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Borderline States

Published online by Cambridge University Press:  02 January 2018

Mark Berelowitz
Mark Berelowitz*
Affiliation:
Camberwell Child Guidance Clinic and the Maudsley Hospital Children's Department, Denmark Hill, London SE5 8AZ
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Extract

A new diagnostic category, borderline personality disorder, was included in the psychiatric classificatory system for the first time when it appeared in the DSM–III (American Psychiatric Association, 1980). However, the label, some of the associated concepts, and of course, the patients, have all been around for much longer. The contemporary concepts have two roots. The first is in the psychoanalytic literature: on the borderline between neurosis and psychosis. These patients are chronically unstable and impulsive, have difficulties in close relationships, and are prone to brief psychotic episodes. The second root is in the general psychiatric literature: on the border of schizophrenia. These patients are cold and aloof, with odd speech, depersonalisation and derealisation, and recurrent illusions. This dual origin will be reflected in the choice of papers and books.

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Information
The British Journal of Psychiatry , Volume 156 , Issue 5 , May 1990 , pp. 752 - 754
Copyright
Copyright © Royal College of Psychiatrists, 1990 

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References

Ainsworth, M. D. S., Blehar, M. C., Waters, E., et al (1978) Patterns of Attachment: A Psychological Study of the Strange Situation. Hillsdale, NJ: Erlbaum.Google Scholar
Akiskal, H. S. (1981) Subaffective disorders: dysthymic, cyclothymic and bipolar II disorders in the ‘borderline’ realm. Psychiatric Clinics of North America, 4, 25–46.Google Scholar
Akiskal, H. S., Chen, E. S., Davis, G. C., et al (1985) Borderline: an adjective in search of a noun. Journal of Clinical Psychiatry, 46, 41–48.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
Balint, M. (1968) The Basis Fault. London: Tavistock Publications.Google Scholar
Barrash, J., Kroll, J., Carey, K., et al (1983) Discriminating borderline personality disorder from other personality disorders: cluster analysis of the Diagnostic Interview for Borderlines. Archives of General Psychiatry, 40, 1297–1302.Google Scholar
Bowlby, J. (1982) Attachment and Loss: Vol. 1. Attachment (2nd edn). New York: Basic Books.Google Scholar
Dahl, A. A. (1985) A critical examination of empirical studies of the diagnosis of borderline disorders in adults. Psychiatric Developments, 3, 1–29.Google Scholar
Fairbairn, W. R. D. (1940) Schizoid factors in the personality. In Psychoanalytic Studies of the Personality. London: Tavistock.Google Scholar
Fitzgerald, F. S. (1939) Tender is the Night. Harmondsworth: Penguin.Google Scholar
Freud, S. (1895) Studies on hysteria. In The Standard Edition of the Complete Psychological Works of Sigmund Freud, Vol. II. London: Hogarth Press and the Institute of Psycho-Analysis.Google Scholar
Gunderson, J. G. (1986) Pharmacotherapy for patients with borderline personality disorder. Archives of General Psychiatry, 43, 698–700.Google Scholar
Gunderson, J. G. & Singer, M. T. (1975) Defining borderline patients: an overview. American Journal of Psychiatry, 132, 1–10.Google Scholar
Gunderson, J. G. & Kolb, J. E. (1978) Discriminating features of borderline patients. American Journal of Psychiatry, 135, 792–796.Google Scholar
Gunderson, J. G., Kolb, J. E. & Austin, V. (1981) The diagnostic interview for borderline patients. American Journal of Psychiatry, 138, 896–903.Google Scholar
Gunderson, J. G., Siever, L. J. & Spaulding, E. (1983) The search for a schizo-type: crossing the border again. Archives of General Psychiatry, 40, 15–22.Google Scholar
Gunderson, J. G. & Eliot, G. R. (1985) The interface between borderline personality disorder and affective disorder. American Journal of Psychiatry, 142, 277–288.Google Scholar
Hoch, P. H. & Cattell, J. P. (1959) The diagnosis of pseudoneurotic schizophrenia. Psychiatric Quarterly, 33, 17–43.Google Scholar
