IMO I don't think this will change so I actually wish this diagnosis was scrapped. In the new DSM it almost sounds like people with BPD are psychopathic. Also I have the feeling gender plays a role so I also think there are female AsPD mixed in with the BPD crowd because the AsPD diagnosis is shaped around a male.

I think it would make much more sense to add C-PTSD as a diagnosis and I think that would suck 60-70 % of the borderliners right into the new diagnosis.

C-PTSD is much more clear cut and would fit those who have a disorder from having their thought pattern and attachment shaped by negative things in their childhood. It gives perfect sense to some symptoms that BPD just treats as bad behavior.

If you have unstable adults around you growing up it will affect you, you will not grow into healthy attachment, if someone is maybe both nurturing you and abusing you, it's not strange at all if you get mixed up about who is good and bad and even seeing a person as a constant.

If you are in constant stress those parts of your brain which handles controlling emotion and impulsiveness will not grow properly, the same actually goes for attention, planning and judgment.

If you are wronged you might develop not only low self esteem but also a sense of shame.

Since you have not been nurtured correctly it might even be hard to know who you are.

If you have been severely abused you might have a quite strong pattern of dissociation. This might even spill over on how you feel about your own body, you might dislike or disrespect it, disconnect from it and not knowing what it signals etc.

A lot of this is in the BPD diagnosis but it totally lacks explanations. Seeing where this comes from I think totally defuses the idea of the patient being someone bad at all!

And for those of the BPD patients not having any C-PTSD pattern, I think they need their own type of treatment. I think there really has to be a split here because I really don't think BPD is just one thing.

People who have grown up without compassion need a lot in therapy and the idea is to not give that to people with BPD. I'm like what the heck?...