Talk:Borderline personality disorder

This is the talk page for discussing improvements to the Borderline personality disorder article.
This is not a forum for general discussion of the article's subject.

Put new text under old text. Click here to start a new topic.
New to Wikipedia? Welcome! Learn to edit; get help.

Article policies

Find medical sources: Source guidelines · PubMed · Cochrane · DOAJ · Gale · OpenMD · ScienceDirect · Springer · Trip · Wiley · TWL

Archives: 1, 2, 3, 4, 5, 6, 7, 8, 9: 90 days

Template:Vital article

Borderline personality disorder was one of the Social sciences and society good articles, but it has been removed from the list. There are suggestions below for improving the article to meet the good article criteria. Once these issues have been addressed, the article can be renominated. Editors may also seek a reassessment of the decision if they believe there was a mistake.

Article milestones
Date	Process	Result
March 4, 2006	Good article nominee	Listed
March 9, 2006	Featured article candidate	Not promoted
September 24, 2007	Good article reassessment	Kept
July 5, 2008	Good article reassessment	Delisted
Current status: Delisted good article

Psychology B‑class High‑importance

	Psychology portal This article is within the scope of WikiProject Psychology, a collaborative effort to improve the coverage of Psychology on Wikipedia. If you would like to participate, please visit the project page, where you can join the discussion and see a list of open tasks.PsychologyWikipedia:WikiProject PsychologyTemplate:WikiProject Psychologypsychology articles
B	This article has been rated as B-class on Wikipedia's content assessment scale.
High	This article has been rated as High-importance on the project's importance scale.

Medicine: Psychiatry B‑class High‑importance

	Medicine portal This article is within the scope of WikiProject Medicine, which recommends that medicine-related articles follow the Manual of Style for medicine-related articles and that biomedical information in any article use high-quality medical sources. Please visit the project page for details or ask questions at Wikipedia talk:WikiProject Medicine.MedicineWikipedia:WikiProject MedicineTemplate:WikiProject Medicinemedicine articles
B	This article has been rated as B-class on Wikipedia's content assessment scale.
High	This article has been rated as High-importance on the project's importance scale.
	Psychiatry portal This article is supported by the Psychiatry task force.

Template:WAP assignment

Ideal sources for Wikipedia's health content are defined in the guideline Wikipedia:Identifying reliable sources (medicine) and are typically review articles. Here are links to possibly useful sources of information about Borderline personality disorder.

PubMed provides review articles from the past five years (limit to free review articles)
The TRIP database provides clinical publications about evidence-based medicine.
Other potential sources include: Centre for Reviews and Dissemination and CDC

Daily pageviews of this article

A graph should have been displayed here but graphs are temporarily disabled. Until they are enabled again, visit the interactive graph at pageviews.wmcloud.org

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 23 August 2019 and 12 December 2019. Further details are available on the course page. Student editor(s): Karlikolsut22.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 16:07, 16 January 2022 (UTC)[reply]

No evidence for effectiveness?

“Despite no evidence of their effectiveness, SSRI antidepressants and quetiapine remain widely prescribed for the condition.”

-Link goes to a meta analysis which has a study that has an RCT (black 2014) that DOES show effectiveness for quetiapine and no other contradictory evidence, suggesting weak evidence FOR effectiveness rather than “no evidence of effectiveness” 2600:6C51:767F:B959:ACA0:5AE2:E71:A2A2 (talk) 07:27, 3 March 2022 (UTC)[reply]

Understanding the name

I apologize for being the one to ask a question with is almost certainly an obvious answer but I've always ben confused by the name. In most other contexts, "borderline" is used as adjective for some other condition. Borderline malnutrition, borderline diabetes, borderline osteoporosis, etc. A way of saying a patient is on the edge of the diagnostic criteria. Borderline personality disorder isn't that a patient is only 1 behavior away from being diagnosed with "Personality Disorder." It means personality disorder of the type "Borderline." Can anyone help me understand this better? I do apologize for cluttering up the talk page with such inanity. Nkuzmik (talk) 16:52, 4 May 2022 (UTC)[reply]

Hi @Nkuzmik:

The talk page is usually reserved for discussion on improving the wikipedia article itself; however, to answer your question, I encourage you to take a look at the 'History' section of the page. BPD was named because they categorized the patients as being on the borderline "between neurosis and psychosis" or as "a certain class of neurotics who, when in crisis, appeared to straddle the borderline into psychosis". You should also read the 'Terminology' section under controversy, as there is ongoing debate over the naming of BPD as well.

Best, Apathyash (talk) 19:52, 4 May 2022 (UTC)[reply]

Failed Verification (13 May 2022)

In the lead, there is a statement that Despite no evidence of their effectiveness, SSRI antidepressants and quetiapine remain widely prescribed for the condition. I read through the source for this statement and the statement fails verification with respect to quetiapine's efficacy:

With respect to quetiapine, the source notes on page 37 that Using these data, we observed moderate to large, statistically significant effects for both doses of quetiapine (150 mg/day and 300 mg/day) regarding BPD severity, psychosocial impairment and aggression, and an additional effect for the higher dose regarding manic symptoms. In other words, yes, there is statistical evidence that quetiapine is effective for treating BPD. The current phrasing appears to be a misreading of a pair of sentences^[1] sentence used in discussing the differences between the low-dose regime and the high-dose regime. In other words, the source is saying that both doses have a statistically significant effect on the severity of BPD, but the higher dose offers more adverse effects without clear additional efficacy of treatment when compared to the lower dose.

In line with this, I'm going to make changes to the way that this is discussed in the article. My reason for posting this here is to provide an extended explanation, since this would be too long to post in an edit summary. — Ⓜ️hawk10 (talk) 04:50, 13 May 2022 (UTC)[reply]

Notes

^ "Comparing the two active groups, we found no superiority of any group. Notably, there was no clear dose-effect relationship for clinical outcomes, i.e. beneficial effects of treatment, but a higher proportion of participants experiencing adverse events in the group with the higher dose."

Image of self-harm scars

May someone please remove the image of self-harm scars in "Signs and Symptoms" (Self-harm and Suicide)? As someone who deals with self-harm and self destructive thoughts and behavior this image can be very triggering, specially considering is very graphic and can lead to people to compare their own self-harm scars or injuries to the one in the picture.

[1] "Comparing the two active groups, we found no superiority of any group. Notably, there was no clear dose-effect relationship for clinical outcomes, i.e. beneficial effects of treatment, but a higher proportion of participants experiencing adverse events in the group with the higher dose."

[1]