To be frank, I found “Reorienting a Depressed Patient to Address Underlying BPD”, by John Gunderson in the October 8th Issue of Psychiatric News disturbing and surprisingly sophomoric. It is objectionable to call a patient BPD or MMD, or any other diagnosis. He is a person with symptoms and a character. Diagnosis is but an aid to treatment. And secondly this illusion of an alliance is more appropriate for a vacuum cleaner salesman than a psychiatrist. A real relationship can only come about over time in real psychotherapy.
[My God, this is a teaching article. Dr. Gunderson is a bigwig in the APA. They have really lost their way.]