Abstract
There is a paucity of research literature regarding Indigenous people diagnosed with Borderline Personality Disorder (BPD). This review focuses on analyzing the contextual issues arising from such a diagnosis, particularly when applied to Indigenous Australians, and on the social and historical contexts which might facilitate a more accurate interpretation of the symptoms of BPD. The literature on historical and social contexts of Indigenous Australians was reviewed, with particular emphasis on alternative views of self and of collective trauma likely impacting upon the diagnoses. Table 1 compares the DSM-IV discussion of the nine symptoms with alternative contextual interpretations. This review serves as a starting point for finding more positive and effective ways of working with people who present with BPD symptoms, and providing more detailed and more culturally appropriate contexts in which to view individuals.
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Ainslie, R., & Brabeck, K. (2003). Race murder and community trauma: psychoanalysis and ethnography in exploring the impact of the killing of James Byrd in Jasper, Texas. Journal for the Psychoanalysis of Culture and Society, 8(1), 42–50.
Alarcon, R., & Foulks, E. (1995). Personality disorders and culture: contemporary clinical views (part b). Cultural Diversity and Mental Health, 1(2), 79–91.
American Psychiatric Association. (1994). The diagnostic and statistical manual of mental disorders (4th ed.). Washington: APA.
Atkinson, J. (2002). Trauma trails, recreating song lines: The trans-generational effects of trauma in Indigenous Australia. North Melbourne: Spinifex Press.
Atkinson, R. (2005). Denial and loss: the removal of Indigenous Australian children from their families and culture. QUT Law & Justice Journal, 5(1), 71–88.
Australian Bureau of Statistics. (2008). The health and welfare of Australia’s Aboriginal and Torres Strait Islander Peoples, 2008. Canberra: ABS.
Barrett, S. (2003). Culture and the diagnostic statistical manual: Fourth edition. Counterpoints, 3(1), 13–28.
Brown, R. (2001). Australian Indigenous mental health. Australian and New Zealand Journal of Mental Health Nursing, 10, 33–41.
Cawte, J. (1981). Aboriginal recovery from depression: eleven clinical types. The Aboriginal Health Worker, 5(3), 39–53.
Chanen, A., McCutcheon, L., Jovev, M., Jackson, H., & McGorry, P. (2007). Prevention and early intervention for Borderline Personality Disorder. The Medical Journal of Australia, 187(7), 18–21.
Clark, Y. (2000). The construction of Aboriginal identity in people separated from their families, community and culture: Pieces of a jigsaw. Australian Psychologist, 35(2), 150–157.
Deloria, V. (1999). Spirit & reason: The Vine Deloria reader. Golden: Fulcrum Publishing.
Dudgeon, P. (2000). Indigenous identity. In P. Dudgeon, D. Garvey, & H. Pickett (Eds.), Working with Indigenous Australians: A handbook for Psychologists (pp. 43–51). Perth: Gunada Press.
Epstein, M. (2008, 17–19th May). Let’s face it! She’s just too f****d”: The politics of borderline personality disorder. Paper presented at the Disability & Mental Illness are not Crimes Conference, Brisbane.
Erikson, K. (1976). Loss of communality at Buffalo Creek. American Journal of Psychiatry, 133(3), 302–305.
Feagin, J. R. (1991). The continuing significance of race: antiblack discrimination in public places. American Sociological Review, 56, 101–116.
Garvey, D. (2008). A review of the social and emotional wellbeing of Indigenous Australian peoples – considerations, challenges and opportunities. Retrieved 1 Dec 2008 from http://www.healthinfonet.ecu.edu.au/sewb_review
Gonzalez, H. (2000). The mirage of traditional cross-cultural psychology in Australia. In P. Dudgeon, D. Garvey, & H. Pickett (Eds.), Working with Indigenous Australians: A handbook for Psychologists (pp. 305–310). Perth: Gunada Press.
Gunderson, J. (2006). A BPD Brief: An introduction to Borderline Personality Disorder, retrieved July 10, 2008 from http://www.borderlinepersonalitydisorder.com/BPD-brief.shtml
Haswell-Elkins, M., Hunter, E., Wargent, R., Hall, B., O’Higgins, C., & West, R. (2009). Protocols for the delivery of social and emotional wellbeing and mental health services in Indigenous communities: Guidelines for health workers, clinicians, consumers and carers. First Edition. Australian Integrated Mental Health Initiative, Indigenous Stream in North Queensland for Northern Area Health Services, Queensland Health, Cairns.
Henderson, E., Kunitz, S. J., Gabriel, K., McCright, A., & Levy, J. E. (1998). Boarding and public schools: Navajo educational attainment, conduct disorder and alcohol dependency. American Indian and Alaska Native Mental Health research: The Journal of the National Centre American Indian and Alaska Native Programs, 8, 24–45.
Hoffman, P. (2007, Winter). Borderline Personality Disorder: A most misunderstood illness, retrieved July 9, 2008, from http://www.borderlinepersonalitydisorder.com/nami-article.shtml
Rights, H., & Commission, E. O. (1997). Bringing them home: Report of the national inquiry into the separation of Aboriginal and Torres Strait Islander children from their families. Sydney: Australasian Legal Information Institute.
