Borderline Personality Disorder: To diagnose or not to diagnose? That is the question.

@article{Campbell2020BorderlinePD,
  title={Borderline Personality Disorder: To diagnose or not to diagnose? That is the question.},
  author={Katrina Campbell and Karen-Ann Clarke and Debbie Massey and Richard Lakeman},
  journal={International journal of mental health nursing},
  year={2020}
}
There is considerable controversy around psychiatric diagnosis generally and personality disorders specifically. Since its conception, borderline personality disorder has been controversial because of the stigma associated with the diagnosis and the therapeutic nihilism held by practitioners who encounter people with this high prevalence problem in acute settings. This paper reviews the history of the diagnosis of BPD and summarizes some of the controversy surrounding the categorical nature of… 
Borderline Personality Disorder: A Case for the Right Treatment, at the Right Dose, at the Right Time
TLDR
This column reviews the evidence for therapeutic approaches which may contribute to more skilful negotiation of life’s difficulties and which may avert deterioration in mental health and quality of life in vulnerable individuals and families.
The space between the rock and the hard place: personality disorder diagnosis in people with intellectual disabilities
TLDR
Advice and evidence suggest that a diagnosis of PD can be both facilitative and obstructive, and the assessment and diagnosis process should be undertaken with caution.
The prevalence of personality disorder in mental state disorder
Purpose of review This review examines the prevalence of personality disorder in those with mental state disorder. Some challenges disentangling these psychopathologies are delineated and advances in
Nursing people diagnosed with Borderline Personality Disorder: 'We all need to be on the same hymn sheet'.
TLDR
The experiences of psychiatric nurses working with people diagnosed with BPD in acute mental health in-patient settings in Ireland are described and it is argued that the effect of this circumstance for these nurses approaches moral distress.
Cross-cultural applicability of ICD-11 and DSM-5 personality disorder
TLDR
DSM-5 and ICD-11 personality disorder have shown a preliminary evidence of improved utility across cultures, and more studies are needed to confirm this early observation across many more cultural and linguistic groups.
Psychoeducation for borderline personality difficulties: a preliminary study
TLDR
After LATER, participants reported a significant decrease in negative thoughts and feelings, destructive behaviours and overall borderline symptom severity, but no significant increase in positive behaviours, and participants’ overall understanding of personality difficulties significantly improved.
The Impact of Social Distancing on People with Borderline Personality Disorder: The Views of Dialectical Behavioural Therapists
TLDR
Clinicians have been able to engage in DBT informed care, but it was perceived that many people have experienced a clinical deterioration or have increased their use of crisis services, which is entirely appropriate, as group skills programmes have ceased.
The experience of loneliness among people with a “personality disorder” diagnosis or traits: a qualitative meta-synthesis
Background Loneliness is prevalent among people with a “personality disorder” diagnosis or who have related personality traits, but the experience of loneliness among people with “personality
Clinician views on best practice community care for people with complex emotional needs and how it can be achieved: a qualitative study
TLDR
Overall, the findings point towards clinician views as generally congruent with those of service users, reinforcing the need for priorities towards systemwide change to ensure that best practice care is provided for people with CEN.
Pioneering, prodigious and perspicacious: Grunya Efimovna Sukhareva’s life and contribution to conceptualising autism and schizophrenia
TLDR
Grunya Efimovna Sukhareva’s work was ahead of its time in reflecting modern criteria for autism diagnoses and in its focus on female case studies, according to the current article.
...
1
2
...

References

SHOWING 1-10 OF 66 REFERENCES
Diagnosing, Disclosing, and Documenting Borderline Personality Disorder: A Survey of Psychiatrists' Practices.
TLDR
A survey of 134 psychiatrists practicing in the United States to examine whether they had ever withheld and/or not documented their patients' BPD diagnosis found most agreed that either stigma or uncertainty of diagnosis played a role in their decisions.
CHARACTERISTICS OF PATIENTS WITH BORDERLINE PERSONALITY DISORDER IN A STATE PSYCHIATRIC HOSPITAL
TLDR
Compared to patients without BPD, patients with BPD were significantly more likely to be female, to carry a diagnosis of major depressive disorder, and to have been admitted within the past year to a state psychiatric hospital.
The Stigma of Personality Disorders
TLDR
Limited evidence suggests that health provider training can improve stigmatizing attitudes and that interventions combining positive messages of recovery potential with biological etiology will be most impactful to reduce stigma.
What are the effects of nurse attitudes towards patients with borderline personality disorder
TLDR
Both positive and negative attitudes resulted in significant impacts on care delivery, the therapeutic relationship, and the impact on care Delivery in this review.
The Challenge of Transforming the Diagnostic System of Personality Disorders.
TLDR
It is argued that diagnosis according to the ICD-11 proposal is based on broad, potentially stigmatizing descriptions of impaired functioning and ignores much of the impressive body of research and treatment guidelines that have advanced the care of adults and adolescents with borderline and other PDs.
Responses of mental health clinicians to patients with borderline personality disorder.
TLDR
The perceptions and reactions of mental health clinicians toward patients with borderline personality disorder are examined, indicating that psychiatric nurses are the most studied group of mentally health clinicians in this regard, followed by samples of mixedmental health clinicians, and then psychologists.
From Bad Character to BPD: The Medicalization of ‘Personality Disorder’
There is appears to be a consensus in the literature that the personality disorder (PD) construct is highly problematic. Millon et al. (2001: 39) suggest that ‘in spite of a long history of brilliant
Crisis Management in Borderline Personality Disorder
Borderline personality disorder (BPD) is a complex and severe mental disorder which manifests in a pervasive pattern of instability in interpersonal relationships and self-image and marked
Patients with Borderline Personality Disorder in Emergency Departments
TLDR
Advice is outlined to physicians and health-care providers who face this challenging patient population in the EDs ofBorderline personality disorder (BPD) patients that proper risk management along with developing a positive attitude and empathy toward these patients will help them in normalizing in an emergency setting.
A Qualitative Investigation of the Clinician Experience of Working with Borderline Personality Disorder
TLDR
This investigation gives illustration to the key difficulties that clinicians have in working with patients diagnosed with BPD and suggests that interpersonal and system difficulties may have altered the provision of service that is available to this patient group.
...
1
2
3
4
5
...