The perceptions that patients diagnosed with borderline personality disorder have of their families

Abstract

The aim of this study was to determine how BPD patients (patients diagnosed with Borderline Personality Disorder) perceive their families. Qualitative research in the form of a multiple case study design and an availability sample, consisting of 3 White BPD patients, were used. The patients' (2 males and 1 female) ages ranged between 18 and 30 years. Data was obtained via semi-structured interviews and the Graphic Family Sculpting technique. Open, axial and selective coding were used to analyse the data. The results of the data analysis (5 main categories and 8 sub-categories) are discussed in the format of an adapted version of the McMaster model of family functioning emerged. The results of the study revealed a prevalence of unstable and emotionally intense family relationships, marked by ambivalence towards one another, intimacy dysfunctions, dysfunctional boundaries, as well as abusive interactions. Role deficiencies were identified, characterised by deficient nurturance and support, which became apparent in the rigid and reversed roles of family members. The BPD patients perceived the nature of communication within their families as ineffective. The modelling of Ineffective coping styles in turn seemed to enhance ineffective coping styles within

patients. It appeared as if paradoxical behaviour control styles could have lead to difficulties in forming healthy personal boundaries. Further research involving larger patient samples will assist in generalising these findings to therapeutic practice.