Guest, Kimberley;
(2021)
Addressing Misdiagnosis: Towards a Better Understanding of how to Clinically Differentiate Autism and Borderline Personality Disorder.
Doctoral thesis (D.Clin.Psy), UCL (University College London).
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Abstract
This thesis considers autism and the diagnostic entity of borderline personality disorder (BPD) together. Part one, a conceptual introduction, reviews the literature to discuss the ways in which autism and BPD are similar and the ways in which they are different. Shared traits, particularly regarding emotion regulation, mentalising, self-harm and suicide rates, and challenges in interpersonal relationships are highlighted. The lack of literature on how to differentiate the conditions is noted. To better understand how autism and BPD are conceptualised today, the origins and evolution of the two diagnoses are outlined and compared. The impact of receiving either an autism or BPD diagnosis is explored, including the way in which individuals are responded to by professionals in healthcare services. Part two, the empirical paper, aimed to establish expert consensus on how to differentiate autism and BPD. The three expert panels consisted of 18 experts by experience, 16 research and clinical experts in autism and 17 research and clinical experts in BPD. Responses from a questionnaire were used to develop statements regarding how to differentiate autism and BPD. Via a two-round Delphi study, expert consensus was reached on 22 statements which 80% or more of 51 panellists rated as extremely useful or useful. Part three, the critical appraisal, reflects on how the project was developed in the context of the scientist-practitioner model and on the complexities of using the term, “borderline personality disorder”. It also considers the challenges of using the Delphi method as well as the strengths and limitations of the empirical paper.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | D.Clin.Psy |
| Title: | Addressing Misdiagnosis: Towards a Better Understanding of how to Clinically Differentiate Autism and Borderline Personality Disorder |
| Event: | UCL |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2021. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10136269 |
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