An exploratory study of psychologists' perceptions of the phenomenon currently understood as 'borderline personality disorder'

Abstract

The phenomenon currently understood as 'borderline personality disorder' (BPD) has been complex and multifaceted since its inception. Previous studies have focused on the validity of The Diagnostic and Statistical Manual of Mental Disorders (DSM) conceptualisation of BPD, aetiologies of BPD, the psychologies of persons diagnosed with BPD, and the gendered nature of BPD. This study aimed to specifically explore South African practising psychologists' perceptions of BPD. Through thematic analysis from a constructivist, post-modern paradigm, this study aimed to explore the perceptions and experiences of practising psychologists on BPD, as well as the usefulness of the DSM in working with BPD in a non-western society such as South Africa (SA). The study sampled two Counselling and two Clinical psychologists practising in the South African context, with exposure to and experience in working with BPD. Collectively, results in this study identified psychologists' perceptions of shortcomings in the usefulness of the DSM's approach to categorising phenomena associated with BPD, and brought attention to a need for further research and attention into the role of psychologists' in the construction of BPD. This study seeks to represent psychologists' practical experiences and perceptions, in an attempt to add contextually relevant findings on the DSM's construction of BPD, and to contribute to challenging the stigma and misunderstanding associated with BPD. Specific practice implications and recommendations for future research are discussed within.