stereotypes about borderline personality disorder. Soc Work Ment Health 2008; 6:13-32.
18. Soderberg S, Kullgren G, Renberg ES. Childhood sexual abuse predicts poor outcome seven years after parasuicide. Soc Psychiatry Psychiatr Epidemiol 2004;39:916-920
19. Gabbard GO. Mind, brain, and personality disorders. Am J Psychiatry 2005;162:648-655
20. Fonagy P, Bateman A. The development of borderline personality disorder: A mentalizing model. J Pers Disord 2008;22:4-21.
21. Gunderson JG, Lyons-Ruth K. BPD's interpersonal hypersensitivity phenotype: A gene-environment-developmental model. J Pers Disord 2008;22:22-41.
22. Goodman M, Triebwasser J, New A. Biological underpinnings of borderline personality disorder. Soc Work Ment Health 2008;6:33-47.
23. Jorm AF, Griffiths KM. The public's stigmatizing attitudes towards people with mental disorders: How important are biomedical conceptualizations? Acta Psychiatr Scand 2008;118:315-321
24. Samuels J, Eaton WW, Bienvenu OJ, et al. Prevalence and correlates of personality disorders in a community sample. Br J Psychiatry 2002;180:536-542
25. Coid J, Yang M, Tyrer P, et al. Prevalence and correlates of personality disorder in Great Britain. Br J Psychiatry 2006;188:423-431
26. Grant BF, Chou SP, Goldstein RB. Prevalence, correlates, disability, and co-morbidity of DSM-IV borderline personality disorder: Results from the WAVE 2 national epidemiologic survey on alcohol and related conditions. J Clin Psychiatry 2008;69:533-545
27. Zimmerman M, Rothschild L, Chelminski I. The prevalence of DSM-IV personality disorders in psychiatric outpatients. Am J Psychiatry 2005;162:1911:-8.
28. Korzekwa MI, Dell PF, Links PS, et al. Estimating the prevalence of borderline personality disorder in psychiatric outpatients using a two-phase procedure. Compr Psychiatry 2008;49:380-386
29. Zanarini MC, Frankenburg FR. The essential nature of borderline psychopathology. J Pers Disord 2007;21: 518-535
30. Gunderson JG, Links P. Borderline personality disorder: A clinical guide, 2nd edition. Washington, DC: American Psychiatric Press; 2008.
31. Gunderson JG. Borderline personality disorder: Ontogeny of a diagnosis. Am J Psychiatry 2009;166:530-539
32. Paris J, Gunderson JG,Weinberg I. The interface between borderline personality disorder and bipolar spectrum disorders. Compr Psychiatry 2007;48:145-154
33. Lequesne ER, Hersh R. Disclosure of a diagnosis of borderline personality disorder. J Psychiatr Pract 2004;10: 170-176
34. Skodol AE, Gunderson JG, Shea MT, et al. The Collaborative Longitudinal Personality Disorders Study (CLPS): Overview and implications. J Pers Disord 2005; 19:487-504.
35. Sanislow CA, Little TD, Ansell EB. Ten-year stability and latent structure of the DSM-IV schizotypal, borderline, avoidant, and obsessive-compulsive personality disorders. J Abnorm Psychol 2009;118:507-519
36. Zanarini MC, Frankenburg FR, Hennen J, et al. Prediction of the 10-year course of borderline personality disorder. Am J Psychiatry 2006;163:827-832
37. Bateman AW, Fonagy P. Progress in the treatment of borderline personality disorder. Br J Psychiatry 2006;188:1-3. (Pubitemid 43021919)
38. Leichsenring F, Leibing E. The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders: A meta-analysis. Am J Psychiatry 2003;160:1223-1232
39. Binks CA, Fenton M, McCarthy L, et al. Psychological therapies for people with borderline personality disorder. Cochrane Database Syst Rev. 2006(1):CD005652.
40. Verheul R, Herbrink M. The efficacy of various modalities of psychotherapy for personality disorders: A systematic review of the evidence and clinical recommendations. Int Rev Psychiatry 2007;19:25-38.
