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. 2022 Sep;27(3):246-249.
doi: 10.1111/camh.12586. Epub 2022 Jul 22.

Commentary: Bringing together lived experience, clinical and research expertise - a commentary on the May 2022 debate (should CAMH professionals be diagnosing personality disorder in adolescence?)

Samantha Hartley  1   2 , Charley Baker  3 , Michael Birtwhistle  4 , Jennifer L Burgess  5 , Eleanor Chatburn  6 , Laurence Cobbaert  7 , Maddie Howley  4 , Charlotte Huggett  1   8 , Charlie MacKenzie-Nash  4 , Alice Newton  8 , Sarah Parry  9 , Jee Smith  4 , Christopher D J Taylor  1   10 , Peter James Taylor  1 , Robyn Timoclea  4
Affiliations

Commentary: Bringing together lived experience, clinical and research expertise - a commentary on the May 2022 debate (should CAMH professionals be diagnosing personality disorder in adolescence?)

Samantha Hartley et al. Child Adolesc Ment Health. 2022 Sep.

Abstract

Background: There is a wealth of evidence to suggest that the Borderline Personality Disorder (BPD, or similar Emotionally Unstable Personality Disorder, EUPD) construct is harmful. We provide a commentary on the ideas expressed in the May Debate issue, highlighting both concerns and alternatives.

Method: We bring together lived experience, clinical and research expertise. This commentary was written collaboratively drawing on all these sources of evidence.

Results: We outline evidence that the BPD construct is invalid, harmful, not necessary for effective treatment and a potential block to the development and evaluation of alternatives.

Conclusions: We ask readers to consider these concerns, perspectives and ideas.

Keywords: Borderline; adolescence; mental health; personality disorder.

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References

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