Exploring Registered Psychiatric Nurses' Responses towards Service Users with a Diagnosis of Borderline Personality Disorder

Box 2

SPIRS scenario (multiple psychiatric admissions) [27].

Interviewer reads the scenario and asks the questions below of each participant.

“H” is a patient in his mid-twenties.

He has a history of MULTIPLE psychiatric admissions.

He was admitted to hospital 8 days ago.

He has a diagnosis of BORDERLINE PERSONALITY DISORDER.

During the next week, while under your care, this patient says:

“Why should I get dressed—there is no place to go”

You answer:

“You’re the only one who treats me like a real person, not a job.”

You answer:

“Stop bugging me. Why do you keep trying to talk to me anyway”.

You answer:

“Why do I have to go to group again—the whole thing is useless”.

You answer:

“You have no idea how I feel. I wish I were dead and what can you do anyway”.

You answer:

Why would you respond to the client that way?

What experiences influence your response?

Are there any other comments you would like to make about this subject?