Thread by @Keirwales

And we are here (late!) To the @rcpsych GAP conference. So far we think we've spotted @lovebillybragg and @SameiHuda. Looking forward to an interesting day #rcpg #rcpsychgap2022

Some talk about the long term plan. Years ago "personality disorder" wouldn't have got a mention... #rcpsychgap2022

Up next is @Shrink_at_Large on Changing the Srory around PD #rcpsychgap2022

The pros and cons and diagnosis

"Do better than a thorn in the flesh" #rcpsychgap2022

Does a diagnosis get in the way of the credibility of those it is given to?

#rcpsychgap2022
google.com/amp/s/www.huff…

The borderline pattern collapses the model of the ICD-11 @Shrink_at_Large

The problem with borderline is it links to such a powerful prototype (cartoon?) of manipulative, attention seeking etc...

Is that useful and what does it hide? #rcpsych2022

3/4 people will get a personality disorder label of some description (mild/moderate/severe/difficulties), which is a problem if it links to that prototype/cartoon 🤔

#traumanotpd #rcpsychgap2022

So we need to remember the huge levels of trauma in the lives of those diagnosed with "bpd" (or bpd pattern) #rcpsychgap2022

So what else is hidden in the BPD pattern? Well, there's a lot of ASD around #rcpsychgap2022

Can we see past that cartoon/stereotype?

Do we just need a new name?

1 Personality is not a neutral term.

Others reaction to "personality disoder" ramps up shame.

#rcpsychgap2022

2 You stop being believed

"If you wanted to kill yourself you would have" etc

#rcpsychgap2022

Attempted solutions to manage distress are seen as symptoms of illness/a disordered personality

#rspsychgap2022

Credit to @RRowanOlive

"BPD" reaches back in time and rewrites our history, validating the worst things people have ever taught us #rcpsychgap2022

It is a closed system, everything is understood as bpd. Silent = attention seeking or communicative = manipulative

#rcpsychgap2022

So why isn't there more change? We've been going on about this for years... #rcpsychgap2022

The @rcpsych position statement says great things about relational working, but this diagnosis undermines relationships

#rcpsychgap2022

The thorn in flesh course...

#rcpsychgap2022

The status quo is maintained by the idea that good care is dependent on the diagnosis of personality disorder

It's not just "bad staff". This term allows the pathologisation of difficulty/discomfort

#rcpsychgap2022

Some solutions 👇

#rcpsychgap2022

There's a question along the lines of "but how do we help," is SCM the answer?

In some ways it's a brave question but in others it shows how unprepared services are for helping people who have survived neglect/abandonment and abuse #rcpsychgap2022

If EUPD/BPD doesn't exist how do we account for people benefiting from DBT/MBT?

Those therapies aren't diagnosis specific and offer things helpful to many people. Why can't we offer them without people having to accept a PD label? #rcpsychgap2022

A plea to read @RITB_ s classic 👇

#rcpsychgap2022
recoveryinthebin.org/a-simple-guide…

And that is my @Mental_Elf audition over.