personality disorders

‘Personality disorders’ are defined by the NHS as “Conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others. Changes in how a person feels and distorted beliefs about other people can lead to odd behaviour, which can be distressing and may upset others.”

A diagnosis of a ‘personality disorder’ is an extremely distressing experience and a great deal of controversy surrounds the use of this term and the diagnosis itself. 75% of those diagnosed with Borderline Personality Disorder are women.

For 50 years, Survivors have been demanding a change to the diagnosis of ‘Borderline Personality Disorder’. Despite having no scientific validity, and demonstrably provoking the most discriminatory, judgmental reactions from clinicians in mental health care, it has persisted. The diagnosis produces such ‘testimonial injustice’ that it is incompatible with the core tasks of mental health care – compassion, understanding and help provision. In an increasingly ‘woke’ society, pathologising people based on discriminatory character sketches is a form of structural violence that has to be binned. This is something we can do today.
– Dr Jay Watts, Clinical Psychologist, Jan 2019

Our personality disorders Blogs

Lamotrigine for “Borderline Personality Disorder”: should we prescribe it? #BIGSPD19

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Keir Harding prepares for the #BIGSPD19 conference by reading Mike Crawford et al’s recent RCT on the clinical effectiveness and cost-effectiveness of lamotrigine in borderline personality disorder.

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Is self-management ready for the mental health mainstream?

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Josefien Breedvelt and Peter Coventry explore a new systematic review and meta-analysis of self-management interventions for people with severe mental illness.

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Victims of crime with mental illness: differences between Denmark and the US

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Chris Millar writes his debut blog on a recent paper that explores the link between mental illness and being subjected to crime in Denmark and the United States. This blog asks: how much do poverty and the safety net matter? There are some important implications for policy makers.

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Poorer cardiovascular screening, diagnosis and management if you have a mental illness

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Joanne Wallace summarises a systematic review that highlights disparities in the management of cardiovascular risk factors in people with mental illness.

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Mental health diagnosis: views and experiences of service users and clinicians

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Vanessa Pinfold and Jennie Parker from the McPin Foundation explore a recent systematic review of service user, clinician, and carer perspectives on mental health diagnosis.

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Which personality traits may protect us from alcohol use disorder?

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Andrew Jones summarises a recent systematic review and meta-analysis of alcohol treatment outcome, which identifies a range of personality traits that are associated with relapse.

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Psychodynamic programmes for personality disorders: residential versus community treatment

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Keir Harding explores a recent study of community-based, step-down, and residential specialist psychodynamic programmes for personality disorders, which includes some surprising findings.

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Psychotherapies for borderline personality disorder: DBT and psychodynamic approaches do best

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Andrew Shepherd summarises a recent meta-analysis on the efficacy of psychotherapies for borderline personality disorder, which finds that dialectical behaviour therapy and psychodynamic approaches were effective versus control, but CBT and other talking treatments were not.

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Personality disorders and alcohol treatment: is there any hope?

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Ian Hamilton and Kelly Davies provide some optimism after reading a new systematic review about personality disorders and alcohol treatment outcomes.

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The state of personality disorder services in England #bigspd17

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Keir Harding publishes his debut elf blog on a recent national survey of personality disorder services, which finds continued exclusion, variability of practice and inconsistencies in the availability of services across England.

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