Borderline personality disorder and nursing approach

Authors

DOI:

https://doi.org/10.32437/mhgcj.v3i1.81

Keywords:

Borderline Personality Disorder, Diagnosis, Medication, Holistic Care, Nursing Care

Abstract

Introduction: Borderline Personality Disorder, is one of the ten Personality Disorders. These Disorders are split into three categories, with the Borderline being part of the second one where elements of dramatization and emotional instability are frequently evident.

Purpose: The purpose of the present study is to investigate and highlight the characteristics, the treatment and nursing approach for people with this disorder.

Methodology: The study material consisted of articles on the topic found in Greek and international databases such as: PubMed, Cochrane, Hellenic Academic Libraries Association (HEAL-Link), Scopus and PsycINFO, using keywords as: “Borderline Personality Disorder”, “Diagnosis”, “Therapy”, “Treatment”, “Holistic Care”, “Nursing Care”.

Results: Bordeline Personality Disorder is characterized as a condition in which a person differs significantly from the average of people, about how he thinks, perceives, feels or relates to others. Treatment for this Disorder does not exist, however medication is used to remission the symptoms. Nurses are part of the treatment team. They’re going to help the patient learn to live with the symptoms of his disorder. As these people are special patients, nurses must learn from their training not to focus on the patient's problem, but on the patient himself.

Conclusions: The key characteristics of Borderline are impulsivity and instability in interpersonal relationships, self-image and emotions. As there is no treatment, nurses as members of the treatment team must develop a relationship of trust with the patient in order to be able to help him in his recovery. It is important for nurses to be able to properly approach the person with Borderline Personality Disorder to learn to adapt according to his personality

Author Biographies

Marindela Pergjini, University of Thessaly, Larissa, Greece

Nursing Department

Evangelos Fradelos, University of Thessaly, Larissa, Greece

General Department

Ioanna V. Papathanasiou, University of Thessaly, Greece

Community Nursing Lab, Nursing Department

References

American Psychiatric Association. (2013). Diagnostic and Statistical Manual Of Mental Disorders. 5th ed. Washington: American Psychiatric Association.

Andrew, E. et al. (2011). Personality Disorder Types Proposed for DSM-5. Journal of Personality Disorders, 25(2), 136-169. Accessed From April, 2011, Available From: https://doi.org/10.1521/pedi.2011.25.2.136 .

Bach, B. & Sellbom, M. (2016). Continuity between DSM-5 Categorical Criteria and Traits Criteria for Borderline Personality Disorder. SAGE Journals, 61(8), 489-494. Accessed From 18th March, 2016, Available From: https://doi.org/10.1177/0706743716640756.

Beck, A., Davis, D. & Freeman, A. (2015). Cognitive Therapy of Personality Disorders. 3rd ed. New York: The Guilford Press.

Brieger, P. et al. (2000). The Relationship Between Five-Factor Personality Measurements and ICD-10 Personality Disorder Dimensions: Results from a Sample of 229 Subjects. Journal of Personality Disorders, 14(3), 282-290. Available From: https://doi.org/10.1521/pedi.2000.14.3.282.

Dubovsky, A. & Kiefer, M. (2014). Borderline Personality Disorder in the Primary Care Setting. Medical Clinics of North America, 98(5),1049-1064. Accessed From September, 2014, Available From: https://doi.org/10.1016/j.mcna.2014.06.005.

Eby, L. &Brown, N. (2010). ? ??????????? ???? ?????? ?????. 2? ???. ?????: ???????? ???????? ????? ?????????.

Geoffrey, L. et al. (2016). Mental health nurses' attitudes, behaviour, experience and knowledge regarding adults with a diagnosis of borderline personality disorder: systematic, integrative literature review. Journal of Clinical Nursing, 25(13-14), 1848-1845. Accessed From 3th May, 2016, Available From: https://doi.org/10.1111/jocn.13202.

Giannouli, H. et al. (2009). Attitudes, knowledge and experience of nurses working in psychiatric hospitals in Greece, regarding borderline personality disorder: a comparative study. Journal of Psychiatric and Mental Health Nursing, 16(5), 481-487. Accessed From 7th May, 2009, Available From: https://doi.org/10.1111/j.1365-2850.2009.01406.x.

Gunderson, J. & Berkowitz, C. (2003). An Introduction To Borderline Personality Disorder. Diagnosis, Origins, Course, and Treatment. New York: NEPDA.

Henderson, S. (2002). Factors impacting on nurses' transference of theoretical knowledge of holistic care into clinical practice. Nurse Education in Practice, 2(4), 244-250. Accessed 22th April, 2002, Available From: DOI: 10.1016/s14715953(02)00020-3.

