奇怪的是边缘性人格障碍的诊断轨迹
Emma-Louise Seal1, Renata Kokanović1, Tamara Borovica1
1RMIT University, Melbourne, Australia.
Health (London, England : 1997)
|March 11, 2026
概括
由于有限的肯定护理和诊断标准导致非规范性身份的病理化,LGBTQIA+个人面临更高的边缘性人格障碍 (BPD) 诊断率. 医疗保健文化和从业者偏见有助于这些差异.
科学领域:
- 精神病学是一个精神病学.
- 诊断的社会学 诊断的社会学
- 酷儿理论 酷儿理论
背景情况:
- 对于LGBTQIA+个人来说,边界性人格障碍 (BPD) 的诊断率不成比例地高.
- 关于导致这些心理健康差异的因素的定性研究有限.
- 边界性人格障碍 (BPD) 是一个有争议的诊断,有着争论的历史.
研究的目的:
- 批判性地检查社会,文化,制度和诊断过程,塑造LGBTQIA+个体之间的BPD诊断差异.
- 质疑性别和性多样性如何与精神病学话语交叉,这些话语病态化了非规范性身份.
- 了解在心理健康系统中诊断出BPD的LGBTQIA+个体的经历.
主要方法:
- 定性研究采用对13名LGBTQIA+被诊断患有BPD的个人进行深入采访.
- 使用了诊断社会学和酷儿理论的框架.
- 分析的重点是了解诊断轨迹和医疗保健经验.
主要成果:
- 有限的理解和缺乏LGBTQIA+肯定护理导致了通过诊断镜头解释的痛苦.
- 障碍障碍障碍症的诊断标准可能会导致身份探索和自我表达的病态化,而这些自我表达与cis/heteronormative期望有所不同.
- 临床判断受到关于外表,性别表达,性欲和缺乏酷尔特异性培训的假设的影响.
结论:
- 每天的临床互动,诊断实践和医疗保健文化都导致LGBTQIA+人群中不成比例地使用BPD诊断.
- 迫切需要进一步的研究,加强从业人员的教育,以及资源充足的 LGBTQIA+ 认同的心理健康服务.
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