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This is undertaken by providing an overview of pertinent literature, an examination of the diagnostic criteria, a discussion of the development of the shame affect, a discussion of women's narratives and a reinterpretation of the symptoms of BPD as an overwhelming shame response. An argument is developed that shame is an integral but neglected feature in the experiences of mental distress that are characteristic of BPD. This discussion is supported with evidence of shame in narrative quotes from women with a diagnosis of BPD. There are striking similarities between what is currently pathologized as BPD and an overwhelming shame response. Recognizing the influence of shame may assist mental health nurses to provide mental health nursing care that best meets the needs of women experiencing these symptoms.<\/jats:p>","DOI":"10.1111\/j.1365-2850.2004.00732.x","type":"journal-article","created":{"date-parts":[[2004,5,13]],"date-time":"2004-05-13T13:46:12Z","timestamp":1084455972000},"page":"327-334","source":"Crossref","is-referenced-by-count":70,"title":["Never good enough \u2013 part 1: shame or borderline personality disorder?"],"prefix":"10.1111","volume":"11","author":[{"given":"M.","family":"CROWE","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,5,13]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Diagnostic and Statistical Manual IV\u2010TR.","author":"American Psychiatric Association","year":"2000"},{"key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1080\/026999397379845","article-title":"Shame, early abuse and course of depression in a clinical sample","volume":"11","author":"Andrews B.","year":"1997","journal-title":"Cognition and Emotion"},{"key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"28","DOI":"10.3928\/0279-3695-20020101-10","article-title":"Survivors of suicide: emerging counseling strategies","volume":"40","author":"Barlow C.A.","year":"2002","journal-title":"Journal of Psychosocial Nursing and Mental Health Services"},{"key":"e_1_2_10_5_1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.3928\/0279-3695-19950201-05","article-title":"Self\u2010injury and self\u2010mutilation: nursing approaches","volume":"33","author":"Barstow D.G.","year":"1995","journal-title":"Journal of Psychosocial Nursing and Mental Health Services"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/2940760"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370104600909"},{"key":"e_1_2_10_8_1","first-page":"103","article-title":"Cutting up: signifying the unspeakable","volume":"5","author":"Crowe M.","year":"1996","journal-title":"Australian and New Zealand Journal of Mental Health Nursing"},{"key":"e_1_2_10_9_1","unstructured":"CroweM.(1998)Doing what no normal woman would do.Unpublished PhD Griffiths University Brisbane."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2850.2000.00261.x"},{"key":"e_1_2_10_11_1","volume-title":"Handbook of Qualitative Research","author":"Denzin N.","year":"1994"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.1996.tb00382.x"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1547-5069.2001.00047.x"},{"key":"e_1_2_10_14_1","volume-title":"Childhood and Society","author":"Erikson E.","year":"1965"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.38.1.79"},{"key":"e_1_2_10_16_1","first-page":"281","article-title":"Attachment and borderline personality disorder. 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