The Antecedents that Inform the Diagnostic Category of Borderline Personality Disorder
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Women are diagnosed with Borderline Personality Disorder (BPD) 75% more often than men. The precise etiological causes of BPD are currently unknown just as the reason(s) for the high female prevalence of BPD has yet to be identified. The author explores the antecedents shaping the construction of BPD assessing the empirical evidence for BPD as well as BPD as a function of societal construction of gender differences. The author reviews the DSM processes which indicate that DSM disorders are not value-free but are founded in part on beliefs that may change through time and context which may impact upon the construction of disorders. The author explores BPD's changing criteria over three decades which indicates that BPD's validity may be in question.