2015
DOI: 10.1111/bjc.12093
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‘Judging a book by its cover’: An experimental study of the negative impact of a diagnosis of borderline personality disorder on clinicians’ judgements of uncomplicated panic disorder

Abstract: Diagnostic labels can have an inappropriately negative effect on clinicians' judgements not only of treatment variables such as engagement and response but also risk issues and interpersonal effectiveness. Diagnostic labels can have a greater effect on clinicians' judgements than a behavioural description or clinical presentation. Clinicians should therefore be cautious both in the use of diagnostic labels to describe patients and ensure that these are still valid, and also be mindful of the influence that suc… Show more

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Cited by 25 publications
(26 citation statements)
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“…Traditionally, a BPD diagnostic label has corresponded to that of a “difficult patient” (Sulzer, 2015) to people that in the mental health system often has been referred to as “manipulative,” “unstable,” “disinhibited” or “hostile” (Kyratsous and Sanati, 2017), leading helping systems to risk denying people with BPD the invitation to a genuine community to a larger extent than those with other ways of suffering. An experimental study by Lam et al (2016) demonstrates the stigmatizing effect a BPD label can have on therapists’ assessment of uncomplicated panic disorder. Prior to watching a film of a woman describing her lived experiences of panic, the researchers randomly allocated therapists to one of three conditions.…”
Section: Discussionmentioning
confidence: 99%
“…Traditionally, a BPD diagnostic label has corresponded to that of a “difficult patient” (Sulzer, 2015) to people that in the mental health system often has been referred to as “manipulative,” “unstable,” “disinhibited” or “hostile” (Kyratsous and Sanati, 2017), leading helping systems to risk denying people with BPD the invitation to a genuine community to a larger extent than those with other ways of suffering. An experimental study by Lam et al (2016) demonstrates the stigmatizing effect a BPD label can have on therapists’ assessment of uncomplicated panic disorder. Prior to watching a film of a woman describing her lived experiences of panic, the researchers randomly allocated therapists to one of three conditions.…”
Section: Discussionmentioning
confidence: 99%
“…Finally, I address the lasting "elephant in the room" -the problem of labeling. [8] [28][29][30][31][32][33][34][35]. Numerous studies over time have shown with significant confidence that the effect of labeling behaviors traits and even disorders have more damaging and permanent psychological manifestations than advantages as most psychologists presume.…”
Section: Possibilities Of De-labelingmentioning
confidence: 99%
“…Dobransky , Lam et al . , Markham , Sulzer ) – tended to be resisted by patients. As found by Dobransky (), staff in the present study appeared to distinguish between those whose behaviour was attributed to illness (e.g.…”
Section: Negotiating Diagnosis and Diagnostic Upgrading/downgradingmentioning
confidence: 99%