Hunter, E., Reser, J., Baird, M., & Reser, P. (1999). An analysis of suicide in Indigenous communities of North Queensland: The historic, cultural and symbolic landscape. Canberra: Commonwealth Department of Health and Aged Care.
Kidd, M. (1998). Aboriginal mental health and economic rationalism: The great misunderstanding. Paper presented at the Social Justice, Social Judgement Conference.
Krieg, A. (2009). The experience of collective trauma in Australian Indigenous communities. Australasian Psychiatry, 17, 28–32.
Lette, H., Wright, M., & Collard, S. (2000). Aboriginal youth: Mental health. In P. Dudgeon, D. Garvey, & H. Pickett (Eds.), Working with Indigenous Australians: A Handbook for Psychologists (pp. 91–102). Perth: Gunada Press.
Lock, M. (2007). Aboriginal Holistic Health: A Critical Review. Cooperative Research Centre for Aboriginal Health, Discussion Paper Series: No. 2.
Moody, R. (1988). The indigenous voice: Visions and realities Vol. 1 & Vol. 2. London: Zed Books.
Nagel, T. (2005). Remote mental health: indigenous women of the top end. O&G, 7, 23–25.
Health, N., & Council, M. R. (2003). Values and ethics: Guidelines for ethical conduct in Aboriginal and Torres Strait Islander health research. Canberra: Commonwealth of Australia.
Nehls, N. (1999). Borderline personality disorder: the voice of patients. Research in Nursing and Health, 22(4), 285–293.
O’Brien, A. (2005). Factors shaping Indigenous mental health: an ethnographic account of growing up Koori from a Gubba perspective. The Australian Journal of Holistic Nursing, 12(1), 11–20.
Petchkovsky, L., San Roque, C., Jurra, R., & Butler, S. (2004). Indigenous maps of subjectivity and attacks on linking: Forced separation and its psychiatric sequelae in Australia’s Stolen Generation. Australian Journal for the Advancement of Mental Health, 3(3), Retrieved May 10 2008 from www.auseinet.com.journal/vol3iss3/petchkovsky.pdf
Sheldon, M. (2001). Psychiatric assessment in remote Aboriginal communities. Australian and New Zealand Journal of Psychiatry, 35, 435–442.
Toomey, T. (2007). Mental health and substance abuse: working with Aboriginal Communities for improved health in mid-western NSW. Aboriginal & Islander Health Worker Journal, 31(3), 13–18.
Updegraff, J., Silver, R., & Holman, A. (2008). Searching for and finding meaning in Collective Trauma: results from a national longitudinal study of the 9/11 terrorist attacks. Journal of Personality and Social Psychology, 95(3), 709–722.
Vicary, D. (2000). Contemporary psychology and Indigenous peoples. In P. Dudgeon, D. Garvey, & H. Pickett (Eds.), Working with Indigenous Australians: A handbook for Psychologists (pp. 287–292). Perth: Gunada Press.
Vicary, D., & Westerman, T. (2004). ‘That’s just the way he is’: Some implications of Aboriginal mental health beliefs. Australian e-Journal for the Advancement of Mental Health, 3(3), www.auseinet.com/journal/vol3iss3/vicarywesterman.pdf
Waldram, J. B. (2004). Revenge of the Windigo: The construction of the mind and mental health of North American Aboriginal peoples. Toronto: University of Toronto Press.
Warne, T., & McAndrew, S. (2007). Bordering on insanity: misnomer, reviewing the case of condemned women. Journal of Psychiatric and Mental Health Nursing, 14(2), 155–162.
Westerman, T. (2004). Engagement of Indigenous clients in mental health services: What role do cultural differences play? Australian e-Journal for the Advancement of Mental Health, 3(3), www.auseinet.com/journal/vol3iss3/westermaneditorial.pdf
Westerman, T., & Wettinger, M. (1997). Psychological assessment and intervention, Psychologically Speaking.
Wilkinson-Ryan, T., & Westen, D. (2000). Identity disturbance in borderline personality disorder: an empirical investigation. American Journal of Psychiatry, 157, 528–41.
Ypinazar, V., Margolis, S., Haswell-Elkins, M., & Tsey, K. (2007). Indigenous Australians’ understandings regarding mental health and disorders. Australian and New Zealand Journal of Psychiatry, 41(6), 467–487.
Zarowsky, C. (2000). Trauma stories: violence, emotion and politics in Somali Ethiopia. Transcultural Psychiatry, 37, 383–402.
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This research was partially supported by grants from the Australian Research Council (ARC DP0877901) and the Australian Institute of Aboriginal and Torres Strait Islander Studies (AIATSIS G07/7290).
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Fromene, R., Guerin, B. & Krieg, A. Australian Indigenous Clients with a Borderline Personality Disorder Diagnosis: A Contextual Review of the Literature. Psychol Rec 64, 559–567 (2014). https://doi.org/10.1007/s40732-014-0059-2
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DOI: https://doi.org/10.1007/s40732-014-0059-2