Am J Psychiatry 1975; 132:1-10
Copyright © 1975 by American Psychiatric Association
Defining borderline patients: an overview
JG Gunderson and MT Singer
McLean Hospital, Belmont, Mass 02178.
This review of the descriptive literature on borderline patients indicates
that accounts of such patients vary depending upon who is describing them,
in what context, how the samples are selected, and what data are collected.
The authors identify six features that provide a rational means for
diagnosing borderline patients during an initial interview: the presence of
intense affect, usually depressive or hostile; a history of impulsive
behavior; a certain social adaptiveness; brief psychotic experiences; loose
thinking in unstructured situations; and relationships that vacillate
between transient superficiality and intense dependency. Reliable
identification of these patients will permit better treatment planning and
clinical research.
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