There is considerable controversy around psychiatric diagnosis generally and personality disorders specifically. Since its conception, borderline personality disorder has been controversial because of the stigma associated with the diagnosis and the therapeutic nihilism held by practitioners who encounter people with this high prevalence problem in acute settings. This paper reviews the history of the diagnosis of BPD and summarizes some of the controversy surrounding the categorical nature of diagnosis. Both the DSM 5 and ICD‐11 will be discussed; however, for the purposes of this paper, the DSM 5 will take the primary focus due to greater cultural significance. Recent developments in the treatment of borderline personality disorder suggest that it is a highly treatable condition and that full clinical recovery is possible. This paper formulates an argument that despite problems with psychiatric diagnosis that are unlikely to be resolved soon, a diagnosis should be made with an accompanying formulation to enable people to receive timely and effective treatment to enable personal and clinical recovery.

中文翻译：

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边缘性人格障碍：要诊断还是不诊断？就是那个问题。

一般而言，关于精神病学诊断，特别是关于人格障碍的争论颇多。自从概念被提出以来，边缘人格障碍就一直是有争议的，因为与在急性病中遇到这种高患病率的人的医生的诊断和治疗虚无性相关的污名。本文回顾了BPD诊断的历史，并总结了围绕诊断的分类性质的一些争议。将讨论DSM 5和ICD-11。但是，出于本文的目的，由于具有更大的文化意义，DSM 5将成为主要重点。边缘性人格障碍治疗的最新进展表明，这是一种高度可治疗的疾病，并且可能完全康复。