regarding borderline patients

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    i read on the forums nurses resentments toward "borderline" patients. look at it like this. our country enables "borderline" behavior. if you scream suicide or self harm yourself we have built hospitals and paid health care prof to take care of them. we also have laws that say if you cry suicide or self harm we can "lock" you up. we also have laws if you cry suicide or self harm and a health prof doesn't "take care" of you you can sue them. i know many people from africa. they don't have "borderline personalty" disorders there. so next time you get "resentfull" of a "borderline" patient remember if we didn't live in a country that makes laws saying you have to "take care" of these people, or build hosp to house them, or pay health prof to take care of them, then we would not have this prob. so it's not the patient to blame but the "system". basically our "system" has invented "borderline" patients.
    Last edit by hsieh on Jun 15, '06
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  5. 0
    So if we took borderline personality disorder out of the DSM, then these patients' families would stop calling 911, bringing them to the ER, or showing up in psychiatric offices?
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    if you put a "borderline" on an airplane and dropped them in say - sudan - where there are no psychiatrists, no mental hospitals, no psych meds, and no laws stating that if you kill or harmself you can be "locked up", and there's no 911 to call - how are you going to be "borderline"? i might add - psychiatrists make a lot of money off "borderline". 'borderline" is like a business we have created. in fact i have a friend from malawi (can't spell) who worked at the psych hosp with me and said in her country if you say you want to kill yourself they give you a rope and say do it. the african employees at the psych hosp do not understand why our country has these "borderline". i might add when dealing with patients you need to take responsibility for they way you feel. if you are frustrated with a "borderline" that is your choice to feel that way.
    Last edit by hsieh on Jun 16, '06
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    Just wondering if you've ever met somebody with Borderline personality disorder. Or, better yet, had someone who is Borderline in your life, as a friend or family member? It's not a made-up thing. These people are very disturbed. They are still Borderline, whether they're in the USA or alone on a desert island somewhere.
  8. 0
    I guess I would question why I was working in psych if I didn't believe in the diagnoses. It would be like me working in the ER and not believing that drunks need medical care.
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    yes i have taken care of many "borderline" patients. here's my point. you can't be alcoholic if there's no alcohol. you can't be addicted to nicotine if there's no cigarettes around, you can't get skin caner if you spend you life living in the arctic. you can't be in a plane crash if you don't fly on planes. you can't be "borderline" if there are no psychiatrists, no psych hosp, no laws making it illeagal to kill or harm yourself. when i look at a "borderline" i think i'm sorry you were born into an enviroment that enables your behavior which causes you so much pain. and i'm nice to all my patients. i have seen psych nurses treat "borderline" patients badley. and they get away with it because we live in a system which has no respect for "borerline". they are dismissed as "drama queens/kings" by many psych staff. my whole point of this discussion was don't blame the "borderline" blame the system that invents and enables it.
    Last edit by hsieh on Jun 16, '06
  10. 0
    Your logic is slighty skewered there.

    If you do not awknowledge the dz, then it doesn't exist?
  11. 0
    I get it, but I think the patients would still be borderline, they just wouldn't be a pain in my butt.

    If someone says "I'm going to cut myself" and I tell them that's their choice, and have no liability or guilt afterwards when they do it...well that works for me for obvious reasons, and doesn't give them a return on the cutting that they are used to. If someone threatens suicide, but they know that if they do it no one will come running to their rescue, it would change the way and the number of attempts.

    I think that if there was less rescuing there would be more injury and death (which makes it unethical to change the curent system) but it would certainly separate the wheat from the chaff as to who seriously wanted to die, and who had an actual compulsion to cut, as opposed to the attention seekers.
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    I guess if we carry this logic further than if we completely do away with any and all psych care and meds, the survival of the fittest would prevail. Perhaps thats what the nurse in Malawi was saying. In a third world country, the scant medical dollar goes for treating the most basic of needs - food and water. So...of course their approach to inpatient psych care is going to be completely different from ours in the US.
  13. 0
    The way I look at it - Maslow's hierarchy at work in those countries. Most people in impoverished countries are just trying to survive from day to day and psychological issues are relegated to the back burner - often not considered nor addressed.



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