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Look at the human being in front of you who's hurting : clients with a borderline personality disorder diagnosis describe their experiences of discriminatory and helpful behaviour from health professionals. A thesis submitted in partial fulfilment of the requirements for the degree of Masters of Social Practice, Unitec, New Zealand [i.e. Unitec Institute of Technology] Preview this item
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Look at the human being in front of you who's hurting : clients with a borderline personality disorder diagnosis describe their experiences of discriminatory and helpful behaviour from health professionals. A thesis submitted in partial fulfilment of the requirements for the degree of Masters of Social Practice, Unitec, New Zealand [i.e. Unitec Institute of Technology]

Author: Sheree A Veysey; Unitec Insitute of Technology.
Publisher: 2011.
Dissertation: M. SocP Unitec Institute of Technology 2011
Edition/Format:   Thesis/dissertation : Thesis/dissertation : Manuscript   Archival Material : EnglishView all editions and formats
Summary:
Semi-structured interviews were conducted with eight individuals who self-identified as having a diagnosis of BPD and having experienced discriminatory behaviour ; these interviews were analysed using an interpretive phenomenological analysis framework. Experiences discussed were grouped into three thematic areas: 1. Discriminatory behaviour from health professionals; 2. Helpful behaviour from health professionals  Read more...
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Details

Genre/Form: Dissertations, Academic
Academic theses
Material Type: Thesis/dissertation, Manuscript, Internet resource
Document Type: Book, Archival Material, Internet Resource
All Authors / Contributors: Sheree A Veysey; Unitec Insitute of Technology.
OCLC Number: 806980226
Description: x, 140 leaves ; 30 cm
Responsibility: Sheree A. Veysey.

Abstract:

Semi-structured interviews were conducted with eight individuals who self-identified as having a diagnosis of BPD and having experienced discriminatory behaviour ; these interviews were analysed using an interpretive phenomenological analysis framework. Experiences discussed were grouped into three thematic areas: 1. Discriminatory behaviour from health professionals; 2. Helpful behaviour from health professionals and 3. The role of the individual. This third grouping acknowledges the active role of the client in their journey and also the potential of individual practitioners to make a noted difference, positively and negatively, in clients' lives; the positive impact of professionals is an encouraging finding. Discriminatory incidents all included the element of perceived lack of compassion and/or respect but also included elements of diagnostic stigma, judgement/misunderstanding, lack of enquiry and lack of transparency in health care decisions. Incidents took place in a wide range of health-care situations, although particularly in relation to self-harming behaviour. The discriminatory and unhelpful behaviours frequently increased participants' negative ideas about themselves. Complaints from service-users did not appear to be handled well ; complaints by people with this diagnosis may be seen as indicative of pathology, and therefore not taken seriously. This situation may inhibit clients with this diagnosis from complaining about inappropriate practice. Helpful experiences that participants shared were linked by themes of "connecting" (through caring and through building a relationship with the individual) and "seeing more" (beyond the diagnosis and negative behaviours, and seeing the context of an individual's history and current situation). Although an exploratory study, the results suggest that both iatrogenic and excellent practice is happening with this client group. The study findings suggest areas where health professionals may wish to examine their practice with clients who have been given this diagnosis.

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