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Thanks for sharing your expertise – Even within the UK I collect there are these in psychological health care who really consider in the Restoration Mannequin and those that pay lip service but do not actually get it. I agree with what you say about personality dysfunction – labelling folks could generally be convenient for the medics but it is not all the time useful to those labelled – higher to help individuals get ‘properly’ quite than stigmatising them with an unhelpful label!