âMuch of the BPD or EUPD diagnosis is based on gender role stereotypes and sexism. Women and girls are ideally polite, nice, happy, content, quiet, have no opinions or ambitions and live to serve others. âDifficult womenâ are frequently diagnosed with borderline personality disorder (Ussher, 2013). The typical borderline patient has been described as a âdemanding, angry, aggressive womanâ, who is labelled as âmentally disorderedâ (Jimenez, 1997: 162, 163) for behaving in a way that is perfectly acceptable in a man. Research found that menâs sadness and anger was considered to be related to situational factors â such as âhaving a bad dayâ â whereas sad or angry women were judged as âtoo emotionalâ (Barrett and Bliss-Moreau, 2009). Indeed, I always make the point of telling frontline practitioners that the diagnostic criteria from DSM II for âhysteriaâ and the diagnostic criteria from DSM V for âborderline personality disorderâ are very similar. Hysteria has been described as the âwastebasket of mental healthâ and BPD has been described as a âcatch-all diagnosisâ. They are essentially the same diagnosis. They are both targeting women and girls. They are both built around gender role stereotypes. They both oppress traumatised and abused women. Where hysteria (or âwandering womb syndromeâ) was said to be caused by womenâs hormones and biology â BPD is said to be a disordered personality. Both innate, internal causes which need to be medicated, treated and dealt with.â
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