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Regarded by some as controversial, it is important for research to provide greater understanding of differing perspectives and their impact on the use of this diagnosis. Perspectives of 13 clinicians (therapists, psychiatrists and mental health nurses) were explored, to provide a contemporary understanding of perceptions and use of BPD diagnosis within child and adolescent mental health services in England. A particular focus was to explore dilemmas faced by clinicians and how these dilemmas were negotiated. This research took a qualitative, social constructionist approach to explore the in\u2010depth views and experiences of each participant. Interviews were analysed using thematic analysis, to seek out patterns and commonalities across these clinical perspectives. Three overarching themes were generated: \u2018Who holds the power?\u2019, \u2018Dilemmas within the multidisciplinary team (MDT)\u2019 and \u2018The weightiness of making this decision\u2019. Professional opinions of an adolescent BPD diagnosis are influenced by dominant and less dominant mental health discourses, including the impact of power, and availability of resources within the service context. The role of meaningful collaboration with young people, clinical implications and directions for future research are discussed.<\/jats:p>","DOI":"10.1002\/pmh.1541","type":"journal-article","created":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T14:27:16Z","timestamp":1649428036000},"page":"300-308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Diagnosis and dilemma: Clinician experiences of the use of \u2018borderline personality disorder\u2019 diagnosis in children and adolescents"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2860-2383","authenticated-orcid":false,"given":"Rose","family":"Papadopoullos","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology, Norwich Medical School University of East Anglia  Norwich UK"},{"name":"The Family Psychologist  Kidderminster UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Fisher","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Leddy","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Maxwell","sequence":"additional","affiliation":[{"name":"Cranbrook Centre Northgate Hospital  Great Yarmouth UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo","family":"Hodgekins","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology, Norwich Medical School University of East Anglia  Norwich UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,8]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732317734828"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_4_1","volume-title":"Diagnostic and statistical manual of mental disorder, 3rd edition (DSM\u20103)","author":"American Psychiatric Association Committee of Nomenclature and Statistics","year":"1980"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10673220600975121"},{"key":"e_1_2_9_6_1","volume-title":"The social construction of reality","author":"Berger P.","year":"1991"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1704846"},{"key":"e_1_2_9_9_1","volume-title":"Response to the APA: DSM\u20105 development","author":"British Psychological Society","year":"2011"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203299968"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2174\/157340008783743820"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.115.052456"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702617691546"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/17522439.2019.1582687"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.116.055251"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1348\/014466599162782"},{"key":"e_1_2_9_17_1","unstructured":"Emergence. 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