{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:49:58Z","timestamp":1792684198356,"version":"4.5.0"},"reference-count":22,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Debate about borderline personality disorder (BPD) has intensified, with some proposing its absorption into complex post-traumatic stress disorder and others questioning whether the diagnosis is harmful. These debates often obscure the central issue of construct validity. This paper evaluates whether BPD constitutes a coherent clinical entity. Drawing on Robins and Guze\u2019s classic diagnostic validators \u2013 symptom specificity, heritability, course of illness, biological markers and treatment response \u2013 the evidence demonstrates that BPD is a robustly validated psychiatric disorder that should be retained in future classification systems. Concerns about stigma and dimensional models are considered but do not undermine its empirical grounding.<\/jats:p>","DOI":"10.1192\/bjb.2025.10206","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:40:25Z","timestamp":1768887625000},"page":"1-3","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["The validity of borderline personality disorder: Robins and Guze applied"],"prefix":"10.1192","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5727-9423","authenticated-orcid":false,"given":"Mark L.","family":"Ruffalo","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036nfer12","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Central Florida College of Medicine"},{"name":"Tufts University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"S2056469425102064_ref3","volume-title":"Steps to an Ecology of Mind","author":"Bateson","year":"1972"},{"key":"S2056469425102064_ref14","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-019-0442-0"},{"key":"S2056469425102064_ref21","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S198804"},{"key":"S2056469425102064_ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s40263-023-01015-6"},{"key":"S2056469425102064_ref17","doi-asserted-by":"publisher","DOI":"10.1177\/070674371506000702"},{"key":"S2056469425102064_ref2","doi-asserted-by":"publisher","DOI":"10.1192\/bji.2024.16"},{"key":"S2056469425102064_ref20","doi-asserted-by":"publisher","DOI":"10.3390\/biomedicines13071783"},{"key":"S2056469425102064_ref10","doi-asserted-by":"publisher","DOI":"10.31234\/osf.io\/q9zcw_v1"},{"key":"S2056469425102064_ref5","volume-title":"Borderline Personality Disorder","author":"Gunderson","year":"1984"},{"key":"S2056469425102064_ref18","volume-title":"Psychiatric Diagnosis","author":"Goodwin","year":"1989"},{"key":"S2056469425102064_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000001722"},{"key":"S2056469425102064_ref9","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.2007.164.6.929"},{"key":"S2056469425102064_ref16","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2008.22.1.22"},{"key":"S2056469425102064_ref15","volume-title":"Borderline Conditions and Pathological Narcissism","author":"Kernberg","year":"1975"},{"key":"S2056469425102064_ref6","volume-title":"Borderline Personality Disorder: A Clinical Guide","author":"Gunderson","year":"2001"},{"key":"S2056469425102064_ref8","doi-asserted-by":"publisher","DOI":"10.3402\/ejpt.v5.25097"},{"key":"S2056469425102064_ref12","doi-asserted-by":"publisher","DOI":"10.1002\/wps.21156"},{"key":"S2056469425102064_ref4","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.126.7.983"},{"key":"S2056469425102064_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/S0006-3223(03)00636-X"},{"key":"S2056469425102064_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S0193-953X(05)70139-8"},{"key":"S2056469425102064_ref7","volume-title":"Treatment of Borderline Personality Disorder: A Guide to Evidence-Based Practice","author":"Paris","year":"2020"},{"key":"S2056469425102064_ref11","doi-asserted-by":"publisher","DOI":"10.1521\/pdps.2025.53.2.162"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469425102064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:40:28Z","timestamp":1768887628000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469425102064\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,20]]},"references-count":22,"alternative-id":["S2056469425102064"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2025.10206","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,20]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial licence (https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}