Subspecialist psychiatrists are sometimes selective about whom they will treat

EDITOR—The article by Kisely (on which one of us (AJP) wrote a commentary)1 and the responses to it show the difficulties that people with severe personality disorders present to health policymakers and the different views among mental health professionals who work with these patients. Haigh's letter2 and the longer electronic version of it3 provide an insight into how a psychiatrist working in a narrow subspecialty can lose sight of the realities of psychiatric practice Haigh has taken offence at the description in the commentary of a patient who deliberately harmed herself (her …