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Borderline Personality

A Review of Recent Research

Published online by Cambridge University Press:  02 January 2018

Alex Tarnopolsky  and
Mark Berelowitz
Alex Tarnopolsky
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
Mark Berelowitz
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
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Abstract

Borderline personality has been, for many years, a discredited diagnostic concept. In 1979 a review of the literature concluded that its validity status was very uncertain. The authors have reviewed research conducted since then and discuss it in terms of the Robins & Guze (1970) criteria. In spite of existing unclear issues, the balance is tipping in favour of the validity of borderline personality, as diagnosed with new research criteria. This development is taking place in the context of a growing interest in the area of personality disorders.

Type
Review Article
Information
The British Journal of Psychiatry , Volume 151 , Issue 6 , December 1987 , pp. 724 - 734
Copyright
Copyright © Royal College of Psychiatrists, 1987 

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References

Akiskal, H. S., Chen, E. S., Davis, G. C., Puzantian, V. R., Kashgarian, M. & Bolinger, S. M. (1985a) Borderline: an adjective in search of a noun. Journal of Clinical Psychiatry, 46, 41–48.Google Scholar
Akiskal, H. S., Chen, E. S., Davis, G. C., Puzantian, V. R., Kashgarian, M., Bolinger, S. M., Yerevanian, B. I., Davis, G. C., King, D. & Lemmi, H. (19856) The nosological status of borderline personality: clinical and polysomnographic study. American Journal of Psychiatry, 142, 192–198.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington DC: American Psychiatric Association.Google Scholar
Andrulonis, P. A. & Vogel, N. G. (1984) Comparison of borderline sub-categories to schizophrenic and affective disorders. British Journal of Psychiatry, 144, 358–363.Google Scholar
Armelius, B., Kullgreu, G. & Renberg, E. (1985) Borderline diagnosis from hospital records. Journal of Nervous and Mental Disease, 173, 32–34.Google Scholar
Baron, M., Gruen, R., Asnis, L. & Lord, S. (1985) Familial transmission of schizotypal and borderline personality disorders. American Journal of Psychiatry, 142, 927–934.Google Scholar
Barrash, J., Kroll, J., Carey, K. & Sines, L. (1983) Discriminating borderline personality disorder from other personality disorders: cluster analysis of the Diagnostic Interview for Borderline. Archives of General Psychiatry, 40, 1297–1302.Google Scholar
Barasch, A., Frances, A., Hurt, S., Clarkin, J. & Cohen, S. (1985) Stability and distinctness of borderline personality disorder. American Journal of Psychiatry, 142, 1484–1486.Google Scholar
Bauer, S., Hunt, H., Gould, M. & Goldstein, E. (1980) Borderline personality organisation, structural diagnosis and the structural interview. Psychiatry, 43, 224–233.Google Scholar
Brinkley, J. R., Beitman, B. D. & Friedel, R. O. (1979) Low-dose neuroleptic regimens in the treatment of borderline patients. Archives of General Psychiatry, 36, 319–326.CrossRefGoogle ScholarPubMed
Brockington, I. F., Kendell, R. E. & Leff, J. P. (1978) Definitions of schizophrenia: concordance and prediction of outcome. Psychological Medicine, 8, 387–398.CrossRefGoogle ScholarPubMed
Carpenter, W. & Gunderson, J. G. (1977) Five year follow-up comparison of borderline and schizophrenic patients. Comprehensive Psychiatry, 18, 567–571.CrossRefGoogle ScholarPubMed
Carroll, B. J., Greden, J. T., Feinberg, M. et al (1981) Neuroendocrine evaluation of depression in borderline patients. Psychiatric Clinics of North America, 4, 89–99.CrossRefGoogle ScholarPubMed
Castaneda, R. & Franco, H. (1985) Sex and ethnic distribution of borderline personality disorder in an in-patient sample. American Journal of Psychiatry, 142, 1202–1203.Google Scholar
