Borderline Personality Disorder: To diagnose or not to diagnose? That is the question
Borderline Personality Disorder: To diagnose or not to diagnose? That is the question
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DOI：
10.1111/inm.12737
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发表时间：
2020-05-19
影响因子：
5.6
通讯作者：
Lakeman, Richard
中科院分区：
文献类型：
--
作者：
Campbell, Katrina;Clarke, Karen-Ann;Lakeman, Richard
关于一般精神病诊断和具体人格障碍存在相当大的争议。自其概念以来，边缘型人格障碍一直是有争议的，因为与诊断相关的耻辱和从业者在急性环境中遇到这种高患病率问题的人所持的治疗虚无主义。本文回顾了BPD诊断的历史，并总结了围绕诊断的分类性质的一些争议。DSM 5和ICD-11都将被讨论;然而，为了本文的目的，DSM 5将主要关注文化意义。边缘型人格障碍治疗的最新进展表明，这是一种高度可治疗的疾病，完全的临床康复是可能的。本文阐述了一个论点，尽管精神病诊断的问题，不太可能很快得到解决，诊断应与一个伴随的配方，使人们能够得到及时和有效的治疗，使个人和临床康复。
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 diagnosis. Both the DSM 5 and ICD-11 will be discussed; however, for the purposes of this paper, the DSM 5 will take the primary focus due to greater cultural significance. Recent developments in the treatment of borderline personality disorder suggest that it is a highly treatable condition and that full clinical recovery is possible. This paper formulates an argument that despite problems with psychiatric diagnosis that are unlikely to be resolved soon, a diagnosis should be made with an accompanying formulation to enable people to receive timely and effective treatment to enable personal and clinical recovery.