{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T05:58:21Z","timestamp":1791266301352,"version":"4.1.0"},"reference-count":12,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T00:00:00Z","timestamp":1715558400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Int."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Borderline personality disorder (BPD) has been a controversial diagnosis for over 40 years. It was to be removed from the latest version of the ICD, only to be reintroduced as a trait qualifier as a result of last-minute lobbying. Retaining BPD as a de facto diagnosis keeps us stuck at a deadlock that undermines the voices of patients who have persistently told us this label adds \u2018insult to injury\u2019. Miranda Fricker's concept of epistemic injustice helps illuminate how this affects subjectivity and speech, hermeneutically sealing patients in ways of thinking that are not evidence-based, resulting in testimonial smothering (altering or withholding one's narratives) and testimonial quieting (dismissing a speaker's capacity to provide worthy testimony) that prevent more affirmative explanations.<\/jats:p>","DOI":"10.1192\/bji.2024.16","type":"journal-article","created":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T08:50:28Z","timestamp":1715590228000},"page":"78-82","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":23,"title":["The epistemic injustice of borderline personality disorder"],"prefix":"10.1192","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2477-8039","authenticated-orcid":false,"given":"Jay","family":"Watts","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2024,5,13]]},"reference":[{"key":"S2056474024000163_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/01410768231164780"},{"key":"S2056474024000163_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30127-0"},{"key":"S2056474024000163_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780198237907.001.0001"},{"key":"S2056474024000163_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/PRA.0000000000000642"},{"key":"S2056474024000163_ref9","doi-asserted-by":"publisher","DOI":"10.1353\/fro.2012.a472779"},{"key":"S2056474024000163_ref2","doi-asserted-by":"publisher","DOI":"10.56021\/9781421446110"},{"key":"S2056474024000163_ref12","first-page":"6","article-title":"The personality disorder shield","volume":"41","author":"Watts","year":"2023","journal-title":"New Associations"},{"key":"S2056474024000163_ref6","doi-asserted-by":"publisher","DOI":"10.1080\/09515089.2022.2156333"},{"key":"S2056474024000163_ref4","doi-asserted-by":"publisher","DOI":"10.31219\/osf.io\/svz3w"},{"key":"S2056474024000163_ref8","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1128451"},{"key":"S2056474024000163_ref7","volume-title":"Testimonial Injustice and Borderline Personality Disorder, 2017","author":"Watts","year":"2017"},{"key":"S2056474024000163_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/0959353597071004"}],"container-title":["BJPsych International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056474024000163","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T11:16:01Z","timestamp":1731323761000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056474024000163\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,13]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["S2056474024000163"],"URL":"https:\/\/doi.org\/10.1192\/bji.2024.16","relation":{},"ISSN":["2056-4740","2058-6264"],"issn-type":[{"value":"2056-4740","type":"print"},{"value":"2058-6264","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,13]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2024. 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 licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","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"}]}}