Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-31T16:09:21.054Z Has data issue: false hasContentIssue false
  • English
  • Français

A Symptom Schedule for the Diagnosis of Borderline Schizophrenia

A First Report

Published online by Cambridge University Press:  29 January 2018

Philippe J. Khouri ,
Richard J. Haier ,
Ronald O. Rieder  and
David Rosenthal
Philippe J. Khouri
Affiliation:
Department of Psychiatry, Georgetown University School of Medicine; Staff Psychiatrist, Veterans Administration Medical Center, Psychiatry Service, 50 Irving Street, N. W., Washington, D.C. 20422
Richard J. Haier
Affiliation:
Butler Hospital, 345 Blackstone Boulevard, Providence, Rhode Island 02906
Ronald O. Rieder
Affiliation:
New York State Psychiatric Institute, New York, New York 10032
David Rosenthal
Affiliation:
Laboratory of Psychology and Psychopathology, National Institute of Mental Health, 9000 Rockville Pike, Bethesda, Maryland 20205
Get access Rights & Permissions [Opens in a new window]

Summary

The concepts of ‘borderline’ and ‘borderline schizophrenia’ remain a confusing area in psychiatry. In its functional use, the word ‘borderline’ refers to a hypothesized level of functioning on a continuum which extends from normality to psychosis, e.g. borderline personality organization. In the phenomenological use ‘borderline’ qualifies a psychiatric diagnosis, referring to a milder form of the disease process, e.g. borderline schizophrenia. In this paper we attempted to define and validate the concept of borderline schizophrenia using case records from the Danish Adoption study with this diagnosis and rating the cases on a new instrument: the Symptom Schedule for the Diagnosis of Borderline Schizophrenia, found reliable, and discriminating cases of borderline schizophrenia from cases of neurosis and personality disorder.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 137 , Issue 2 , August 1980 , pp. 140 - 147
Copyright
Copyright © Royal College of Psychiatrists, 1980 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1968) Diagnostic and Statistical Manual of Mental Disorders. Second edition. Washington, D.C. Google Scholar
Bleuler, E. (1950) Dementia Praecox or the Group of Schizophrenias. Translated by Zinkin, A., New York: International Universities Press.Google Scholar
Gary, G. L. (1972) The borderline condition: A structural dynamic viewpoint. Psychoanalytic Review, 59, 33–54.Google Scholar
Giovacchini, P. L. (1973) Character disorders: with special reference to the borderline state. International Journal of Psychoanalytic Psychotherapy, 2 (1), 7–20.Google Scholar
Grinker, R. R., Werble, B. & Dry, R. (1968) The Borderline Syndrome: A Behavioral Study of Ego Functions. New York: Basic Books.Google Scholar
Grunebaum, H. & Kerman, G. (1967) Wrist slashing. American Journal of Psychiatry, 124, 523–34.CrossRefGoogle ScholarPubMed
Gunderson, J. G. (1976) Discriminating characteristics of borderlines. Paper presented at the International Conference in Borderline Disorders, The Menninger Clinic, Topeka, Kansas, March 18–21.Google Scholar
Gunderson, J. G., Carpenter, W. T. & Strauss, J. S. (1975) Borderline and schizophrenic patients: a comparative study. American Journal of Psychiatry, 132, 1257–64.Google Scholar
Gunderson, J. G. & Singer, M. T. (1975) Defining borderline patients: an overview. American Journal of Psychiatry, 132, 1–10.Google ScholarPubMed
Guze, S. B. (1975) Differential diagnosis of the borderline personality syndrome. In Borderline States in Psychiatry (ed. Mack, J. E.). New York: Grune & Stratton.Google Scholar
Hoch, P. & Catell, P. (1959) The diagnosis of pseudo-neurotic schizophrenia. Psychiatry Quarterly, 33, 17–43.Google Scholar
Hoch, P. & Polatin, P. (1949) Pseudoneurotic forms of schizophrenia. Psychiatry Quarterly, 23, 248–76.CrossRefGoogle ScholarPubMed
Kernberg, O. (1967) Borderline personality organization. Journal of the American Psychoanalytical Association, 15, 641–85.CrossRefGoogle ScholarPubMed
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 The Transmission of Schizophrenia (eds. Rosenthal, D. and Kety, S. S.). New York: Pergamon Press. Pp 345–62.Google Scholar
Knight, R. (1953) Borderline states. Bulletin of the Menninger Clinic, 17, 1–12.Google Scholar
Miller, M. H. (1957) The borderline psychotic patient. Annals of Internal Medicine, 46, 736–43.Google ScholarPubMed
Reich, W. (1974) The Impulsive Character and Other Writings. New York: New American Library.Google Scholar
Rosenthal, D. (1974) Some findings in the adoption studies of schizophrenia. Read at the Johns Hopkins University School of Medicine, Johns Hopkins Hospital, October 19.Google Scholar
Rosenthal, D., Wender, P. H., Kety, S. S., Schulsinger, F., Welner, J. & Ostergaard, L. (1968) Schizophrenics' offspring reared in adoptive homes. In The Transmission of Schizophrenia (eds. Rosenthal, D. and Kety, S. S.). New York: Pergamon Press. Pp 377–91.Google Scholar
Schneider, K. (1959) Clinical Psychopathology. Fifth edition. Translated by Hamilton, M. W., New York: Grune & Stratton.Google Scholar
Spitzer, R. L. (1976) Proposed DSM–III operational criteria for a schizophrenic disorder. Presented at the Second Rochester International Conference on Schizophrenia, Rochester, New York, May 2–5.Google Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1975) Research Diagnostic Criteria (RDC) for a selected group of functional disorders. Biometrics Research, New York State Psychiatric Institute, 722 West 168th Street, New York, New York 10032.Google Scholar
Strauss, J. & Carpenter, W. (1972) The prediction of outcome in schizophrenia: I. Characteristics of outcome. Archives of General Psychiatry, 27, 739–46.Google Scholar
Wender, P. H., Rosenthal, D., Kety, S. S., Schulsinger, F. & Welner, J. (1973) Social class and psycho-pathology in adoptees. Archives of General Psychiatry, 28, 318–25.Google Scholar
World Health Organization (1973) The International Pilot Study of Schizophrenia. Vol. I. Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.