tag:blogger.com,1999:blog-3737633890176949647.post9208746552588623186..comments2023-08-22T10:06:28.678+01:00Comments on Discursive of Tunbridge Wells: Borderline personality disorder: Abandon the label, find the PersonCCCU Applied Psychologyhttp://www.blogger.com/profile/12127528347937708211noreply@blogger.comBlogger29125tag:blogger.com,1999:blog-3737633890176949647.post-25284637804001036952015-11-04T09:07:35.798+00:002015-11-04T09:07:35.798+00:00They.? who is they? Is yours Disordered? How Wou...They.? who is they? Is yours Disordered? How Would I know? ...anyone can say that. My idea of 'disordered personality' and your 'disordered personality' I sure are different. Who is correct?... me? You? ... Lets say someone called you *crazy* over there, Mr. right?? would you like it? and are they correct?...And who are you to decide what is * insulting* or not for another human being?Rocconoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-60092868297576637032015-11-04T08:56:23.569+00:002015-11-04T08:56:23.569+00:00Anonymous:
Most of our culture (the west) believes...Anonymous:<br />Most of our culture (the west) believes in labeling-- everything... Those mental health prof. who label clients BPD.are intent in categorizing and a expressing a sense of control perhaps with clients who are challenging in their sessions, maybe abusive. , or disruptive. When a therapist feels they have loss control with a client, many times a diagnostic criteria becomes enforced with or without the client's knowledge.<br /><br />... one may say there are clear distinctions of this personality disorder. However, most of the time the behavior of the BPD diag. (which is categorized as highly negative behavior toward others ), reflects the identity back to the individual with the new diagnosis that essentially feels to anyone label with negative attribute-- and yes, we do assign identities to people consistent with behavior behavior or "personality".--how can one person ever feel free of this negative attached label, even if they are told that this label "is not who you really are"? <br /><br />Furthermore, " Carefully thought out, thorough formulations, and lengthy attempts to understand the person in context." Do you really believe that??<br />Last I checked: Psychiatrists and clinicians are subjective in many of their "attempts to understand their clients". They are only human beings with their own culmination of experiences that lead them to a "moral justification" , disguised by the claims of being educated and trained to be objective experts!!.Hmm.<br /><br />If I were going to a psychiatrist or therapist, I would trust them more if they admitted this proclamation, rather than hide behind a false perception of our system being free of moral judgements <br /><br />The problem with human professionals in this particular field is that there is a huge emotional power indifference between client and professional.<br />Why do we allow any human being to define anyone of us in such a way with any diagnosis as damaging personality as any.<br /><br />Even if you didn't agree with any opinion Dr. Anonymous, why would you want to bias an individual with a pejorative diagnosis, knowing full well given the negative receptivity by society and other mental health professionals of the stereotype and pain it renders further to the individual. For whose benefit, yours or the client?<br /><br />Why not just meet the person where they at, give them feedback in how perhaps (even its just your opinion) to deal with horrible memories, anger, hurting oneself, without diagnostic labeling. Even you want to say there is a lot of "affect instability", and there has to be a diagnosis to perform the "right treatment", you could still treat individual feelings and reactions to life with various tools. One way for sure, would be to never diagnose, and reduce to a human being to entity, and then disguise as something different. seriously?? <br /><br />...and if you cannot do that, then keep up your good work since I am sure it has been so successful in psychiatry to live in absolute convictions in using a very harmful label to help (you) personally.<br /><br />"Always question any theory, belief, idea, or person you come across as absolute truth in this lifetime. Even me, and find out for yourself", Buddha Roccnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-78312169370710774392015-06-08T20:43:38.852+01:002015-06-08T20:43:38.852+01:00BPD is such a negative connotation on the word. Of...BPD is such a negative connotation on the word. Often medical profession 's label mostly women who have suffered from various degrees of sexual abuse and sexual violence. We as a society often discriminate and stigmatize people with this label. When clients have this diagnosis of BPD the medical profession and social care and society excludes them in living a normal productive life. Often clients our given this label then are excluded form any health care and support. We our often classed as troublemakers manipulative self seeking self harming witch is a great shame. Instead of seeing a client as in emotional distress and disassociated from their pain then negative behaviours can appear. I see that BPD should be classed more in the therapeutic terms of complex post traumatic disorder or the did dissociative disorder in a therapeutic setting to help clients deal with the inner dealings of their emotional distress. Psychiatrist often diagnose clients with this they then just give them medication and tell them their to difficult to treat.