Lenzenweger, F. & Clarkin, J. (2005). Major Theories of Personality Disorder. 2nd ed. New York: The Guilford Press.

Lieb, K. et al. (2010). Pharmacotherapy for borderline personality disorder: Cochrane systematic review of randomised trials. Cambridge University Press, 196(1), 4-12. Accessed From 2 January, 2018, Available From: doi: 10.1192/bjp.bp.108.062984.

????????, ?. (2006). ??????? ??????????. 2? ???. ?????: ???????? ??????????.

Nehls, N. (2000). Being a case manager for persons with borderline personality disorder: perspectives of community mental health center clinicians. Archives of Psychiatric Nursing, 14(1), 12-18. Accessed From February, 2000, Available From: DOI:10.1016/s0883-9417(00)80004-7.

O’Connell, & Dowling, M. (2013). Community psychiatric nurses’ experiences of caring for clients with borderline personality disorder. Mental Health Practice, 17(4):27-33. Accessed From 1st March, 1013, Available From: https://dx.doi.org/10.7748/mhp2013.12.17.4.27.e845.

Papathanasiou, I., Slavou, M. & Kourkouta, L. (2013). Holistic Nursing Care: Theories and Perspectives. American Journal of Nursing Science, 2(1), 1-5. Accessed From 20th February, 2013, Available From: doi: 10.11648/j.ajns.20130201.11.

Peplau, HE. (1997). Peplau’s theory of interpersonal relations. SAGE Journals, 10(4), 162-167. Accessed From 1 October, 1997, Available From: DOI:10.1177/089431849701000407.

Peplau, HE. (1992). Interpersonal relations: a theoretical framework for application in nursing practice. SAGE Journals, 5(1), 13-18. Accessed From 1 January, 1992, Available From: DOI:10.1177/089431849200500106.

Sellbom, M. et al. (2014). Convergence between DSM-5 Section II and Section III diagnostic criteria for borderline personality disorder. SAGE Journals, 48(4), 325-332. Accessed From 19th November, 2014, Available From: https://doi.org/10.1177/0004867413511997.

????????, ?., ????????, ?. & ???????, ?. (1997). ?????????? ICD-10 ??????? ?????????? ??? ?????????? ????????????. ?????: ????????????????????.

Stockmann, C. (2005). A literature review of the progress of the psychiatric nurse-patient relationship as described by Peplau. Issues in Mental Health Nursing, 25(9), 911-919. Accessed 9th July, 2005, Available From: https://doi.org/10.1080/01612840500248197.

Stoffers, J. & Lieb, K. (2015). Pharmacotherapy for Borderline Personality Disorder—Current Evidence and Recent Trends. Current Psychiatry Reports. 17(534). Accessed From 21 November, 2015, Available From: https://doi.org/10.1007/s11920-014-0534-0.

Stroud, J. & Parsons, R. (2012). Working with borderline personality disorder: A small-scale qualitative investigation into community psychiatric nurses' constructs of borderline personality disorder. Personality and Mental Health, 7(3),242-253. Accessed From 23th August, 2012, Available From: https://doi.org/10.1002/pmh.1214.

Tomko, R. et al. (2014). Characteristics of borderline personality disorder in a community sample: comorbidity, treatment utilization, and general functioning. Journal of Personality Disorders, 28(5), 734-750. Accessed From October, 2014, Available From: doi: 10.1521/pedi_2012_26_093.

Trull, T. et al. (2011). DSM-5 Borderline Personality Disorder: At the Border Between a Dimensional and a Categorical View. Curr Psychiatric, 13, 43-49. Accessed From 24th November, 2011, Available From: https://doi.org/10.1007/s11920-010-0170-2.

Whewell, P. et al. (2000). Does the ICD 10 classification accurately describe subtypes of borderline personality disorder?. British Journal Of Medical Psycology, 73(4), 483-494. Accessed From 14th February, 2000, Available From: https://doi.org/10.1348/000711200160679.

????????????, ?. ??? ???. (2000). ??????????. 1? ???. ?????: ???? ???????? ????????.

Zanarini, M. et al. (2001). Treatment histories of borderline inpatients. Comprehensive Psychiatry, 42(2), 144-150. Accessed From March, 2001, Available From: https://doi.org/10.1053/comp.2001.19749

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Published

2020-09-15

How to Cite

Pergjini, M. ., Fradelos, E., & Papathanasiou, I. V. (2020). Borderline personality disorder and nursing approach. Mental Health: Global Challenges Journal, 3(1), 4–10. https://doi.org/10.32437/mhgcj.v3i1.81

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