Abstract
The diagnosis of borderline disorder is among the most controversial in modern psychiatry. It is a concept whose origins extend into the last century; yet it has only recently achieved official status as a psychiatric disorder in the third edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (APA, 1980) (DSM-III). Controversy continues over the reliability and validity of the construct and the criteria used to define it. Despite the academic debate, the popularity of the clinical concept continues to grow. Estimates of the prevalence of the borderline diagnosis range from 7.8% of admissions to the psychiatric ward of a general teaching hospital (Mack, 1975) to 25% of admissions to a psychoanalytic psychiatric institute (Andrulonis, Glueck, Stroebel, Vogel, Shapiro, & Aldridge, 1981).
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References
Adler, G. (1979). The myth of the alliance with borderline patients. American Journal of Psychiatry, 136, 642–645.
Akiskal, H. S. (1981). Sub-affective disorders, dysthymic, cyclothymic and bipolar II disorders in the borderline realm. Psychiatric Clinics of North America, 4, 25–46.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders ( 3rd ed.; DSM-III). Washington, DC: Author.
Andrulonis, P. A., Glueck, B. L., Stroebel, C. F., Vogel, N. G., Shapiro, A. L., & Aldridge, D. M. (1981). Organic brain dysfunction and the borderline syndrome. Psychiatric Clinics of North America, 4, 61–66.
Baron, M., Gruen, R., Asnis, L., & Lord, S. (1985). Familial transmission of schizotypal and borderline personality disorders. American Journal of Psychiatry, 142, 927–934.
Bleuler, E. (1950). Dementia praecox, or the group of schizophrenias (trans. by J. Zinkin). New York: International Universities Press. (Originally published 1911.)
Bradley, S. J. (1979). The relationship of early maternal separation to borderline personality in children and adolescents: a pilot study. American Journal of Psychiatry, 138, 424–426.
Burnham, D. L. (1966). The special-problem patient: Victim or agent of splitting. Psychiatry, 29, 105–122.
Carpenter, W. T., & Gunderson, J. G. (1977). Five year follow-up comparison of borderline and schizophrenic patients. Comprehensive Psychiatry, 18, 567–571.
Carpenter, W. T., Gunderson, J. G., & Strauss, J. S. (1977). Considerations of the Borderline Syndrome: A longitudinal comparative study of borderline and schizophrenic patients. In: P. Hartocollis (Ed.), Borderline personality disorders (pp. 231–254 ). New York: International Universities Press.
Carroll, B. J., Greden, J. T., & Feinberg, M. (1981). Neuroendocrine evaluation of depression in borderline patients. Psychiatric Clinics of North America, 4, 89–99.
Cornelius, J. R., Brenner, R. P., Soloff, P. H., Schulz, S. C., & Tumuluru, R. N. (1986). EEG abnormalities in borderline personality disorder: Specific or nonspecific. Biological Psychiatry, 21, 977–980.
Cowdry, R. W., & Gardner, D. L. (1988). Pharmacotherapy of borderline personality disorder. Archives of General Psychiatry, 45, 111–119.
Easser, B. R., & Lesser, S. R. (1965). Hysterical personality: A re-evaluation. Psychoanalysis Quarterly, 34, 390–405.
Faltus, F. J. (1984). The positive effect of alprazolam in the treatment of three patients with borderline personality disorder. American Journal of Psychiatry, 141, 802–803.
Frank, H., & Paris, J. (1981). Recollections of family experience in borderline patients. Archives of General Psychiatry, 38, 1031–1034.
Frosch, J. (1964). The psychotic character: Clinical psychiatric considerations. Psychiatric Quarterly, 38, 8196.
Gardner, D. L., & Cowdry, R. W. (1985). Alprazolam-induced dyscontrol in borderline personality disorder. American Journal of Psychiatry, 142, 98–100.
Gardner, D. L., & Cowdry, R. W. (1986). Positive effect of carbamazepine on behavioral dyscontrol in borderline personality disorder. American Journal of Psychiatry, 143, 519–522.
Goldberg, S. C., Schulz, C., Schulz, P. M., Resmick, R. J., Hammer, R. M., & Friedel, R. O. (1986). Borderline and schizotypal personality disorders treated with low-dose thiothixene vs. placebo. Archives of General Psychiatry, 43, 680–686.
Goldstein, W. N. (1983). DSM III and the diagnosis of borderline, American Journal of Psychotherapy, 37, 312–327.
Grinker, R. R., Werble, B., & Drye, R. C. (1968). The borderline syndrome: A behavioral study of ego-functions. New York: Basic Books.
Gunderson, J. G. (1982). Empirical studies of the borderline diagnosis. In: L. Grinspoon (Ed.), Psychiatry 1982: Annual Review (pp. 415–435 ). Washington, DC: American Psychiatric Association.