Coid, J. C., Allolio, B. & Rees, L. H. (1984) Raised plasma metenkephalin in patients who habitually harm themselves. The Lancet, ii, 545–546.Google Scholar
Conte, H. R., Plutchik, R., Karasu, T. B. & Jerrett, I. (1980) A self-report borderline scale: discriminative validity and preliminary norms. Journal of Nervous and Mental Disease, 168, 428–435.Google Scholar
Cornell, D. G., Silk, K. R., Ludolph, P. S. & Lohr, N. E. (1983) Test-retest reliability of the Diagnostic Interview for Borderlines. Archives of General Psychiatry, 40, 1307–1310.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
Di Mascio, A., Weissman, M., Prusoff, B. A., Neu, C., Zwilling, M. & Klerman, G. L. (1979) Differential symptom reduction by drugs and psychotherapy in acute depression. Archives of General Psychiatry, 36, 1450–1456.Google Scholar
Drake, R. E. & Vaillant, G. E. (1985) A validity study of axis II of DSM-III. American Journal of Psychiatry, 142, 553–558.Google Scholar
Frances, A. (1982) Categorical and dimensional systems of personality diagnosis: a comparison. Comprehensive Psychiatry, 23, 516–527.Google Scholar
Frances, A., Clarkin, J. F., Gilmore, M., Hurt, S. W. & Brown, R. (1984) Reliability of criteria for borderline personality disorder -a comparison of DSM-III and the diagnostic interviews for borderline patients. American Journal of Psychiatry, 141, 1080–1084.Google Scholar
Gardner, D. L. & Cowdry, R. W. (1985) Alprazolam-induced dyscontrol in borderline personality disorder. American Journal of Psychiatry, 142, 98–100.Google Scholar
George, A. & Soloff, P. H. (1986) Schizotypal symptoms in patients with borderline personality disorders. American Journal of Psychiatry, 143, 212–215.Google Scholar
Goldberg, S. (1985) The MMPI as a predictor of borderline and schizotypal personality disorders. Abstracts, Annual Meeting of the Royal College of Psychiatrists, London.Google Scholar
Goldberg, S., S. C., Schulz, S. C., Schulz, P. M., Resnick, R. J., Hamer, 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.Google Scholar
Grinker, R. R., Werble, B. & Drye, R. C. (1968) The Borderline Syndrome. New York: Basic Books.Google Scholar
Gunderson, J. G. (1977) Characteristics of borderlines. In Borderline Personality Disorders (ed. P. Hartocollis). New York: International Universities Press.Google Scholar
Gunderson, J. G. (1986) Pharmacotherapy for patients with borderline personality disorder. Archives of General Psychiatry, 43, 698–700.CrossRefGoogle ScholarPubMed
Gunderson, J. G. & Singer, M. T. (1975) Defining borderline patients: an overview. American Journal of Psychiatry, 132, 1–10.Google Scholar
Gunderson, J. G., Singer, M. T., Carpenter, W. T. & Strauss, J. S. (1975) Borderline and schizophrenic patients: a comparative study. American Journal of Psychiatry, 132, 1257–1264.Google Scholar
Gunderson, J. G., Singer, M. T., Carpenter, W. T., Strauss, J. S. & Kolb, J. E. (1978) Discriminating features of borderline patients. American Journal of Psychiatry, 135, 792–796.Google Scholar
Gunderson, J. G., Singer, M. T., Carpenter, W. T., Strauss, J. S., Kolb, J. E., Kerr, J. & Englund, D. W. (1980) The families of borderlines. Archives of General Psychiatry, 377, 27–33.Google Scholar
Gunderson, J. G., Singer, M. T., Carpenter, W. T., Strauss, J. S., Kolb, J. E., Kerr, J., Englund, D. W., Kolb, J. E. & Austin, V. (1981) The diagnostic interview for borderline patients. American Journal of Psychiatry, 138, 896–903.Google Scholar
Gunderson, J. G., Singer, M. T., Carpenter, W. T., Strauss, J. S., Kolb, J. E., Kerr, J., Englund, D. W., Kolb, J. E., Austin, V., Siever, L. J. & Spaulding, E. (1983) The search for a schizotype: crossing the border again. Archives of General Psychiatry, 40, 15–22.Google Scholar
