Mapping the Edges and the In-between: A critical analysis of Borderline Personality Disorder

Paperback | July 19, 2009

byNancy Potter

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Borderline Personality Disorder (BPD) is a diagnosis given to ten percent of all those seen in outpatient mental health facilities and twenty percent of those seen in inpatient psychiatric units. This is a significant number of people in the Western world. Yet many of the core concepts andsymptoms that underlie this diagnosis are questionable. Many of the attitudes and actions of carers are based on assumptions about those with BPD that cry out for analysis, with both cultural and gender norms interacting with clinical diagnosis and treatment, to the detriment of both carers andpatients. This book considers how we diagnose BPD, looking at the key constructs: identity disturbance, inappropriate or excessive anger, unstable relationships, impulsivity, self-injurious behaviour, and manipulativity. It starts by looking at the cultural and gender assumptions and norms behind BPD, drawingupon philosophical, clinical, anthropological, and sociological literature. Combining philosophical analysis with clinical experience and patients' writings, it clarifies the constructs so that the reader can understand the messiness and complexity that frames this diagnosis and treatment. Afterexamining the current state of these constructs, and their effects on carer/patient interactions, Part II sees an application of virtue theory to therapeutic treatment with BPD patients. It looks at three virtues that are particularly important for clinicians and other carers to cultivate whenworking with BPD patients: trustworthiness, the virtue of giving uptake, and empathy. It argues that, in their absence, not only are clinicians' attitudes harmful to patients but that the status of the diagnosis is actually compromised. Mapping the Edges and the In-Between presents a compelling argument that Borderline Personality Disorder needs to be approached in a new light - one that will benefit patients.

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Borderline Personality Disorder (BPD) is a diagnosis given to ten percent of all those seen in outpatient mental health facilities and twenty percent of those seen in inpatient psychiatric units. This is a significant number of people in the Western world. Yet many of the core concepts andsymptoms that underlie this diagnosis are quest...

Nancy Potter is a professor of philosophy at the University of Louisville and a core faculty member of the university's Interdisciplinary M.A. in Bioethics and Medical Humanities. Her research ranges from virtue ethics to philosophies of peace and to mental health and illness. She has had considerable volunteer clinical experience wit...

other books by Nancy Potter

How Can I Be Trusted?: A Virtue Theory of Trustworthiness
How Can I Be Trusted?: A Virtue Theory of Trustworthine...

Kobo ebook|Nov 19 2002

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Format:PaperbackDimensions:196 pages, 9.21 × 6.14 × 0.02 inPublished:July 19, 2009Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198530218

ISBN - 13:9780198530213

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Table of Contents

Introduction1. Identity disturbance and the self2. The problem with too much anger3. Rocky relationships4. Impulsivity, spontaneity and deliberation5. Self-injurious behavior6. What's wrong with being manipulative7. The trustworthy clinician8. Communicative ethics and the virtue of giving uptake9. Situating empathy in our lives

Editorial Reviews

Review from other book by this author: "This is a book about a singularly important topic: how do we repair relationships after a wrong, often a wrong so severe that it cannot be simply rectified? How, after either personal or communal abuse or trauma, do we avoid the vortex of recrimination and retaliation? It is a book that deserves tobe read slowly and taken seriously... an important book [that] should interest students and scholars of many disciplines. Most of all it should interest those concerned for the human condition." --Metapsychology Online Reviews