The presented work describes the borderline syndrome, the diagnostic symptoms as well as nursing measures and goals, and explains them in more detail. Drug and psychological therapies were left out on purpose, because they are not directly connected with the tasks of the psychiatric nursing staff. To the lay person, the
interplay between the symptoms and diagnostics of BPS and the steps relevant for care shall get conveyed in an transparent fashion, so that the “border land” does not get lost.
Table of Contents
1 Introduction
2 The borderline personality disorder
2.1 Definition
2.2 Causes and clinical course
2.3 Symptoms, care diagnoses, measures and goals
3 Principles of treatment
4 Case study
5 Summary
6 References
Objectives and Topics
The primary objective of this thesis is to provide comprehensive, practice-oriented insights into the clinical picture of Borderline Personality Disorder (BPS) specifically for the nursing staff. The work aims to bridge the gap between medical diagnostics and practical daily nursing care, thereby reducing prejudices and improving the quality of support for both affected individuals and their relatives.
- Clinical manifestation and symptomatic analysis of BPS
- Developmental causes and psychological background of the disorder
- Practical nursing strategies, interventions, and defined care goals
- Case-based application of nursing procedures in acute ward settings
- Methods for patient stabilization and crisis management
Excerpt from the Book
Black-and-white thinking
A typical borderline trait is the difficulty to come to terms with positive and negative perceptions of oneself and of other people as well. It is very hard for a borderline patient to be angry at a beloved person while not losing the positive attitude towards this person. There are, to say, only either-or attitudes. Emotions, but also opinions get polarized in a striking way, following a pattern that a borderline patient either likes or cannot stand a person. There is nothing in between: friend or foe, good or evil – the world is always perceived in black and white only (Möhlenkamp 2006: 59). The knowledge that someone can have good but also bad parts and still can be perceived as a complete person is not at the disposal of a borderline patient. Based on this fact – not to know a person can have different shades of colour – devastating relationship problems then originate. These people lack the ability to put themselves into the situation of someone else, and to realistically assess other people. In addition, they lack the possibility to develop real empathy and also feelings of guilt. This circumstance leads then to a situation where relationships are one-sidedly focused on the needs of the borderline patient. Other people, to say, get exploited and manipulated for the satisfaction of the one needs (Röhr 2006: 148 ff.).
Summary of Chapters
1 Introduction: This chapter introduces the focus on nursing care for BPS patients, aiming to provide practical support and understanding for both staff and those affected, while explicitly excluding medical drug therapy focus.
2 The borderline personality disorder: This core chapter defines BPS, explores developmental origins such as childhood trauma, and provides a detailed breakdown of symptoms along with corresponding nursing diagnoses and strategic measures.
3 Principles of treatment: This section outlines fundamental therapeutic guidelines, emphasizing the need for clear structures, boundary setting, and the promotion of realistic patient perceptions.
4 Case study: A practical illustration based on the experience of an acute ward, demonstrating how specific nursing interventions are applied to stabilize a patient dealing with self-harm and dependency.
5 Summary: This concluding section reflects on the insights gained, underscoring the importance of empathy and the necessity of specialized knowledge to break the cycle of ignorance and misunderstanding surrounding BPS.
6 References: Provides the bibliographic foundation for the thesis, citing key works in psychiatric literature used to inform the nursing perspectives presented.
Keywords
Borderline Personality Disorder, BPS, Psychiatric Nursing, Nursing Diagnosis, Self-Harm, Identity Diffusion, Emotional Instability, Case Study, Crisis Intervention, Therapeutic Structure, Mental Health, Patient Care, Nursing Strategies, Psychological Trauma, Clinical Psychiatry
Frequently Asked Questions
What is the core focus of this thesis?
The thesis focuses on the clinical picture of Borderline Personality Disorder (BPS) with a specialized orientation towards daily psychiatric nursing care and support.
What are the primary thematic fields covered?
The work covers the definition and causes of BPS, specific symptom management, nursing diagnoses, crisis intervention, and principles of therapeutic ward structures.
What is the ultimate goal of this research?
The goal is to provide nursing staff and relatives with practical, transparent guidance to better understand and support BPS patients, effectively reducing information shortages.
Which scientific or practical methods are employed?
The study utilizes a combination of theoretical literature analysis and a practical case study from an acute hospital ward to demonstrate nursing intervention procedures.
What is covered in the main body of the work?
The main body details the clinical symptoms of BPS, maps them to concrete nursing diagnoses, and offers "custom-tailored" nursing strategies and goals for each symptom.
How can one describe this work using keywords?
Key terms include Borderline Personality Disorder, Psychiatric Nursing, self-harm prevention, therapeutic boundaries, emotional instability, and patient stabilization.
How does the author deal with the concept of "black-and-white thinking" in patients?
The author identifies it as a core trait leading to polarized perceptions and suggests that nursing care must help patients understand that individuals possess both good and bad qualities simultaneously.
What role does the case study of "Mrs. Justine" play?
The case study serves as a practical application of the theoretical nursing strategies, showing how a structured, patient-centered approach can lead to stabilization in an acute ward setting.
- Quote paper
- BScN Dietmar Schmidt (Author), 2007, Borderline personality disorder, Munich, GRIN Verlag, https://www.grin.com/document/170901
