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Borderline-personality Quote by Christine A. Courtois

“... as Herman (1992b) cogently noted two decades ago, these personality disorders can be iatrogenic, causing harm to individuals as an inadvertent result of the social stigma they carry and the widespread (but not entirely accurate) belief among professionals and insurers that those with Cluster B…” quote by Christine A. Courtois
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““... as Herman (1992b) cogently noted two decades ago, these personality disorders can be iatrogenic, causing harm to individuals as an inadvertent result of the social stigma they carry and the widespread (but not entirely accurate) belief among professionals and insurers that those with Cluster B personality disorders (especially borderline personality disorder[BPD]) cannot be treated successfully, cannot recover, and are a headache to practitioners. For example, the BPD diagnosis continues to be applied predominantly to women often, but not always, in a negative way, usually signifying that they are irrational and beyond help. Describing posttraumatic symptoms as a personality disorder not only can be demoralizing for the client due to its connotation that something is defective with his or her core self (i.e., personality) but also may misdirect the therapist by implying that the patient's core personality should be the focus of treatment rather than trauma-related adaptations that affect but are distinct from the core self. In this way, both therapists and their clients may overlook personality strengths and capacities that are healthy and sources of resilience that can be a basis for building on and enhancing (rather than "fixing" or remaking) the patient's core self and personality.””

Christine A. Courtois

About This Quote

Source Article: Herman 1992b on personality disorders, 1992

Labeling personality disorders as untreatable can cause stigma, demoralization, and misdirected treatment, overlooking resilience and strengths.

In simple terms: Stigma harms patients and misguides therapy.

Key Takeaway

Recognize strengths, focus on trauma adaptations, not core personality.

Themes

stigma misdiagnosis resilience therapy gender bias

Mood

concerned reflective

Type

clinical educational

When to use this quote

  • clinical assessment
  • therapeutic planning
  • patient empowerment
  • gender-sensitive practice

Key Concepts

iatrogenic harm clinical bias trauma-informed care

Questions to Reflect On

  • How can clinicians balance diagnostic clarity with avoiding stigma?
  • What strengths can be leveraged in treatment?
A Different Perspective

Stigma may persist despite education; systemic change is slow.

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