Personal Identity and Narrativity in Borderline Personality Disorder: A Phenomenological Reconfiguration.

IF 1.9 3区 医学 Q3 PSYCHIATRY Psychopathology Pub Date : 2023-01-01 DOI:10.1159/000526222
Cassandre Bois, István Fazakas, Juliette Salles, Tudi Gozé
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引用次数: 1

Abstract

Borderline personality disorder (BPD) is a complex condition marked by heterogeneity. People with BPD have a profusion of symptoms spread across various levels of lived experience, such as identity, affectivity, and interpersonal relationships. Researchers and clinicians have often resorted to the structuring concept of Self to organize the fragmentation of their experience at the identity level. Notably, using the concept of the narrative self, Fuchs proposed to interpret BPD as a fragmentation of narrative identity. This interpretation of BPD, widely shared, has been challenged by Gold and Kyratsous, who have proposed a complementary understanding of the self through the idea of agency, and to which Schmidt and Fuchs in turn have countered. This article proposes to contribute to this discussion from a phenomenological perspective. First, we will briefly review the discussions around narrative interpretation of BPD. From the problems left unresolved by the discussion, we will then justify the necessity to proceed with a stratification of the self from a phenomenology method. Third, from the thought of the Hungarian phenomenologist László Tengelyi, we will continue with an archaeology of the self, in three layers - self-institution, self-formation, and minimal self - integrating Schmidt and Fuchs' concepts of self, in addition to those of Gold and Kyratsous, but also, to a lesser extent, those of Dan Zahavi. Finally, we will proceed with a phenomenological reconfiguration of the experiences and manifestations associated with the identity axis of BPD.

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边缘型人格障碍中的个人同一性与叙事性:现象学重构。
边缘型人格障碍(BPD)是一种以异质性为特征的复杂疾病。BPD患者在生活经历的各个层面上都有大量的症状,比如身份、情感和人际关系。研究人员和临床医生经常求助于自我的结构化概念来组织他们在身份层面上的经验碎片。值得注意的是,Fuchs利用叙事自我的概念,提出将BPD解释为叙事身份的碎片化。这种被广泛接受的BPD解释受到了Gold和Kyratsous的挑战,他们通过代理的概念提出了对自我的补充理解,而Schmidt和Fuchs反过来反驳了这一观点。本文拟从现象学的角度对这一问题进行探讨。首先,我们将简要回顾有关BPD叙事解释的讨论。从讨论中未解决的问题出发,我们将证明从现象学方法对自我进行分层的必要性。第三,从匈牙利现象学家László Tengelyi的思想出发,我们将继续从三个层面——自我制度、自我形成和最小自我——对施密特和富克斯的自我概念进行考古,除了Gold和Kyratsous的自我概念之外,还在较小程度上整合了Dan Zahavi的自我概念。最后,我们将继续对与BPD的身份轴相关的经验和表现进行现象学重构。
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来源期刊
Psychopathology
Psychopathology 医学-精神病学
CiteScore
5.10
自引率
5.60%
发文量
54
审稿时长
>12 weeks
期刊介绍: ''Psychopathology'' is a record of research centered on findings, concepts, and diagnostic categories of phenomenological, experimental and clinical psychopathology. Studies published are designed to improve and deepen the knowledge and understanding of the pathogenesis and nature of psychopathological symptoms and psychological dysfunctions. Furthermore, the validity of concepts applied in the neurosciences of mental functions are evaluated in order to closely bring together the mind and the brain. Major topics of the journal are trajectories between biological processes and psychological dysfunction that can help us better understand a subject’s inner experiences and interpersonal behavior. Descriptive psychopathology, experimental psychopathology and neuropsychology, developmental psychopathology, transcultural psychiatry as well as philosophy-based phenomenology contribute to this field.
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