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Allt är så överdrivet hela tiden: Upplevelser av mentaliseringssvikt hos patienter med borderline personlighetsstörning
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
2014 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Mentaliseringssvikt är ett fenomen där tänkandet och kännandet kring sig själv och andra försämras drastiskt. De svårigheter som personer med borderline personlighetsstörning har kan förklaras som en konsekvens av mentaliseringssvikt. I denna studie genomfördes 11 intervjuer som analyserades med tematisk analys i syfte att undersöka hur patienter med borderline personlighetsstörning beskriver upplevelser av mentaliseringssvikt. Patienterna beskrev att mentaliseringssvikten uppkom i situationer då de kände sig lämnade, kränkta eller ensamma. Avskärmning, våld eller självskada karaktäriserade patienternas sätt att beskriva sina reaktioner. I efterhand förklarade patienterna att de svåra episoderna var orsakade av egenskaper hos dem själva eller av att andra gjort fel. Patienterna resonerade även kring hur andra människor räddat dem vid mentaliseringssvikt. Tre av huvudfynden går i linje med redan etablerade teorier om anknytning, objektrelationer och mentalisering. Studiens fjärde huvudfynd är patienternas beskrivningar av hur olika personer i deras omgivning hjälper dem att häva eller undvika mentaliseringssvikt. Studien diskuteras kunna bidra till en fortsatt utveckling av bemötandet av patienter med borderline personlighetsstörning i vård och omsorg.

Abstract [en]

Failure to mentalize is a phenomenon where thinking and feeling about oneself and others deteriorate drastically. The difficulties of borderline personality disorder have been explained as a consequence of mentalizing failure. In this study 11 interviews were conducted which were analyzed with thematic analysis in order to investigate how patients with borderline personality disorder describe experiences of mentalizing failure. Failure to mentalize was described by the patients to arise in situations where they felt left, offended or alone. The patients described reactions such as avoiding thoughts, feelings and other people, they also described violence and self- harm. The patients explained the reasons for the episodes by focusing on either dysfunction in them or in others. The patients also talked about how other people had helped them in the difficult episodes. Three of the main findings are in line with established theories of attachment, object relations and mentalization. The fourth main finding was descriptions of how other people in different relations to the patients helped them counter or avoid episodes of mentalizing failure. We discuss how this study can contribute to the devolopment of improved care for patients with borderline personality disorder.

Place, publisher, year, edition, pages
2014.
National Category
Social Sciences Psychology
Identifiers
URN: urn:nbn:se:umu:diva-99994OAI: oai:DiVA.org:umu-99994DiVA: diva2:789165
External cooperation
Psykiatrisk öppenvårdsmottagning
Subject / course
Examensarbete i psykologi
Educational program
Study Programme for University Diploma in Psychology
Available from: 2015-02-18 Created: 2015-02-18 Last updated: 2015-04-07Bibliographically approved

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Allt är så överdrivet hela tiden(566 kB)338 downloads
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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
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  • de-DE
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  • nn-NB
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  • Other locale
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Output format
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