{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T21:15:17Z","timestamp":1793740517368,"version":"4.6.1"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T00:00:00Z","timestamp":1293148800000},"content-version":"vor","delay-in-days":206,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:p>\n                    <jats:bold>Objectives.<\/jats:bold>\n                    To explore the meanings of self\u2010injury and overdosing, and the relationship of each to the other, for women who have fulfilled the diagnostic criteria for borderline personality disorder.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design.<\/jats:bold>\n                    Four women with a history of both self\u2010injury and overdosing were recruited through a local psychotherapy service and interviewed following a semi\u2010structured framework.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods.<\/jats:bold>\n                    The interview transcripts were systematically analysed utilizing interpretative phenomenological analysis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results.<\/jats:bold>\n                    The analysis lead to the construction of three interrelated themes: (a)\n                    <jats:italic>The context of distress<\/jats:italic>\n                    . Examples were inclusive of temporally distal factors such as childhood abuse and loss, and proximal factors ranging from the interpersonal (e.g., conflict) through to the intra\u2010personal (e.g., negative thoughts relating to self). (b)\n                    <jats:italic>The progressive management of distress<\/jats:italic>\n                    . An overdose was depicted as a last resort once self\u2010injury had become insufficient a means of self\u2010help to manage feelings of desperation and isolation. (c)\n                    <jats:italic>Ambivalence in relation to death<\/jats:italic>\n                    . The clearly stated intention of an overdose was \u2018to die\u2019. However, both words and (descriptions of) deeds suggested considerable ambivalence in relation to this \u2013 overdoses appearing to depict an attempt to resolve unbearable feelings through an unarticulated \u2018cry for help\u2019 rather than suicide completion.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions.<\/jats:bold>\n                    The overall impression gained was of a group of women in a world of problematic relations (to both self and others) struggling to know how best to attract support and understanding. In discussion, links are made to the literature on reflectivity\/reflexivity through Fonagy's notion of \u2018mentalization\u2019.\n                  <\/jats:p>","DOI":"10.1348\/147608309x468211","type":"journal-article","created":{"date-parts":[[2009,12,21]],"date-time":"2009-12-21T09:05:48Z","timestamp":1261386348000},"page":"113-128","source":"Crossref","is-referenced-by-count":19,"title":["The meaning of self\u2010injury and overdosing amongst women fulfilling the diagnostic criteria for \u2018borderline personality disorder\u2019"],"prefix":"10.1111","volume":"83","author":[{"given":"Stu.","family":"Brooke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick.","family":"Horn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"The scarred soul: Understanding and ending self\u2010inflicted violence","author":"Alderman T.","year":"1997"},{"key":"e_1_2_7_3_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1995"},{"key":"e_1_2_7_4_1","volume-title":"Women and self\u2010injury: A survey of 76 women","author":"Arnold L.","year":"1995"},{"key":"e_1_2_7_5_1","volume-title":"Working with people who self\u2010injure: A training pack","author":"Arnold L.","year":"1997"},{"key":"e_1_2_7_6_1","volume-title":"The language of injury: Comprehending self\u2010injury","author":"Babiker G.","year":"1997"},{"key":"e_1_2_7_7_1","doi-asserted-by":"crossref","DOI":"10.1093\/med:psych\/9780198527664.001.0001","volume-title":"Mentalization\u2010based treatment for borderline personality disorder: A practical guide","author":"Bateman A. 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