Kendler, K. S., Gruenberg, A. M. & Strauss, J. S. (1981) An independent analysis of the Copenhagen sample of the Danish adoption study of schizophrenia: II. The relationship between schizotypal personality disorder and schizophrenia. Archives of General Psychiatry, 38, 982–984.CrossRefGoogle Scholar
Kernberg, O. F. (1975) Borderline Conditions and Pathological Narcissism. New York: Jason Aronson.Google Scholar
Kernberg, O. F. (1980) Internal World and External Reality. New York: Jason Aronson.Google Scholar
Kernberg, O. F. Burstein, E. D., Coyne, L., et al (1972) Psychotherapy and psychoanalysis: final report of the Menninger Foundation's psychotherapy research project. Bulletin of the Menninger Clinic, 36, 1–277.Google Scholar
Kohut, H. (1977) The Restoration of the Self. New York: International Universities Press.Google Scholar
Kroll, J., Carey, K., Sines, L., et al (1982) Are there borderlines in Britain? Archives of General Psychiatry, 39, 60–63.Google Scholar
Liebowitz, M. R. (1979) Is borderline a distinct entity? Schizophrenia Bulletin, 5, 23–37.Google Scholar
McGlashan, T. H. (1986) Long-term outcome of borderline patients. Archives of General Psychiatry, 40, 1319–1323.Google Scholar
Mahler, M. S., Pine, F. & Bergmann, A. (1975) The Psychological Birth of the Human Infant. London: Hutchinson.Google Scholar
Main, T. F. (1957) The ailment. British Journal of Medical Psychology, 30, 129–145.Google Scholar
Modestin, J. (1980) Borderline: a concept analysis. Acta Psychiatrica Scandinavica, 61, 103–110.Google Scholar
Pope, H. G., Jonas, J. M., Hudson, J. I., et al (1983) The validity of DSM–III borderline personality disorder. Archives of General Psychiatry, 40, 23–30.Google Scholar
Rey, H. (1979) Schizoid phenomena in the borderline. In Advances in Psychotherapy of the Borderline Patient (eds Le Boit, J. & Capponi, A.). New York: Jason Aronson.Google Scholar
Rinsley, D. B. (1984) A comparison of borderline and narcissistic personality disorders. Bulletin of the Menninger Clinic, 48, 1–9.Google Scholar
Rosenfeld, H. (1979) Difficulties in the psychoanalytic treatment of borderline patients. In Advances in Psychotherapy of the Borderline Patient (eds Le Boit, J. & Capponi, A.). New York: Jason Aronson.Google Scholar
Rosenthal, D. & Kety, S. (eds) (1968) The Transmission of Schizophrenia. New York: Pergamon Press.Google Scholar
Segal, H. (1975) Introduction to the Work of Melanie Klein (2nd edn). London: Hogarth Press.Google Scholar
Shapiro, E. R. (1978) The psychodynamics and developmental psychology of the borderline patient: a review of the literature. American Journal of Psychiatry, 135, 1305–1315.Google Scholar
Spitzer, R. L. & Endicott, J. (1979) Justification for separating schizotypal and borderline personality disorders. Schizophrenia Bulletin, 5, 95–100.Google Scholar
Spitzer, R. L., Endicott, J. & Gibbon, M. (1979) Crossing the border into borderline personality and borderline schizophrenia. Archives of General Psychiatry, 36, 17–24.Google Scholar
Steiner, J. (1979) The border between the paranoid-schizoid and the depressive positions in the borderline patient. British Journal of Medical Psychology, 52, 385–391.Google Scholar
Steiner, J. (1987) The interplay between pathological organizations and the paranoid-schizoid position. International Journal of Psycho-Analysis, 68, 69–80.Google Scholar
Stern, A. (1938) Psychoanalytic investigation of and therapy in the borderline group of neuroses. Psychoanalytic Quarterly, 7, 467–489.Google Scholar
Stone, M. H. (1980) The Borderline Syndromes. New York: McGraw-Hill.Google Scholar
Sutherland, D. (1980) The British object relations theorists: Balint, Winnicott, Fairbairn & Guntrip. Journal of the American Psychoanalytic Association, 28, 829–860.Google Scholar
Tarnopolsky, A. & Berelowitz, M. (1987) Borderline personality: a review of recent research. British Journal of Psychiatry, 151, 724–734.Google Scholar
Torgersen, S. (1984) Genetic and nosological aspects of schizotypal and borderline personality disorders. Archives of General Psychiatry, 41, 546–554.Google Scholar
Winnicott, D. W. (1965) The Maturational Process and the Facilitating Environment. London: Hogarth.Google Scholar
Zilboorg, G. (1941) Ambulatory schizophrenia. Psychiatry, 4, 141–155.Google Scholar
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