<br />We should understand about attachment therapy especially in children before their five years of age and this will have affect in relationships if children do not have a attachment to an adult care giver who is loving giving and caring. I was label with BPD after i complained about a psychiatrist because of my attachment difficulties and abuse as a child i find it hard to have trusting working relationships. I don't agree that my mind is disordered i see that i am a human being a mother a student and a women i get very sad angry upset manipulate but that what makes me a human being like everyone else so i am more than the label of BPD.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-59126097420409067592015-02-21T13:17:36.932+00:002015-02-21T13:17:36.932+00:00hear-hear...fully agree; still frequently struggli...hear-hear...fully agree; still frequently struggling with that sh*te....3 cheers for Linehan/dialectic "treatment" or...even worse... STEPPS??? <br />soooo very much NOT....<br /><br />@theHawksDandelionAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-82425794943853371082015-01-25T13:23:15.160+00:002015-01-25T13:23:15.160+00:00Sorry about any typos. Typing on a phone is a litt...Sorry about any typos. Typing on a phone is a little challenging. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-57207391523871725822015-01-25T13:21:00.564+00:002015-01-25T13:21:00.564+00:00Whether 'they' can be helped? Oh you mean ...Whether 'they' can be helped? Oh you mean 'them'. Have you read the previous comments because they mentioned DBT? Another therapeutic approach called schema therapy contends that it's common to have strong chemistry with people who trigger our core schemas. Thus, someone with.a strong mistrust and abuse schema will.end up in a relationship with a mean and possibly abusive individual. People gravitate to what they know. It's quite well-known now that people with BPD are top dysregulated to be manipulative. They just have little idea of more appropriate ways of getting their needs met when in distress.<br /><br />Therapy back.then (as now) can.be traumatising if it's not done right. Even Gunderson, the so-called dad of the.diagnosis, admits that treatments used to be unhelpful and that therapists used to blame patients as a result. Times have changed but clearly some attitudes haven't. <br /><br />I support the consumer advocates who challenge this label. <br /> Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-41188818852182389212014-10-25T05:48:15.804+01:002014-10-25T05:48:15.804+01:00I think you misunderstand where most of us are com...I think you misunderstand where most of us are coming from. I am firm believer it does exist. My first husband actually suffers from it rather severely. But it is extremely heavily overdiagnosed with most people labelled with it not suffering from it at all. Labelling anyone who is seen as difficult in any way as "borderline" is just as damaging to genuine sufferers as it is to those who are misdiagnosed. It leads to stereotyping that stops genuine sufferers from being able to access proper treatment.<br /><br />It is not fiction that the diagnosis exists. The fiction is the high diagnosis rates.Selanoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-43531410194513100742014-10-25T05:37:06.348+01:002014-10-25T05:37:06.348+01:00John I'm actually a firm believer that BPD is ...John I'm actually a firm believer that BPD is a real valid category but that somewhere between 90 and 99% of those labelled with it have been misdiagnosed which does a great disservice to anyone labelled with it rightly or wrongly. <br /><br />Sadly, working in mental health myself, I have seen it all too often as an excuse to abuse people. While I wouldn't say it is common, I wouldn't say it is uncommon either. What is common however is that it is seen as a reason to deny someone treatment. "Oh they're just borderline, they can't be treated" is sadly something I hear a lot.<br /><br />Considering how most people labelled with BPD don't even have it, the fact no one even tries to treat them is disgusting, but what is also so frustrating is there ARE treatments for BPD so to go around saying there are none, is bad practice.Selanoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-53759933221405476502014-10-25T05:27:17.988+01:002014-10-25T05:27:17.988+01:00Anonymous you have hit the nail on the head. Most...Anonymous you have hit the nail on the head. Most psychiatrists I have met (and I have met a lot as I am a mental health professional) label people exactly as you have listed. I recently saw a psychiatrist for post natal depression (very biological, major depressive disorder, that remitted with antidepressants) but when seeking my notes, I found out he had initially misdiagnosed as BPD because I have a history of being abused as a child. Despite the fact that I met none of the 9 criteria for BPD at the time. To him, child abuse = BPD. While I finally got him to admit (and apologise for) the misdiagnosis, even in our final appointment, he claimed that childhood abuse is still a "borderline trait" even if it's not full BPD.