Gunderson, J. G., Singer, M. T., Carpenter, W. T., Strauss, J. S., Kolb, J. E., Kerr, J., Englund, D. W., Kolb, J. E., Austin, V., Siever, L. J., Spaulding, E. & Elliott, G. R. (1985) The interface between borderline personality disorder and affective disorder. American Journal of Psychiatry, 141, 277–288.Google Scholar
Hurt, S. W., Hyler, S. E., Frances, A., Clarkin, J. & Brent, R. (1984) Assessing borderline personality disorder with selfreport, clinical interview, or semi-structured interview. American Journal of Psychiatry, 141, 1228–1231.Google Scholar
Kass, F., Skodol, A. E., Charles, E., Spitzer, R. L. & Williams, J. B. W. (1985) Scaled ratings of DSM-III personality disorders. American Journal of Psychiatry, 142, 627–630.Google ScholarPubMed
Kendler, D. S., Gruenberg, A. M. & Strauss, J. S. (1981) The relationship between schizotypal personality disorder and schizophrenia. Archives of General Psychiatry, 38, 982–984.Google Scholar
Kernberg, O. F. (1977) The structural diagnosis of borderline personality organisation. In Borderline Personality Disorders (ed. P. Hartocollis). New York: International Universities Press.Google Scholar
Kernberg, O. F. (1981) Structural interviewing. Psychiatric Clinics of North America, 4, 169–195.Google Scholar
Kernberg, O. F., Burstein, E. D., Coyne, L., Applebaum, A., Horwitz, L. & Voth, H. (1972) Psychotherapy and psychoanalysis: final report of the Menninger Foundation's Psychotherapy Research Project. Bulletin of the Menninger Clinic, 36, 1–277.Google Scholar
Kernberg, O. F., Burstein, E. D., Coyne, L., Applebaum, A., Horwitz, L., Voth, H., Goldstein, E. G., Carr, A. C., Hunt, H. F., Bauer, S. F. & Blumenthal, R. (1981) Diagnosing borderline personality: a pilot study using multiple diagnostic methods. Journal of Nervous and Mental Disease, 169, 225–231.Google Scholar
Kety, S. S., Rosenthal, D., Wender, P. H. et al (1968) The types and prevalence of mental illness in the biological and adoptive families of adopted schizophrenics. In The Transmission of Schizophrenia (eds D. Rosenthal, S. S. Kety). Oxford: Pergamon Press.Google Scholar
Klein, D. F. (1977) Psychopharmacological treatment and delineation of borderline disorders. In Borderline Personality Disorders (ed. P. Hartocollis). New York: International Universities Press.Google Scholar
Koenigsberg, H., Kernberg, O. F. & Schomer, J. (1983) Diagnosing borderline patients in an out-patient setting. Archives of General Psychiatry, 40, 60–63.Google Scholar
Kolb, J. E. & Gunderson, J. G. (1980) Diagnosing borderline patients with a semi-structured interview. Archives of General Psychiatry, 37, 37–41.Google Scholar
Kroll, J., Pyle, R., Zander, J., Martin, K., Lari, S. & Sines, L. (1981a) Borderline personality disorder: interrater reliability of the Gunderson Diagnostic Interview for Borderlines (DIB). Schizophrenia Bulletin, 7, 269–272.Google Scholar
Kroll, J., Pyle, R., Zander, J., Martin, K., Lari, S., Sines, L., Sines, L. L., Martin, K. et al (19816) Borderline personality disorder: construct validity of the concept. Archives of General Psychiatry, 38, 1021–1026.Google Scholar
Kroll, J., Pyle, R., Zander, J., Martin, K., Lari, S., Sines, L., Sines, L. L., Martin, K. et al, Carey, K., Sines, L. & Roth, M. (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
Loranger, A. W., Oldham, J. M. & Tulis, E. H. (1982) Familial transmission of DSM-III borderline personality disorder. Archives of General Psychiatry, 39, 795–799.CrossRefGoogle ScholarPubMed
Macaskill, N. D. & Macaskill, A. (1981) The use of the diagnosis ‘borderline patient’ by Scottish psychiatrists: a preliminary survey. British Journal of Psychiatry, 139, 397–399.CrossRefGoogle ScholarPubMed
McGlashan, T. H. (1983a) The borderline syndrome: I. Testing three diagnostic systems. Archives of General Psychiatry, 40, 1311–1318.Google Scholar
McGlashan, T. H. (1983b) The borderline syndrome: II. Is it a variant of schizophrenia or affective disorder? Archives of General Psychiatry, 40, 1319–1323.Google Scholar
