Bakgrund: Inom psykiatrisk vård arbetar sjuksköterskor med att ge omvårdnad till patienter med psykiatriska tillstånd. Omvårdnaden innefattar att stödja patienter till självständighet, kontroll över sina liv och meningsfullhet. Borderline personlighetssyndrom (BPD) är en psykiatrisk diagnos som karakteriseras av instabilitet i mellanmänskliga relationer, självbild och känsloläge. Patienter med BPD upplever en stigmatisering samt ett kort, hårt och fördomsfullt bemötande i kontakt med sjukvårdspersonal. Syfte: Syftet var att beskriva sjuksköterskors upplevelser av att vårda patienter med Borderline personlighetssyndrom inom psykiatrisk vård. Metod: Litteraturöversikt utifrån tio vetenskapliga artiklar hämtade från databaserna CINAHL Complete och PsychINFO. Resultat: Resultatet presenteras under två huvudteman: Attityder till patienter med BPD och Upplevda förutsättningar och hinder för adekvat vård. Sammanfattning: Sjuksköterskorna påvisade mer negativa attityder och mindre empati gentemot patienter med BPD än andra professioner inom psykiatrisk vård. Dock förmedlade sjuksköterskorna både positiva och negativa upplevelser av att vårda patientgruppen. En fungerande vårdrelation ansågs bidra till en positiv upplevelse och ansågs avgörande för framgångsrik vård. Patienter med BPD upplevdes kunna ha problematiska beteenden så som manipulation, uppmärksamhetssökande och splittring av personalgrupper. Sjuksköterskorna uttryckte en förståelse för att dessa beteenden ej är självvalda. / Background: Within psychiatric care, nurses hold responsibility for providing nursing care to patients with psychiatric conditions. Nursing care involves supporting patients to independence, life control and sense of meaning. Borderline personality disorder (BPD) is a psychiatric condition characterized by instability in interpersonal relationships, self-image and mood. Patients with BPD experience stigmatization and a short, harsh and prejudiced approach in contact with healthcare staff. Aim: The aim was to describe nurses' experiences of caring for patients with Borderline personality disorder within psychiatric care. Method: Literature review based on ten scientific articles collected from the two databases CINAHL Complete and PsychINFO. Results: The result is presented under two main themes: Attitudes towards patients with BPD and Perceived prerequisites and obstacles for adequate care. Summary: The nurses reported more negative attitudes and less empathy towards patients with BPD than other professions in psychiatric care. However, the nurses reported both positive and negative experiences of caring for the patient group. A functional nurse-patient relationship was considered to contribute a positive experience and was considered crucial for successful care outcomes. Patients with BPD were perceived to have problematic behaviors such as manipulation, attention-seeking and splitting of staff groups. The nurses expressed comprehension to these behaviors and that they are not self-elected.

Alcohol intoxication has been associated with deliberate self-harm (DSH). However, the mechanisms underlying this relationship are poorly understood. The primary purpose of this study was to examine pain tolerance (PT) as a potential mechanism underlying the relationship between alcohol intoxication and DSH. The secondary aim was to determine if borderline personality (BPD) features moderate the mediational model. This model was tested using secondary data of 210 non-alcohol dependent men and women (Mage = 26; SD = 6.97) who consumed a drink containing sufficient alcohol to produce average blood alcohol concentration (BAC) ranging from .000 through .100. Participants then engaged in a validated laboratory self-harm task (The Self-Aggression Paradigm). Results supported the notion that PT mediates the relationship between BAC and DSH. BPD moderated the indirect path between PT and DSH but not BAC and PT. This effect was prominent for men versus women. Clinical implications and future directions are discussed.

This study investigated whether a defendant?s history of childhood sexual abuse (CSA) and/or personality disorder (PD) diagnosis affected juror decision-making in a child sexual abuse trial. The personality disorders in the study were borderline personality disorder (BPD) and antisocial personality disorder (APD). Participants were 186 college students who read a summary of the trial and then made various juror decisions. The defendant?s CSA history, alone or combined with PD diagnosis, did not affect guilt ratings or sentence recommendations, indicating that jurors did not automatically assume that a defendant who had been abused as a child was guilty (as an adult) of being an abuser. However, when the defendant had a PD diagnosis, there were higher guilt ratings than when there was no PD diagnosis. PD diagnosis was the best predictor of guilt ratings, suggesting that jurors perceive defendants more negatively if they have borderline or antisocial personality disorder.

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