<br /><br />Same with my experience in dealing with people who self harm. Anyone who has ever self harmed, even if they have no other BPD traits, gets the label slapped on them. Again, same with those who are disliked, express dissent, make complaints or simply fail to respond to the first antidepressant they are trialled on.<br /><br />It's disgusting but yet it keeps happening.Selanoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-33486836717419230622014-09-20T20:08:43.532+01:002014-09-20T20:08:43.532+01:00I'm not diagnosed with anything that I know of...I'm not diagnosed with anything that I know of, and certainly not with BPD. But in the 1970s I was involved romantically with someone who received that label. Whatever the nature of the traumas that contributed to her difficulties -- and I fully credit that she had been traumatized -- her behavior was manipulative, deceitful, and (yes) outright disordered. Her life remained and probably still remains characterized by one crisis after another -- a pattern which seems to be fairly frequent in people diagnosed with BPD.Under pressure from her family, she briefly saw a psychiatrist and then refused to engage with any process of change. She was discharged. <br /><br />I also read at the time that many therapists refused to take on patients in whom they recognized these patterns. There was a professional perception that therapy was rarely successful in bringing order or healing to the lives of BPD patients, and they were crazy-making for therapists themselves. <br /><br />I'm not a psychiatric professional. But I cannot help wondering: in people whose behavior seems well characterized by the DSM criteria for BPD, what proportion are able to gain improved independence and function after therapy? And in what types of therapy? Aren't these questions fairly central in the issue of whether they can be helped?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-66943989119706691492014-09-20T00:30:20.425+01:002014-09-20T00:30:20.425+01:00I'm glad to have read this article but, as som...I'm glad to have read this article but, as someone labelled as BPD, I have a point to make:<br />No one has written that this so called 'BPD' condition is treatable - not some permanent life long condition. With luck and good support, and in my case DBT too, lots of us move on to the best and happiest times. There are horrible stereotypes, and a fair degree of lazy ignorance, within the psychiatric and therapeutic professions,and society at large of course. More stories like mine need to be told - that despite having far more significant challenges in life to most people - I'm proud to have survived, am at peace despite the abuse, work hard to make changes in society, and am happy most of the time. The dog tag of a label will hang around me now for ever … but I bet that in a couple of decades people will look back in horror at this era of crude psych diagnostics and respect the growing numbers of us who, despite the label, turned our noses up at such malarkey, and showed the world how to behave more kindly and decently than others behaved to us.<br /> Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-22894917164210166522014-05-30T19:38:58.413+01:002014-05-30T19:38:58.413+01:00hi, I have a diagnosis of BPD, some people now see...hi, I have a diagnosis of BPD, some people now see it as a form of complex PTSD which sounds more like what it is for me. Though doesn't take into account that as children the ways of managing our environments, our survival techniques get hardwired into our developing brains.. I hate the label and feel ashamed of being disordered. I have experienced stigma and being stereotyped. Have found compassion as well as intolerance. So what I took from your blog was empowerment, that is to think of myself as a survivor of childhood trauma and not as a survivor of a disordered mind. This helps in accepting myself and not be ashamed and continue to work on living a life worth living. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-20843425993773256422014-05-10T01:50:15.060+01:002014-05-10T01:50:15.060+01:00Call it what you will, but anyone who has ever lov...Call it what you will, but anyone who has ever loved someone with this....cluster of behaviors will tell you that it clearly isn't a fiction.