Neuroscience and borderline personality disorder: Challenges for bioethics. (Part I)

Abstract

This work answers some questions about how to make a diagnosis of Borderline Personality Disorder (BPD), raises the question about whether it is enough to use the categorical model, or if the dimensional model provides a significant novelty that has been considered. If the treatment should be imposed for the good of the patient, even if he does not accept it. If all treatments have the same degree of validity and therefore recommendability. The dimensional model can provide light to advance in this direction, since breaking with a binary logic opens up to understand that normality and pathology are not synchronous cuts, but rather are like points on a continuum. The diagnosis of a mental disorder is transcendental for the person, both to achieve their improvement and recovery, as well as the possible adverse effects, mainly stigma, prejudice and discrimination (fewer job opportunities, limited medical coverage) to which they can lead. How to make a diagnosis of BPD? Is it enough to use the categorical model, or does the dimensional model provide a significant novelty? Keywords: BPD- Diagnosis- Mental-Disorder- Psychiatry- Neurosciences