McGlashan, T. H. (1986) Long term outcome of borderline patients. Archives of General Psychiatry, 43, 20–30.Google Scholar
McGuffin, P., Farmex, A. E., Gottesman, I. I., Murray, R. M. & Reveley, A. (1984) Twin concordance for operationally defined schizophrenia. Archives of General Psychiatry, 41, 541–545.Google Scholar
Mellsop, G., Varghese, F., Joshua, S. & Hicks, A. (1982) The reliability of Axis II of DSM-III. American Journal of Psychiatry, 139, 1360–1361.Google Scholar
Nelson, H. F., Tennen, H., Tasman, A., Borton, M., Kubeck, M. & Stone, M. (1985) Comparison of three systems for diagnosing borderline personality disorder. American Journal of Psychiatry, 142, 855–858.Google Scholar
Perry, J. C. (1985) Depression in borderline personality disorder: lifetime prevalence at interview and longitudinal course of symptoms. American Journal of Psychiatry, 142, 15–21.Google Scholar
Perry, J. C. & Klerman, G. L. (1980) Clinical features of the borderline personality disorder. Archives of General Psychiatry, 137, 165–173.Google Scholar
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.Google Scholar
Pope, H. G., Jonas, J. M., Hudson, J. I., Cohen, B. M., Gunderson, J. G., & Tohen, M. (1985) An empirical study of psychosis in borderline personality disorder. American Journal of Psychiatry, 142, 1285–1290.Google Scholar
Robins, E. & Guze, S. G. (1970) Establishment of diagnostic validity in psychiatric illness: its application to schizophrenia. American Journal of Psychiatry, 126, 983–987.Google Scholar
Rosenfeld, H. (1979) Difficulties in the psychoanalytic treatment of borderline patients. In Advances in Psychotherapy of the Borderline Patient (eds J. Le Boit & A. Capponi). New York and London: Jason Aronson.Google Scholar
Serban, G. & Siegel, S. (1984) Response of borderline and schizotypal patients to small doses of thiothizene and haloperidol. American Journal of Psychiatry, 141, 1455–1458.Google Scholar
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.Google Scholar
Singer, M. T. (1977) The borderline diagnosis and psychological tests; review and research. In Borderline Personality Disorders (ed. P. Hartocollis). New York: International Universities Press.Google Scholar
Soloff, P. H. & Ulrich, R. F. (1981) The Diagnostic Interview for Borderlines: a replication study. Archives of General Psychiatry, 38, 686–692.Google Scholar
Soloff, P. H., Ulrich, R. F. & Millward, J. W. (1983) Psychiatric disorders in the families of borderline patients. Archives of General Psychiatry, 40, 37–44.Google Scholar
Soloff, P. H., Ulrich, R. F., Millward, J. W., George, A., Nathan, S., Schulz, P. M., Ulrich, R. L. & Perel, J. M. (1986) Progress in pharmacotherapy of borderline disorders. Archives of General Psychiatry, 43, 691–697.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
Stangl, D., Pfhol, B., Zimmerman, M., Bowers, W. & Corenthal, C. (1985) A structured interview for the DSM-III personality disorders. Archives of General Psychiatry, 42, 591–596.Google Scholar
Stone, M. H. (1977) The borderline syndrome: evolution of the term, genetic aspects and prognosis. American Journal of Psychotherapy, 31, 345–365.Google Scholar
Tarnopolsky, A. & Berelowitz, M. (1984) Borderline personality: diagnostic attitudes at the Maudsley Hospital. British Journal of Psychiatry, 144, 364–369.Google Scholar
Teitelman, E., Glass, J. B., Blyn, C. & Jennings, D. (1979) The treatment of female borderlines. Schizophrenia Bulletin, 5, 111–117.Google Scholar
Torgersen, S. (1984) Genetic and nosological aspects of schizotypal and borderline personality disorders. Archives of General Psychiatry, 41, 546–554.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. Geneva: World Health Organization.Google Scholar
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