Gunderson, J. G. (1984a). Borderline personality disorder. Washington, DC: American Psychiatric Association.
Gunderson, J. G. (1984b). Research on the psychotherapy of borderline personality disorder: Patient recruitment and retention. National Institute of Mental Health Workshop, November 8–9, Washington, DC.
Gunderson, J. G., & Elliott, G. R. (1985). The interface between borderline personality disorder and affective disorders. American Journal of Psychiatry, 142, 227–288.
Gunderson, J. G., & Kolb, J. E. (1978). Discriminating features of borderline patients. American Journal of Psychiatry, 135, 792–796.
Gunderson, J. G., & Singer, M. T. (1975). Defining borderline patients: An overview. American Journal of Psychiatry, 132, 1–10.
Gunderson, J. G., Kolb, J. E., & Austin, V. (1981). The Diagnostic Interview of Borderline Patients. American Journal of Psychiatry, 138, 896–903.
Hartocollis, P. (1979). Minimal brain dysfunction in young adults. In: L. Bellak (Ed.), Psychiatric aspects of minimal brain dysfunction in adults (pp. 103–113 ). New York: Grune & Stratton.
Hoch, P., & Polatin, P. (1949). Pseudoneurotic forms of Schizophrenia. Psychiatric Quarterly, 23, 248–276.
Hoch, P. H., & Cattell, J. P. (1959). The diagnosis of pseudoneurotic schizophrenia. Psychiatric Quarterly, 33, 17–43.
Kendler, K. (1985). Diagnostic approaches to schizotypal personality disorder. Schizophrenia Bulletin, 11, 538–553.
Kernberg, O. F. (1967). Borderline personality organization. Journal of American Psychoanalytic Association, 15, 641–685.
Kernberg, O. F. (1975). Borderline conditions and pathological narcissism. New York: Jason Aronson.
Kemberg, O. F. (1978). Contrasting approaches to the psychotherapy of borderline conditions. In: J. F. Masterson (Ed.), New perspectives on psychotherapy of the borderline adult. New York: Brunner/Mazel.
Kernberg, O. F., Goldstein, E. G., Can, A. C., Hunt, H. F., Bauer, S. F., & Blumenthal, R. (1981). Diagnosing borderline personality. Journal of Nervous Mental Disease, 169, 225–231.
Kety, S. S., Rosenthal, D., Wender, P. H., & Schulsinger, F. (1968). The types and prevalence of mental illness in the biological and adoptive families of adopted schizophrenics. In: D. Rosenthal (Ed.), The transmission of schizophrenia (pp. 345–362 ). New York: Pergamon Press.
Knight, R. P. (1954). Management and psychotherapy of the borderline schizophrenic patient. In: R. P. Knight & C. R. Friedman (Eds.), Psychoanalytic psychiatry and psychology (pp. 110–122 ). New York: International Universities Press.
Kolb, J. E., & Gunderson, J. G. (1980). Diagnosing borderline patients with a semi-structured interview. Archives of General Psychiatry, 37, 37–41.
Kroll, J., Sines, L., & Martin, K. (1981). Borderline personality disorder: Construct validity of the concept. Archives of General Psychiatry, 38, 1021–1026.
Leone, N. F. (1982). Response of borderline patients to loxapine and chlorpromazine. Journal of Clinical Psychiatry, 43, 148–150.
Liebowitz, M. R., & Klein, D. F. (1979). Hysteroid dysphoria. Psychiatric Clinics of North America, 2, 555–575.
Loranger, A. W., Oldham, J., & Tulis, E. (1982). Familial transmission of borderline personality. Archives of General Psychiatry, 39, 795–802.
Mack, J. E. (1975). Borderline states: An historical perspective. In: J. E. Mack (Ed.), Borderline states in psychiatry (pp. 1–29 ). New York: Grune & Stratton.
Mahler, M. S., Pine, F., & Bergman, A. (1975). The psychological birth of the human infant. New York: Basic Books.
Main, T. F. (1957). The ailment. British Journal of Medical Psychology, 30, 129–145.
Marmor, J. (1953). Orality in the hysterical personality. Journal of American Psychoanalysis Association, 1, 656–671.
Masterson, J. F. (1976). Psychotherapy of the borderline adult. New York: Brunner/Mazel.
Murray, M. E. (1979). Minimal brain dysfunction and borderline personality adjustment. American Journal of Psychiatry, 33, 391–403.
Perry, J. C., & Klerman, G. L. (1978). The borderline patient: a comparative analysis of four sets of diagnostic criteria. Archives of General Psychiatry, 35, 141–150.
Perry, J. C., & Klerman, G. L. (1980). Clinical features of the borderline personality disorder. American Journal of Psychiatry, 137, 165–173.
Pope, H. G., Jonas, J. M., Hudson, J. I., Cohen, B. M., & Gunderson, J. G. (1983). The validity of DSM-III borderline personality disorder. Archives of General Psychiatry, 40, 23–30.
