EF_Sean:
Well, if people are telling you to critically review the literature, you might start by looking at where the literature contradicts itself. In other words, there must be some studies that indicate that some approaches to counseling psychology are better than others. However, they probably don't all agree on which approaches are best, or else everyone in the field would use the same approach. But, if the literature contains such disagreements, then you should be able to decide which side you are on, and explain your decision with reference to the strengths and weaknesses of the research you have read about. This is the best advice I can give you given the extremely general nature of your query. If you could post more information about your topic, that might be helpful.
Hi Sean
Thank you for your reply and asking for more information. I didn't know how much detail to provide. I didn't want to put anyone off by posting too long a post. I really appreciate your help.
My research question is: Can being a female victim of parental incest as a child lead to erroneously being diagnosed with BPD as an adult?
My hypotheses are:
Hypothesis 1: Having been a female victim of incest by a parent during childhood is significantly correlated to self-identified symptoms of BPD as an adult.
Hypothesis 2. The strength of the correlation proposed in hypothesis 1, reduces as a function of age.
The participants will be asked to spend 5 minutes writing about how their experience of incest by a parent effects them currently. They will then be requested to complete the Borderline Symptom Inventory (BSI) based on their current assessment of themselves. The participants will then be asked to spend 5 minutes writing about how their experience of incest by a parent effected them in their late teens to mid twenties. After completing this short writing they will be asked to complete the BSI again, this time retrospectively recording their perception of themselves during their late teens to mid twenties
So I'm attempting to demonstrate that females who were sexually abused by a parent as a child when self-assessing retrospectively will be more likely to meet the criteria for a diagnosis of BPD when compared with their current self-assessment on the BSI.
I appreciate that a longitudinal study would be much more rigorous, as would being assessed by a qualified psychologist versus self-assessment but this is outside the scope of what is possible in a minor thesis for my coursework/placement/minor thesis Masters. If you see other limitations or issues with my hypotheses or method I'd love to hear them.
In regards to the existing literature - There is a plethora of articles which question the validity of BPD as a PD. Following is a summary of the main points in the literature which I've identified to date which bring into question the diagnostic validity of BPD:
* There is a plethora of literature which looks at co-morbidity with an amazingly wide range of other psychological conditions (both Axis I and Axis II - depression, PTSD, OCD, eating disorders, substance abuse, and a range of PDs etc, etc).
* The literature refers to the level of variability in presentation of symptoms possible using the nine point diagnostic criteria of BPD given that only 5 of the 9 criteria are required to make a formal diagnosis of BPD - resulting in 258 different presentations.
* The literature indicates a shift away from the orginal belief that BPD is an intractable PD resistant to intervention towards evidence that BPD responds well to evidence based, BPD specific treatment (thus BPD does not meet the criteria of a PD).
* BPD improves with age regardless of intervention - indicating perhaps development of life skills/self-psychological skills (thus BPD does not meet the criteria of a PD).
* BPD is linked with abusive family of origin or a history of trauma (i.e. not personality - not static) and is related to affect and attachment dysfunction which can be improved with intervention.
* There are cultural and gender biases which lead to women being more likely to be given the diagnosis of BPD with the same presentation (i.e. from case notes only).
I can't wait to hear from you and from anyone else, however, as I'm Australian and it's now 11:22pm over here I'll be logging off and going to bed so please don't be offended if I don't respond.
Cheers!
Amanda
Amanda Dudley