拆除边界性人格障碍的诊断结构:一个批判性的话语分析
Laurence Cobbaert1, Ellen Maloney2, Keir Harding3
1Faculty of Medicine and Health, School of Clinical Medicine, Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, New South Wales, Australia.
International journal of mental health nursing
|February 26, 2026
概括
边界性人格障碍 (BPD) 诊断功能是监管工具,而不是临床描述,通过歧视和排斥造成伤害. 转向减少危害和以患者为中心的护理是必不可少的.
科学领域:
- 精神病学是一个精神病学.
- 社会科学 社会科学 社会科学
- 护理 护理 护理
背景情况:
- 边界性人格障碍 (BPD) 被作为一种客观的情绪困扰诊断.
- 女权主义者,非殖民主义者,神经多样性和生活经验奖学金批评BPD的起源在殖民时期,cisheteronormative,厌女主义者和神经规范框架.
研究的目的:
- 批判性地研究BPD作为一种诊断构造和治理技术.
- 分析BPD如何通过认识不公正,结构性排斥和对痛苦的道德解释来产生伤害.
- 探索对心理健康护理实践的影响.
主要方法:
- 对精神病学文献,政策文件,历史诊断文本和生活经验奖学金的批判性话语分析.
- 检查精神病学语言和分类作为力量技术.
主要成果:
- BPD的功能是监管框架,而不是临床描述,延续性别,殖民和其他规范性规范.
- 主导叙述掩盖了创伤,感官差异和结构性暴力,证明了强制性做法是合理的.
- 这种BPD诊断缺乏合法性,破坏了信任,并造成了有毒的伤害.
结论:
- 从BPD构造中转移到降低危害的转变是必要的.
- 优先考虑关系安全,感官信息和文化响应的护理.
- 在心理健康护理中强调认识的谦卑和体验的领导力.
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