Narrative self-appropriation: embodiment, alienness, and personal responsibility in the context of borderline personality disorder

Allan Køster

Research output: Contribution to journalJournal articleResearchpeer-review

11 Citations (Scopus)

Abstract

It is often emphasised that persons diagnosed with Borderline Personality Disorder [BPD] show difficulties in understanding their own psychological states. In this article, I argue that from a phenomenological perspective BPD can be understood as an existential modality where the embodied self is profoundly saturated by an alienness regarding the person’s own affects and responses. However, the balance of familiarity and alienness is not static, but can be cultivated through e.g. psychotherapy. Following this line of thought, I present the idea that narrativising experiences can play an important role in processes of appropriating such embodied self-alienness. Importantly, the notion of narrative used is that of a scalar conception of narrativity as a variable quality of experience that comes in degrees. From this perspective, narrative appropriation is a process of gradually attributing the quality of narrativity to experiences, thereby familiarising the moods, affects, and responses that otherwise govern “from behind”. Finally, I propose that the idea of a narrative appropriation of embodied self-alienness is also relevant to the much-debated question of personal responsibility in BPD; particularly as this question plays out in psychotherapeutic contexts where a narrative self-appropriation may facilitate an increase in sense of autonomy and reduce emotions of guilt and shame.
Original languageEnglish
JournalTheoretical Medicine and Bioethics
Volume38
Issue number6
Pages (from-to)465-482
Number of pages18
ISSN1386-7415
DOIs
Publication statusPublished - 9 Nov 2017

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