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-8472575594664120452014-05-02T16:39:35.511+01:002014-05-02T16:39:35.511+01:00Thank you for this. This label literally nearly ki...Thank you for this. This label literally nearly killed me and has done untold damage to so many women I know. <br />It is possibly the most pernicious, pathologising, dangerous and pejorative labels in the DSM, it's European equivalent being no better. It'd be comical were it no so serious. Those bad, manipulative, splitting, promiscuous, substance ingesting, self mutilating, dangerous driving, sexually provocative, rage filled borderlines! It is bad joke of sorts but one that wields huge power over those unfortunate enough to get stamped with it. Think they treat you badly now? Wait till they label you as 'borderline'. It'll be open season on you then. <br />There is a violence and violation in the application of this label, without question. It is sanctioned misogyny. The first thing you do as a professional if you legitimately want to help anyone you're working with is to not label them as 'borderline' and articles like this one really help support users/refusers/survivors. <br />The very lucrative industry that has sprung up around so called 'BPD' in particular lends a legitimacy to ideas and opinions that were, at least by the late 80s in the UK, becoming increasingly questionable. <br />There are a number of heartening articles, academic papers and letters to various medical journals around that time that were strenuously critical of the creeping legitimacy of the label. Sadly that was drowned out in the deluge of professionals scrabbling about for top billing in what many could see was a demographic of vulnerable women ripe for exploitation. Many of these so called therapies are a re education programme for what are cast as 'difficult, angry, miserable women'. <br />Internalising a self stigma and self policing of all thought and emotion is an effective way to silence, control and 'deal with' people smeared with this label. The cult of DBT, which is essentially about silencing survivors and is rather ironically staggeringly invalidating, is just one of many. As for radical acceptance? If you're interested in Buddhism as many folks are, fine, get to it. But if you're offered DBT - run! <br />One of the most dangerous aspects of this label it that any attempt to argue against it is seen as proof of it. The tag becomes a self fulfilling prophecy for professionals keen to say "look, we told you so. Non compliant, angry, labile female. She's a flaming borderline this one!". <br />One of the surest ways to injure someone is to tell them the very core of their being, who they are in essence, is disordered. There is huge power to harm in that.<br />If anyone reading this has been smeared with this label I want to say it is the greatest pile of nonsense this side of witchcraft and hysteria. <br />The distress you may be feeling is real and you deserve help and support if you want it but the diagnosis is a gendered, invalidating, lethal fiction. The 'BPD' label has been used in the legal system to invalidate testimony of child abuse and sexual violence, support forced drugging in the prison system and have women refused custody. It is not a benign label. <br />There is nothing wrong with you. You are human and possible in a great deal of pain but you are not inherently disordered or flawed. Spend your time seeking out any anti- BPD material online. It is there is you look. Clare Shaw, Gillian Proctor, Sam Warner, Lucy Johnstone, Paula Caplan, Dana Becker and many others write insightfully and often quite brilliantly on this subject. <br />As patriarchal smears go BPD tops the stinking heap. Connect with other survivors and mental health workers who reject this label for the fiction it is. Good luck. <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-20235877591051386552014-04-22T15:01:58.366+01:002014-04-22T15:01:58.366+01:00how can a person became mentally ill or effected ...how can a person became <a href="http://www.individualcareoftx.com/mental_illness.html" rel="nofollow">mentally ill</a> or effected by itAnonymoushttps://www.blogger.com/profile/05476661280952217040noreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-39571996439579147462014-01-27T18:38:49.691+00:002014-01-27T18:38:49.691+00:00"Borderline personality disorder" is ind..."Borderline personality disorder" is indeed a terrible diagnosis to give anyone, purely because "personality disorder" cannot be anything but pejorative. Given that many (but not all) people who receive this diagnosis have been victims of abuse at some point really does add insult to injury. <br />That's not to say that the behaviours listed in the DSM as typical of BPD don't tend to form a cluster. They do in a loose kind of way but again, most can be explained as learned methods of coping rather than symptoms of any kind of organic disease. <br />In my own case, learning I had a diagnosis of BPD actually turned out to be a positive development, which I write about here http://stepstowardsthemountain.blogspot.ie/2014/01/marsha-linehan-at-ucc-real-change-is.html<br />The reason for this is that I had been given the diagnosis but had never been informed. My parents had been told but then also told it was fairly meaningless as a label. That's true, and in a way, it's heartening that psychiatrists themselves