Definition of borderline disorder and its place in psychiatric nomenclature remain controversial topics. Historically, psychoanalytic psychiatrists used the term to define a “borderland” between neurotic and psychotic functioning where patients manifested primitive character styles, impulsive behavior, and disturbed interpersonal relations .1 The disorder was considered either a severe neurosis, a transitional prepsychotic disorder, or an infantile, impulse-ridden personality disorder. In the course of psychoanalytic treatment for various neurotic complaints, these patients would at times have difficulty reality testing, regress, and develop “transference psychoses.” In everyday life, they manifested “micropsychotic” episodes in response to specific psychodynamic stressors. These episodes were generally characterized by brief periods of referential thinking and paranoid ideation but responded to structure and direction from the therapist.
KeywordsDepressed Mood Personality Disorder Impulsive Behavior Borderline Personality Disorder Rejection Sensitivity
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- 1.Mack J. E.: Borderline states: An historical perspective, in Mack J. E. (ed): Borderline States in Psychiatry. New York, Grune & Stratton, 1975, pp 1–28.Google Scholar
- 2.Grinker R. R. Sr., Werble B., Drye R. C.: The Borderline Syndrome. New York, Basic Books, 1968.Google Scholar
- 4.Gunderson J. G., Kolb J. E., Austin V. : The diagnostic interview for borderline patients. Am J Psychiatry 138:895–903, 1981.Google Scholar
- 5.Perry J.: The Borderline Personality Disorder Scale. Cambridge, MA, Cambridge Hospital, 1982.Google Scholar
- 8.Andrulonis P. A., Glueck B. C., Stroebel C. F., et al: Organic brain dysfunction and the borderline syndrome. Psychiatr Clin North Am 4:61–66, 1981.Google Scholar
- 14.Nathan R. S., Soloff P. H., George A., et al: DST and TRH in borderline personality disorder, in Shagass C., Josiassen R., Bridger W. H., et al (eds): Biological Psychiatry, 1985. New York: Elsevier, 1986, pp 563–565.Google Scholar
- 17.Liebowitz M. R., Klein D. F.: Hysteroid dysphoria. Psychiatr Clin North Am 2:555–575, 1979.Google Scholar
- 19.Soloff P. H., George A., Nathan R. S., et al: Patterns of response among borderline patients with amitriptyline and haloperidol. Presented at the NCDEU meeting, Key Biscayne, FL, May 1987.Google Scholar
- 22.Cornelius J. R., Schulz S. C., Brenner R. P., et al: Changes in EEG mean frequency associated with anxiety and amphetamine challenge in BPD. Presented at the 41st Annual Meeting of the Society of Biological Psychiatry, Chicago, May, 1986.Google Scholar