This is great. I am completely in agreement and glad I saw this post. Just a few days ago I was thinking about how BPD is an insulting diagnosis, as those suffering from it have nothing wrong with their personality. Most early attachment issues are caused by early multiple childhood traumas in an invalidating environment which causes extreme trauma. Based on my clinical experience and readings, I don’t think BPD is useful anymore, and that emotional dysregulation really describes the extreme PTSD biological and environmental symptoms that indicate the diagnosis. The current BPD name does not match this emotional , mental and spiritual disorder. Being on the Borderline between neurosis and psychosis as it was originally observed, is more a reaction from doctors, how they felt around people with this condition. It does not match the condition itself.
Do we want people to believe that BPD is a real psychiatric illness that they must manage for the rest of their lives, or do we want to promote a message of hope which says, “You can become free of your emotional distress and live the life that you want”?
By presenting BPD as a severe mental illness which can be managed but not cured, the medical model of the BPD label utterly fails to promote hope. Additionally, the medicalized concept of BPD is scientifically broken: It does not describe a valid illness which is consistent across a population.
Why do we keep using BPD if there is so much wrong with it? Is it possible that we would be better off without BPD?
And if BPD is should be abolished, what should replace it?
This article addresses how to replace BPD.
To this question, my first answer is “Nothing” – that we should simply…
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