Experiences of stigma and discrimination in borderline personality disorder: a systematic review and qualitative meta-synthesis

Stiles, C., Batchelor, R., Gumley, A. and Gajwani, R. (2023) Experiences of stigma and discrimination in borderline personality disorder: a systematic review and qualitative meta-synthesis. Journal of Personality Disorders, 37(2), pp. 177-194. (doi: 10.1521/pedi.2023.37.2.177) (PMID:37002935)

Abstract

Individuals with a diagnosis of borderline personality disorder (BPD) typically experience discrimination and stigma, resulting in poor identification and delayed care. We conducted a review to examine and synthesize qualitative studies exploring experiences of stigma and discrimination among individuals with BPD. In August 2021, we systematically searched the following databases: Embase, Medline, Cochrane Library, PsycINFO, and Cinhal. We also hand searched reference lists and Google Scholar. We then synthesized studies using meta-ethnography. We included seven articles in the study, all of high or moderate quality. Five themes were identified: (1) resistance from clinicians (withholding information), (2) othering, (3) negative impact on self-image/esteem, (4) hopelessness surrounding the perceived permanency of BPD, and (5) feeling like a burden. This review highlights the need for improved understanding of BPD across health care services. We also discussed the need to introduce a standardized pathway of care across health services following a BPD diagnosis.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Gumley, Professor Andrew and Stiles, Ms Ciara and Gajwani, Dr Ruchika
• Authors: Stiles, C., Batchelor, R., Gumley, A., and Gajwani, R.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
• Journal Name: Journal of Personality Disorders
• Publisher: Guilford Press
• ISSN: 0885-579X
• Copyright Holders: Copyright © 2023 The Guilford Press
• First Published: First published in Journal of Personality Disorders 37(2): 177-194
• Publisher Policy: Reproduced with the permission of the Publisher