{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:57:38Z","timestamp":1791266258000,"version":"4.1.0"},"reference-count":64,"publisher":"Informa UK Limited","issue":"12","license":[{"start":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T00:00:00Z","timestamp":1759708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.tandfonline.com"],"crossmark-restriction":true},"short-container-title":["Issues in Mental Health Nursing"],"published-print":{"date-parts":[[2025,12,2]]},"DOI":"10.1080\/01612840.2025.2558056","type":"journal-article","created":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T17:04:49Z","timestamp":1759770289000},"page":"1214-1226","update-policy":"https:\/\/doi.org\/10.1080\/tandf_crossmark_01","source":"Crossref","is-referenced-by-count":4,"title":["Spaghettification and the Conceptual Black Hole of Borderline Personality Disorder: A Qualitative Discussion Around Competing Meanings Given to the Diagnosis and Their Potential Consequences"],"prefix":"10.1080","volume":"46","author":[{"given":"Dan","family":"Warrender","sequence":"first","affiliation":[{"name":"Department of Health, Sport and Wellbeing, Faculty of Social and Applied Sciences, Abertay University","place":["Dundee, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"301","published-online":{"date-parts":[[2025,10,6]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43545-022-00389-6"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203841112"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780199644209.001.0001"},{"key":"e_1_3_3_5_1","first-page":"35","volume-title":"Working effectively with personality disorder: Contemporary and critical approaches to clinical and organisational practice","author":"Benefield N.","year":"2020","unstructured":"Benefield, N., & Haigh, R. (2020). Personality disorder: Breakdown in the relational field. In: J. Ramsden, S. Prince & J. Blazdell (Eds.), Working effectively with personality disorder: Contemporary and critical approaches to clinical and organisational practice (pp. 35\u201352). Pavillion Publishing and Media Ltd."},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1160691"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.7748\/mhp.24.4.8.s3"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.090618"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13413"},{"key":"e_1_3_3_11_1","volume-title":"A straight talking introduction to the power threat meaning framework: An alternative to psychiatric diagnosis","author":"Boyle M.","year":"2020","unstructured":"Boyle, M., & Johnstone, L. (2020). A straight talking introduction to the power threat meaning framework: An alternative to psychiatric diagnosis. PCCS Books."},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.ep11339939"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1188\/14.ONF.545-547"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.747"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.113.133090"},{"issue":"7","key":"e_1_3_3_16_1","first-page":"25","article-title":"On the reality of Borderline Personality Disorder","volume":"42","author":"D\u2019Agostino A.","year":"2025","unstructured":"D\u2019Agostino, A., & Ruffalo, M. (2025). On the reality of Borderline Personality Disorder. Psychiatric Times, 42(7), 25\u201327. https:\/\/www.psychiatrictimes.com\/view\/on-the-reality-of-borderline-personality-disorder","journal-title":"Psychiatric Times,"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.3138\/ijfab-2023-0008"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40732-014-0058-3"},{"key":"e_1_3_3_19_1","volume-title":"The politics of reality: Essays in feminist theory","author":"Frye M.","year":"1983","unstructured":"Frye, M. (1983). The politics of reality: Essays in feminist theory. Crossing Press."},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30126-7"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1063\/1.2811637"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12439"},{"key":"e_1_3_3_23_1","volume-title":"The Power Threat Meaning Framework: Towards the identification of patterns in emotional distress, unusual experiences and troubled or troubling behaviour, as an alternative to functional psychiatric diagnosis","author":"Johnstone L.","year":"2018","unstructured":"Johnstone, L., & Boyle, M. (2018). The Power Threat Meaning Framework: Towards the identification of patterns in emotional distress, unusual experiences and troubled or troubling behaviour, as an alternative to functional psychiatric diagnosis. British Psychological Society."},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.180.2.110"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1088\/1361-6552\/aa8d22"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-05-2020-0035"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.1478"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.31219\/osf.io\/svz3w"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjpo.bp.115.000117"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/601918"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000604"},{"key":"e_1_3_3_33_1","unstructured":"Merriam-Webster. (2025). Borderline. https:\/\/www.merriam-webster.com\/dictionary\/borderline"},{"key":"e_1_3_3_34_1","unstructured":"Mind et\u00a0al. (2018). \u201cShining lights in dark corners of people\u2019s lives\u201d: The consensus statement for people with complex mental health difficulties who are diagnosed with a personality