RITB are neutral on diagnosis – we support people to self define in the way they choose that best enables them to live. However we consider Borderline Personality Disorder a special case and object to anyone’s personality being diagnosed as disordered.
We respect that some people find the diagnosis useful and would not want to see people not getting good support, but our position is that we do oppose BPD diagnosis.
We view the BPD diagnosis as a special case because of its specific and politicised use as;
•a diagnosis of reprisal in response to a complaint or a failure to ‘recover’ or to respond to medication,
•a misogynistic diagnosis given to women, transgender and non binary people mostly due to its links with childhood trauma, childhood sexual abuse or to the sole action of self-harm.
•a diagnostic reclassification to expedite discharge for financial and ideological reasons.
We view it as the worst diagnosis in terms of professional stigma and hateful attitudes and believe it is different to all other diagnoses in its utility so we prefer it was never used unless a service user requested it.
We object to psychological formulation enacting a BPD diagnosis version in its description but without using the diagnostic words, as this is no different. We also oppose diagnosis creep of Personality Disorder encompassing more and more service users.
We also acknowledge that a diagnosis & deficit based description is still required for in-work and out of work benefits PIP, ESA, & Universal Credit regardless of whatever models are in vogue or preferred.
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