Is the Prejudice Towards People With Borderline Personality Disorder Model Reflective of Lived Experience?
Hannah Sheppard, Elizabeth Huxley, Boris Bizumic and 1 others
PMID 41995263WHAT IT FOUND
People with borderline personality disorder said prejudice most often felt like being blamed as manipulative or attention-seeking, especially from healthcare providers.
A four-factor prejudice model matched their experiences, though being blamed stood out.
Key findings
01The four prejudice factors generally reflected participants' experiences of both support and prejudice.
02Malevolence was the most common prejudice, and 12 of 13 participants linked it to healthcare providers.
03Prejudice reduced almost all participants' likelihood of seeking further support, and some said it affected care for other conditions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was small and recruited online, so it cannot show how common these experiences are. The sample was mostly women, Anglo/Caucasian/White, and included few men and non-binary people. Participants self-reported their diagnosis, and most had other conditions, so the findings may not apply to people without comorbidities or with different diagnostic certainty. Interviews lasted about 90 minutes, so a lifetime of experiences could not be fully covered. Participants saw questions before interviews, which may have made them think about the four factors early.
Declared interests
The authors declared no conflicts of interest. The work was funded by Mental Health Australia and the National Health and Medical Research Council (Grant 1173146).
The easy way to misread this
Do not read this as proof that the prejudice model or self-compassion training improves care. It is interviews with 13 people about their experiences, and no intervention was tested.