41. Feigenbaum J. Dialectical behaviour therapy: An increasing evidence base. J Ment Health 2007;16:51-68.
42. Linehan MM, Comtois KA, Murray AM, et al. Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs. therapy by experts for suicidal behaviors and borderline personality disorder. Arch Gen Psychiatry 2006;63:757-766
43. McMain SF, Links PS, Gnam WH, et al. A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder. Am J Psychiatry 2009;166:1365-1374
44. Bateman AW, Fonagy P. Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial. Am J Psychiatry 1999;156:1563-1569
45. Bateman AW, Fonagy P. 8-year follow-up of patients treated for borderline personality disorder: Mentalizationbased treatment versus treatment as usual. Am J Psychiatry 2008;165:631-638
46. Bateman AW, Fonagy P. Randomized controlled trial of outpatient mentalization based treatment versus structured clinical management for borderline personality disorder. Am J Psychiatry 2009;166:1355-1364
47. Clarkin JF, Levy KN, Lenzenweger MF, et al. Evaluating three treatments for borderline personality disorder: A multiwave study. Am J Psychiatry 2007;164:922-928
48. Levy KN, Meehan KB, Kelly KM, et al. Change in attachment patterns and reflective function in a randomized control trial of transference-focused psychotherapy for borderline personality disorder. J Consult Clin Psychol 2006;74:1027-1040
49. Giesen-Bloo J, van Dyck R, Spinhoven P, et al. Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs. transference- focused psychotherapy. Arch Gen Psychiatry 2006;63:649-658
50. Blum N, St John D, Pfohl B, et al. Systems training for emotional predictability and problem solving (STEPPS) for outpatients with borderline personality disorder: A randomized controlled trial and 1-year follow-up. Am J Psychiatry 2008;165:468-478
51. Livesley WJ. Principles and strategies for treating personality disorder. Can J Psychiatry 2005;50:442-450
52. Paris J. Intermittent psychotherapy: An alternative to continuous long-term treatment for patients with personality disorders. J Psychiatr Pract 2007;13:153-158
53. Ogroniczuk JS, Kealy D, Howell-Jones. A view from the trenches: A survey of Canadian clinicians' perspectives regarding the treatment of borderline personality disorder. J Psychiatr Pract 2009;15:449-453
54. Newton-Howes G, Tyrer P, Johnson T. Personality disorder and the outcome of depression: Meta-analysis of published studies. Br J Psychiatry 2006;188:13-20.
55. Oldham JM. Borderline personality disorder comes of age. Am J Psychiatry 2009;166:509-511
56. Siever LJ, Torgersen S, Gunderson JG, et al. The borderline diagnosis III: Identifying endophenotypes for genetic studies. Biol Psychiatry 2002; 51:964-968
57. Donegan NH, Sanislow CA, Blumberg HP, et al. Amygdala hyperreactivity in borderline personality disorder: Implications for emotional dysregulation. Biol Psychiatry 2003;54:1284-1293
58. New AS, Hazlett EA, Buchsbaum MS, et al. Amygdala-prefrontal disconnection in borderline personality disorder. Neuropsychopharmacology 2007;32:1629-1640
59. Hadjipavlou G, Ogrodniczuk JS. Promising psychotherapies for personality disorders. Can J Psychiatry 2010;55: 202-210
60. Treloar AJ. Effectiveness of education programs in changing clinicians' attitudes toward treating borderline personality disorder. Psychiatr Serv 2009;60:1128-1131
61. The Treatment and Research Advancements Association for Personality Disorder (TARA APD) website. Who is TARA APD? (available at www.tara4bpd.org/ dyn/index .php, accessed January 29, 2010).
62. National Education Alliance for Borderline Personality Disorder. BPD Awareness Month: Congressional history. (available at www. borderlinepersonalitydisorder.com /awareness/awareness-files/background.shtml, accessed January 29, 2010).
63. Strike C, Rhodes AE, Bergmans Y, et al. Fragmented pathways to care: The experiences of suicidal men. Crisis 2006;27:31-38
64. Holm AL, Berg A, Severinsson E. Longing for reconciliation: A challenge for women with borderline personality disorder. Issues Ment Health Nurs 2009;30:560-568
65. National Institute for Mental Health in England. Personality disorder: No longer a diagnosis of exclusion- Policy implementation guidance for the development of services for people with personality disorder. Gateway Reference 1055. London: NIMH(E); January 23, 2003 (available at www.dh.gov.uk/prod-consum- dh/groups /dh-digitalassets/@dh/@en/documents/digitalasset/dh-405 4230.pdf, accessedApril 21, 2010).
66. van Asselt ADI, Dirksen CD, Arntz A, et al. The cost of borderline personality disorder: Societal cost of illness in BPD patients. Eur Psychiatry 2007;22:354-361
67. Bateman AW, Fonagy P. Health service utilization costs for borderline personality disorder patients treated with psychoanalytically oriented partial hospitalization versus general psychiatric care. Am J Psychiatry 2003;160:169-171