BORDERLINE PERSONALITY DISORDER: DIALECTIC PHILOSOPHY AS A BASE FOR NURSE-PATIENT INTERACTION
Abstract
Borderline personality disorder was defined in the nineteenth century as the boundary between psychosis and neurosis. It has three major clinical components: a shaky sense of self, a high level of impulsivity and high affective instability.
Due in part to the lack of knowledge of the underlying dynamics, working with patients with BPD is often difficult for nursing staff.
The present study aims to propose guidelines that encourage interactive psychotherapy in the care of patients with this disorder.
To this objective we conducted a bibliographic search in Nursing and other health science databases (Cochrane, Tripdatabase, Medline, CINAHL and care), using Mesh descriptors: "Borderline personality disorder" AND "therapy" and “Borderline Personality" AND "nursing cares", indexed from 01/01/2000, finally selecting a total of 17 studies for their relevance and relationship to the subject under study.
Based on the results, we suggest the use of dialectical philosophy, the basis of dialectical-behavioral therapy developed by Marsha Linehan, a tool that will lead to a better nurse-patient relationship, greater adherence to treatment and greater efficiency in managing time and resources.
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