It's not like saying, "it's not a unicorn, it's a rhinoceros. But white people know exactly what it means in that context. It isn't less pejorative, it isn't more "real. When you read articles saying "borderline is a pejorative term, and these patients are often really bipolar" what you need to understand is that "bipolar" is not a more valid or reliable diagnosis, it's simply another heuristic. The above 3 female doesn't need limit setting, she needs mirroring transference, etc.
In that case, the word suddenly means something completely different than it ordinarily does: Second, borderline is meant as a synonym for any of the following: So she may, indeed, be a "ho" under the Oxford English Dictionary definition, or may not be. A ho sleeps with everyone but you. This isn't automatically good or bad; the heuristic is only as helpful as the bias. The heuristic may have a lot, or absolutely no, relationship to the diagnosis. It isn't less pejorative, it isn't more "real. A slut sleeps with everyone. The diagnosis of bipolar is reliable, but in the same way as the KKK's diagnosis of society's ills was reliable. First, borderline is a heuristic of countertransference: It may be completely wrong, it may be completely right, it may be partly right, partly wrong, in some cases but not others, etc. What psychiatrists should have done is invented their own special word for the heuristic of "borderline. Third, it is generally reserved for the following four types: But when the word is used in conversation, everyone "knows" you didn't have sex with her. Once again, I'm saying that this is how the diagnosis is used by many psychiatrists. Narcissism as a heuristic is reserved for either successful, or threatening, men; the countertransference is defensive condescension, as in, "go ahead and rant; you think just because you're a millionaire lawyer, you're going to intimidate me? But her anger makes the psychiatrist uncomfortable, so it gets labeled as borderline. If you want to know why I've used racial analogies throughout this post, it's because these are all, in essence, prejudices. It's not really any of those after all, is it? A diagnosis of borderline personality disorder could, theoretically, mean that the psychiatrist made a serious attempt at evaluating defense mechanisms and ego integrity; or at least a matching of symptoms to DSM criteria. If you email me and say that I'm a jerk for not understanding the term, then you need to go buy yourself a helmet. Those "things" however, are uncoupled from the "official" diagnosis. And don't forget about the narcissistic injury. However, in general they are diagnosed very unrigorously, if such a thing can be imagined of psychiatrists. So when I'm being referred a "30 year old borderline," I know almost exactly what I'm getting, even though it has nothing to do with borderline.
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