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British Journal of Medical Psychology 72, 429-445, 1999
A developmental and structural model of borderline personality disorder is described. Partial dissociation provoked by trauma and deprivation in childhood is seen to result in the persistence of separate self states. The characteristics of these and alternations between them are seen to account for the main features of the condition. The identification and characterization of states through clinical procedures and the use of the states grid are described and case illustrations are given. The states identified by the grid method in a series of 20 borderline patients are described and classified into six groups, named abuser rage, victim rage, passive victim, ideal, coping and zombie. The clinical value and nosological implications of the model and these findings are briefly discussed.
British Journal of Medical Psychology 72, 505-524, 1999
An in-depth qualitative interview study is reported, with respondents (N=52; all female) from the following urban-dwelling religious groups: white Christian, Pakistani Muslim, Indian Hindu, Orthodox Jewish and Afro-Caribbean Christian. Qualitative thematic analysis of openended interview responses revealed that the degree to which religious coping strategies were perceived to be effective in the face of depressive and schizophrenic symptoms, varied across the groups, with prayer being perceived as particularly effective among Afro-Caribbean Christian and Pakistani Muslim groups. Across all non-white groups, and also for the Jewish group, there was fear of being misunderstood by outgroup health professionals and, among Afro-Caribbean Christian and Pakistani Muslim participants, evidence of a co