saw the ridiculousness of the term. On the other hand I was in and out of hospital, on and off a multitude of drugs and had no idea what was wrong or how anything was ever going to change. Seeing my diagnosis in an unattended file led me to the work of Marsha Linehan and her excellent DBT programme. I am now entirely free of BPD, which is amazing if you believe its roots lie in something so intractable and so genetically determined as personality type. I don't. <br />It is a pity that Linehan, for all the good work that she has done and the help it has been to so many, does not challenge the misleading and harmful term of Borderline Personality Disorder. stepstothemountainhttps://www.blogger.com/profile/05278325151684013579noreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-41303225118314901872013-10-10T16:00:20.408+01:002013-10-10T16:00:20.408+01:00Debra Marshall, a woman with a diagnosis of BPD sp...Debra Marshall, a woman with a diagnosis of BPD speaking out about it on Madness Radio:<br />http://kboo.fm/sites/default/files/episode_audio/kboo_episode.2.131007.1130.16287.mp3Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-40512793725504949002013-10-03T09:31:57.475+01:002013-10-03T09:31:57.475+01:00Sorry, somewhat belated reply. I can't disagre...Sorry, somewhat belated reply. I can't disagree with you Steven. I think, when you're feeling inclined, we might need to ask you for another piece specifically about the nature of the label and the extent to which it does or doesn't blame the person diagnosed. I wouldn't deny that it is frequently pejorative, I just feel that it is often more complex than simply being a term of abuse.John McGowannoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-45367120367297613382013-09-30T19:45:39.249+01:002013-09-30T19:45:39.249+01:00Who could disagree with the spirit of this blog? F...Who could disagree with the spirit of this blog? For too long people who have been diagnosed as having BPD have been regarded as "manipulative"; "aggressive" and "untreatable". The presence of abuse and trauma as aetiological factors are still understated. I don't like "Borderline" and I don't like "Personality Disorder" but I do want to point out a potentially misleading implication of this article. To say that "in 1980 the APA willed Borderline Personality Disorder into being" is to ignore the fact that the idea of individuals being "Borderline" goes back at least to 1938 when Adolph Stern first coined it to describe a group of patients under his care who he thought to be neither neurotic or psychotic. In the 40 or so years subsequent to this various practitioners continued to use the word in various contexts, some regarding it as a variant of Schizophrenia, others as a constitutional excess of aggression.<br /><br />In creating a checklist of criteria in 1980 the DSM made a significant and positive move away from the often very unpleasant assumptions of generations before. You do not have to believe we should keep the DSM to regard this development as a positive one. The negative associations and assumptions people have about BPD today are inaccurate and demeaning, but they come from people's misunderstanding and do not reflect the content of the manual. <br /><br />To suggest that "Borderline" did not exist before the creation of DSM-III, or that this group of people were not seeking help and often badly served, is to misunderstand the historical development of psychiatry.Huwtubehttps://www.blogger.com/profile/11269941937374416664noreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-30829034170933137552013-09-29T05:50:51.686+01:002013-09-29T05:50:51.686+01:00I am currently in recovery from Borderline Persona...I am currently in recovery from Borderline Personality Disorder. I started my website to try to reduce the stigma associated with it, as blatantly shown in this article. Anyone wishing to know what BPD is really like, from people who live with it every day, and Dr. Marsha Linehan, creator of Dialectical Behaviour Therapy, and a sufferer herself, please see my website: http://makebpdstigmafree.wordpress.com/Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-88072864997453847392013-09-26T23:17:28.637+01:002013-09-26T23:17:28.637+01:00My saddest observation of survivor supporters of t...My saddest observation of survivor supporters of the diagnosis is how they 'police' their every thought and emotion to an exhausting degree as they've been coached to, it's painful to observe. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-74573829326465661892013-09-26T23:13:44.900+01:002013-09-26T23:13:44.900+01:00There are multiple studies that highlight that per...There are multiple studies that highlight that personality disorder diagnoses are pejorative statements - Lewis and Appleby (1988) being the seminal study: "The PD cases were regarded as manipulative, attention-seeking, annoying, and in control of their suicidal urges and debts. PD therefore appears to be an enduring pejorative judgement rather than a clinical diagnosis." <br /><br />I'm sure many staff members bring other aspects of themselves, experiences of the world and perspectives on life to the people they work with, which are more compassionate, understanding and helpful. However, the personality disorder diagnosis does not aid or nurture this, it only hinders and allows the more punitive and reactive elements of ourselves and culture to be given legitimacy. <br /><br />Lewis and Appleby (1988) had the measure of the diagnosis a quarter of a century ago: "It is proposed that the concept be abandoned". So lets belatedly heed their advice and look beyond failed categories to something more meaningful, helpful and humane.Anonymoushttps://www.blogger.com/profile/17917465373080499111noreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-75530483301640577952013-09-26T23:12:35.327+01:002013-09-26T23:12:35.327+01:00Listen to people damaged by it, statements such as...Listen to people damaged by it, statements such as finding forced ECT more bearable than that diagnosis. A medical student relayed to me some of her psych lectures and when BPD was raised (solely in the context of CSA and self-harm) the consultant referred to "people who self-harm are generally horrible people with no hope, and they ALL have BPD". There was also a wrist-cutting gesture within the lecture. On her psychiatric placement on questioning that consultant about it he couldn't even refer to the diagnostic criteria and said that he knew who had BPD by "just looking at them". <br />People with a diagnosis of psychosis or Schizophrenia being pushed into PD groups running for 2 yrs being told by their CMHT to take that or have no support. Dependency (not sure how you define that), rejection, and impulsive moods are not the exclusive preserve of people you would define as PD. Just as self-harm and child abuse is not, despite psychiatry's insistence on reframing those experiences almost exclusively as PD. For people with the diagnosis they often have been rejected by services, I've seen women turned away after years of EDU's because their BMI isn't low enough or whatever but PD services will accept them. If anyone self-harms of any diagnosis they are at risk of attracting a PD tag purely to describe it. It's as though it's not supposed to reside within any other diagnostic category. Then the 'real' and 'pseudo' classification of perceptual differences in psychosis and BPD is laughable, especially if the person has both diagnoses. Begs the question how those experiences are differentiated. PD is attached to specific experiences including lack of recovery. I don't see the complexity you refer to, PD and BPD does the opposite it dumbs down people's experienceAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-23904139413710728272013-09-26T21:31:15.486+01:002013-09-26T21:31:15.486+01:00I wonder about the sentiments in this last comment...I wonder about the sentiments in this last comment. While I wouldn't want to go in to bat for Personality Disorder as a diagnostic category (either in terms of validity or reliability I think seeing it simply as a term of abuse misses quite a lot of the complexity associated with it. The legacy of abuse and, perhaps more importantly, neglect is all too real but not simple. As someone who has worked with many people who have attracted this diagnosis I honestly don't think it is used as a simple term of abuse all that often. Maybe from time to time but equally I've seen swings between staff becoming enmeshed in complex attachment patterns, enacting fantasies of rescue and blaming others for not being sufficiently sympathetic. This response is often not that helpful either really. Also the idea that PD is a catch all diagnosis for people failing to recover is something again I fail to recognise from any clinical team I've worked in. I have found people use PD quite specifically to try and capture elements of dependency, rejection and impulsive moods. Whether it is always used well or whether it is a good way of viewing such issues are other questions. John McGowannoreply@blogger.comtag:blogger.com,1999:blog-3737633890176949647.post-91431634165270392602013-09-26T19:33:37.100+01:002013-09-26T19:33:37.100+01:00great piece! BPD cannot be reformed as a diagnosis...great piece! BPD cannot be reformed as a diagnosis, it's clinical code for 'you are a cunt' and that will never change, it would be like trying to fluffy up other terms with single meanings like pedophile. I know we won't be rid of classification systems anytime soon, I'd suggest combinations of the remaining diagnoses in the meanwhile (diagnoses are required for accessing things). It's applied to women who have experienced trauma, especially childhood sexual abuse, people who self-harm (even if the woman only fits the 1/9 diagnostic criteria), and others are relocated to the diagnosis if they're disliked, express dissent, or fail to respond to treatment or recover. PD is fast becoming the diagnosis of anyone failing to recover. Remove the entire category, it's worse than psychosis it's the worst diagnosis of all because it means complete invalidation as a human being. Anonymousnoreply@blogger.com