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Published on: October 28, 2020
Personality disorders: illegitimate subject positions.
1Centre for Postgraduate Nursing Studies and Department of Psychological Medicine, University of Otago, Christchurch, New Zealand. marie.crowe@otago.ac.nz
The diagnosis of personality disorder in mental health nursing often carries negative connotations due to its behavioral construction. This paper critiques this diagnosis, advocating for more legitimizing nursing care approaches for patients.
Area of Science:
- Psychiatry
- Mental Health Nursing
Background:
- The diagnosis of personality disorder is prevalent in mental health nursing settings.
- The term 'personality disorder' is frequently used without critical examination and carries pejorative connotations in clinical practice.
- These behaviors are often constructed as behavioral rather than psychiatric, leading to stigmatization.
Purpose of the Study:
- To critically analyze the diagnosis of personality disorder within mental health nursing.
- To explore the discursive construction of personality disorder categories in clinical practice.
- To propose a more legitimizing approach to mental health nursing care for individuals with psychiatric diagnoses.
Main Methods:
- Critical analysis of the diagnosis of personality disorder.
- Examination of the discursive construction of personality disorder categories.
- Review of current mental health nursing practices.
Main Results:
- The diagnosis of personality disorder is often used uncritically and carries stigmatizing, pejorative connotations.
- The construction of personality disorders as illegitimate is naturalized within clinical practice culture.
- Current diagnostic practices may delegitimize individuals receiving psychiatric diagnoses.
Conclusions:
- A critical analysis reveals issues with the current diagnostic and clinical approach to personality disorders.
- Mental health nursing care needs to move towards more legitimizing practices.
- Adopting a more validating approach can improve care for individuals diagnosed with personality disorders.
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