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Mental capacity and borderline personality disorder

  • Karyn Ayre (a1), Gareth S. Owen (a2) and Paul Moran (a3)
Summary

The use of the Mental Capacity Act 2005 in assessing decision-making capacity in patients with borderline personality disorder (BPD) is inconsistent. We believe this may stem from persisting confusion regarding the nosological status of personality disorder and also a failure to recognise the fact that emotional dysregulation and characteristic psychodynamic abnormalities may cause substantial difficulties in using and weighing information. Clearer consensus on these issues is required in order to provide consistent patient care and reduce uncertainty for clinicians in what are often emergency and high-stakes clinical scenarios.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Karyn Ayre (karyn.ayre@slam.nhs.uk)
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Declaration of interest

None.

Footnotes
References
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BJPsych Bulletin
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Mental capacity and borderline personality disorder

  • Karyn Ayre (a1), Gareth S. Owen (a2) and Paul Moran (a3)
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