A phenomenological investigation of the inhibition of self-mutilatory behaviour in borderline personality disorder

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2014-05-19

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Levy, Janet Rochelle

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Abstract

The aim of this research was to describe the borderline individual’s lived experience of inhibiting self-mutilation and thus capacity for healthy functioning. A question which would elicit a description of the experience o f this phenomena was formulated. Three self-mutilators were interviewed and the two psychologically richest narratives were chosen for the research. Based on phenomenological methodology the two protocols were analysed in detail. From the results it becomes clear that borderline individuals are ambivalent when attempting to inhibit self-mutilation. Although they have a need to be self-sufficient and through a process of trial and error find the method of inhibiting that best suits them, it appears difficult for such individuals to trust that they have this ability and thr hnsr resources to find such a method. Borderline personality structure may be viewed along a continuum. The technique chosen by the individual is likely to fit with where they are developmental^ in relation to this continuum. Hence, while each individual may or may not make use of transitional objects within their techniques, they do have a need to draw on ‘soothers’. Although the ‘soothers’ may vary with regard to shape and form, they do appear to share similar qualities and to become imbued with like meanings by the individuals. The ‘soothers’ create a safe and holding space which is empathic, attuning, non-judgmental and non-directive in its interaction with the borderline individual. ‘Soothers’ need to allow the individual a sense of mastery and control over their otherwise chaotic environment. Repeated use of ‘soothers’ allows the borderline individual to begin drawing on good introjects as opposed to negative introjects which serves to increase confidence, sense o f self and the ability to trust in their own inner resources. This pin points an area of healthy functioning in the individual with borderline structure which until presently has been overlooked in the literature on the functioning of those with borderline structure

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