Reus, V. I., & Markrow, S. (1984). Alprozalam in the treatment of borderline personality disorder. Presented at the Annual Meeting of the Society for Biological Psychiatry, May 2–6, Los Angeles.
Rifkin, A., Quitkin, F., & Carrillo (1972). Lithium carbonate in emotionally unstable character disorders. Archives of General Psychiatry, 27, 519–523.
Rinsley, D. R. (1978). Borderline psychopathology: A review of etiology, dynamics and treatment. International Review of Psycho-Analysis, 5, 45–54.
Rubin, A. L. (1986). Pharmacotherapy in borderline personality disorder. Presented at Annual Meeting of the American Psychiatric Association, May 13, Washington, DC.
Schulz, S. C., Cornelius, J., Schulz, P. M., Brenner, R., & Soloff, P. H. (1984). Can amphetamine testing solve the heterogeneity of borderline disorders? Presented at New Research, Annual Meeting of the American Psychiatric Association, Los Angeles.
Serban, G., & Siegel, S. (1984). Response of borderline and schizotypal patients to small doses of thiothixene and haloperidol. American Journal of Psychiatry, 141, 1455–1458.
Shader, R. I., Jackson, A. H., & Dodes, L. M. (1984). The antiaggressive effects of lithium in man. Psychopharmacologia (Berl), 40, 17–24.
Shapiro, E. R., Zinner, J., Shapiro, R. L., et al. (1975). The influence of family experience on borderline personality development. International Review of Psycho-Analysis, 2, 399–411.
Sheard, M. H. (1975). Lithium in the treatment of aggression. Journal of Nervous and Mental Disease, 160, 108–118.
Sheehy, M., Goldsmith, L., & Charles E. (1980). A comparative study of borderline patients in a psychiatric out-patient clinic. American Journal of Psychiatry, 137, 1374–1379.
Siever, L. J. (1981). Schizoid and schizotypal personality disorders. In: J. R. Lion (Ed.), Personality disorders: Diagnosis and management ( 2nd ed. ) (pp. 32–65 ). Baltimore: Williams & Wilkins.
Siever, L. J. (1985). Biological markers and schizotypal personality disorders. Schizophrenia Bulletin, 11, 564–575.
Siever, L. J. & Gunderson, J. G. (1979). Genetic determinants of borderline conditions. Schizophrenia Bulletin, 5, 59–86.
Soloff, P. H. (1981). Affect, impulse and psychosis in borderline disorders: A validation study. Comprehensive Psychiatry, 22, 337–350.
Soloff, P. H., & Millward, J. W. (1983). Psychiatric disorders in the families of borderline patients. Archives of General Psychiatry, 40, 37–48.
Soloff, P. H., & Ulrich, R. F. (1981). The diagnostic interview for borderlines: A replication study. Archives of General Psychiatry, 38, 686–692.
Soloff, P. H., George, A., Nathan, R. S., Schulz, P. M., Ulrich, R. F., & Perel, J. M., (1986). Progress in pharmacotherapy of borderline disorders. Archives of General Psychiatry, 43, 691–697.
Spitzer, R. L., & Endicott, J. (1979). Justification for separating schizotypal and borderline personality disorders. Schizophrenia Bulletin, 5, 95–104.
Spitzer, R. L., Endicott, J., & Gibbon, M. (1979). Crossing the border into borderline personality and borderline schizophrenia. The development of criteria. Archives of General Psychiatry, 36, 17–24.
Stone, M. H. (1977). The borderline syndrome: Evolution of the term, genetic aspects and prognosis. American Journal of Psychotherapy, 31, 345–365.
Stone, M. H. (1981). Psychiatrically ill relatives of borderline patients: A family study. Psychiatric Quarterly, 58, 71–83.
Tupin, J. P., Smith, D. B., Classon, T. L., Kim, L. I., Nugent, A., & Gaupe, A. (1973). Long-term use of lithium in aggressive prisoners. Comprehensive Psychiatry, 14, 311–317.
Waldinger, R. J., & Gunderson, J. G. (1984). Completed psychotherapies with borderline patients. American Journal of Psychotherapy, 38, 190–202.
Wolberg, A. R. (1982). Psychoanalytic psychotherapy of borderline patients. New York: Thieme-Stratton.
Zetzel, E. (1971). A development approach to the borderline patient. American Journal of Psychiatry, 127, 867–871.
Zilboorg, G. (1941). Ambulatory schizophrenia. Psychiatry, 4, 149–155.
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Soloff, P.H. (1990). Borderline Disorders. In: Thase, M.E., Edelstein, B.A., Hersen, M. (eds) Handbook of Outpatient Treatment of Adults. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0894-0_14
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DOI: https://doi.org/10.1007/978-1-4899-0894-0_14
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