{
  "abstract": "Objective: Chazhoor and Younger describe borderline personality disorder (BPD) as a diagnostic and management challenge in regional inpatient psychiatry, including patients' reluctance to accept the diagnosis and preference for autism, attention-deficit/hyperactivity disorder (ADHD) or complex post-traumatic stress disorder (CPTSD). This Perspective examines the epistemic assumptions embedded in that framing and their implications for trauma, neurodivergence, gender diversity, sensory distress and iatrogenic harm. Conclusions: Diagnostic disagreement is not evidence for the diagnosis being disputed. BPD is itself historically and culturally situated, and its application can relocate traumatic, neurodevelopmental, sensory and minority-stress-related distress into a purportedly disordered personality. When dissent, self advocacy or reports of harm are reinterpreted through the same construct, diagnostic reasoning risks becoming recursive and unfalsifiable. I argue for moving beyond BPD towards trauma-informed, neurodiversity-affirming, sensory-informed and epistemically just formulations that remain open to revision.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 1,
  "authors": [
    {
      "name": "Laurence Cobbaert"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/4st7jzcx805wk.bib",
  "cited_by": 0,
  "doi": "10.31234/osf.io/nw3g7_v1",
  "fulltext_url": null,
  "id": "4st7jzcx805wk",
  "issns": [],
  "landing_url": "https://osf.io/preprints/psyarxiv/nw3g7_v1/",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "bepress",
      "Psychiatry"
    ],
    [
      "bepress",
      "Social and Behavioral Sciences"
    ],
    [
      "openalex",
      "3203|Personality Disorders and Psychopathology"
    ]
  ],
  "openalex": "W7225090570",
  "pdf_url": "https://osf.io/nw3g7/download",
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-02",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/4st7jzcx805wk.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T12:21:21Z",
      "native_id": "nw3g7",
      "source": "osf",
      "url": "https://osf.io/preprints/psyarxiv/nw3g7_v1/"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "bepress:Psychiatry",
      "subfield": "psychiatry"
    }
  ],
  "title": "Borderline personality disorder, a diagnosis that cannot be challenged: If rejecting the diagnosis is a symptom, can the diagnosis ever be wrong? A response to Chazhoor and Younger (2026)",
  "title_text": "Borderline personality disorder, a diagnosis that cannot be challenged: If rejecting the diagnosis is a symptom, can the diagnosis ever be wrong? A response to Chazhoor and Younger (2026)",
  "type": "preprint",
  "updated_at": "2026-11-04T12:21:42Z",
  "url": "https://research.draconitic.com/paper/4st7jzcx805wk",
  "venue": "PsyArXiv",
  "versions": []
}