disorder. https:\/\/www.mind.org.uk\/media-a\/4408\/consensus-statement-final.pdf"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2022.2118685"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867420951608"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0141076823116478"},{"key":"e_1_3_3_38_1","unstructured":"National Institute for Health and Care Excellence (NICE). (2009). GC78: Borderline Personality Disorder \u2013 Recognition and management. https:\/\/www.nice.org.uk\/guidance\/CG78"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_3_3_40_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20232"},{"key":"e_1_3_3_41_1","doi-asserted-by":"publisher","DOI":"10.1332\/147867323X168638913046592"},{"key":"e_1_3_3_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13118"},{"key":"e_1_3_3_43_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2024.291"},{"key":"e_1_3_3_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000384"},{"key":"e_1_3_3_45_1","unstructured":"Recovery in the Bin. (2024 January 24).). UPDATE: RITB Position Statement on Personality Disorders (or Their Euphemisms Including Complex Emotional Needs). https:\/\/recoveryinthebin.org\/2019\/04\/03\/ritb-position-statement-on-personality-disorder\/"},{"key":"e_1_3_3_46_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.113.046284"},{"key":"e_1_3_3_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638237.2019.1581337"},{"key":"e_1_3_3_48_1","unstructured":"Ruffalo M. Paris J. (2024 September 19). Borderline personality disorder and complex posttraumatic stress disorder: Myths in diagnosis. Psychiatric Times. https:\/\/www.psychiatrictimes.com\/view\/borderline-personality-disorder-and-complex-posttraumatic-stress-disorder-myths-in-diagnosis"},{"key":"e_1_3_3_49_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2021-107216"},{"key":"e_1_3_3_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psc.2018.02.001"},{"key":"e_1_3_3_51_1","volume-title":"Interpreting qualitative data","author":"Silverman D.","year":"2020","unstructured":"Silverman, D. (2020). Interpreting qualitative data., 6th edition. Sage.","edition":"6"},{"key":"e_1_3_3_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11097-020-09712-z"},{"issue":"3","key":"e_1_3_3_53_1","first-page":"8","article-title":"Women at the margins: A feminist critique of borderline personality disorder","volume":"14","author":"Shaw C.","year":"2004","unstructured":"Shaw, C., & Proctor, G. (2004). Women at the margins: A feminist critique of borderline personality disorder. Asylum, 14(3), 8\u201310. https:\/\/asylummagazine.org\/2004\/09\/asylum-14-3-autumn-2005\/","journal-title":"Asylum,"},{"key":"e_1_3_3_54_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.08.008"},{"key":"e_1_3_3_55_1","volume-title":"Introduction to qualitative research methods: The search for meanings","author":"Taylor S. J.","year":"1984","unstructured":"Taylor, S. J., & Bogdan, R. (1984). Introduction to qualitative research methods: The search for meanings. Wiley."},{"key":"e_1_3_3_56_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781036232238"},{"key":"e_1_3_3_57_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-010-0170-2"},{"key":"e_1_3_3_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmh.78"},{"key":"e_1_3_3_59_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-050718-095736"},{"key":"e_1_3_3_60_1","doi-asserted-by":"publisher","DOI":"10.1192\/bji.2024.16"},{"key":"e_1_3_3_61_1","doi-asserted-by":"publisher","DOI":"10.48526\/rgu-wt-2795393"},{"key":"e_1_3_3_62_1","volume-title":"The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines","author":"World Health Organisation","year":"1992","unstructured":"World Health Organisation. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. World Health Organization."},{"key":"e_1_3_3_63_1","unstructured":"World Health Organisation. (2025). International Classification of Diseases. 11th Revision (ICD-11). World Health Organisation. https:\/\/icd.who.int\/en"},{"key":"e_1_3_3_64_1","volume-title":"Case study research: Design and methods","author":"Yin R. K.","year":"2018","unstructured":"Yin, R. K. (2018). Case study research: Design and methods. 6th edition Sage.","edition":"6"},{"key":"e_1_3_3_65_1","doi-asserted-by":"publisher","DOI":"10.31234\/osf.io\/b4d6v"}],"container-title":["Issues in Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.tandfonline.com\/doi\/pdf\/10.1080\/01612840.2025.2558056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T15:36:18Z","timestamp":1769528178000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/01612840.2025.2558056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,6]]},"references-count":64,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12,2]]}},"alternative-id":["10.1080\/01612840.2025.2558056"],"URL":"https:\/\/doi.org\/10.1080\/01612840.2025.2558056","relation":{},"ISSN":["0161-2840","1096-4673"],"issn-type":[{"value":"0161-2840","type":"print"},{"value":"1096-4673","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,6]]},"assertion":[{"value":"The publishing and review policy for this title is described in its Aims & Scope.","order":1,"name":"peerreview_statement","label":"Peer Review Statement"},{"value":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=imhn20","URL":"http:\/\/www.tandfonline.com\/action\/journalInformation?show=aimsScope&journalCode=imhn20","order":2,"name":"aims_and_scope_url","label":"Aim & Scope"},{"value":"2025-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}