Borderline Personality Disorder (BPD) remains one of the more controversial of the psychological diagnostic labels. The large majority of individuals diagnosed with BPD are women and a number of authors suggest the diagnosis is sexist and reflects a male-dominated outlook on personality functioning (Herman 1997; Zanarini 1997). Other authors point out that there are a significantly large percentage of those diagnosed with BPD who have a history of childhood sexual abuse (Van der Kolk et al. 2006; Courtois et al. 2009). These authors suggest that BPD may be better conceptualized as a complex form of posttraumatic stress disorder (Herman 1999; Courtois et al. 2009).
What are your thoughts on the matter? Is BPD a pejorative diagnosis? Is it sexist? Or is it a constellation of characteristic symptoms that accurately reflects a distinct personality type?