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Packed with emotional support, new information, research and site additions.
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Borderline
Personality Disorder: Major Orientations
Chart One
|
Dimensions
|
Psychoanalytical
|
Biological
|
| 1. Major Theorists |
Adler, Kernberg, Masterson, Rinsley |
Akiskal, Adrulonis, Cowdry, Gardner, Hoch,
Kasanin, D. Klein, Kety, Polatin, Soloff, Stone, Wender |
| 2. What is meant by "borderline?" |
Psychostructural level of psychodynamic conflict |
Variant of one of the major disorders |
|
3. Data on which diagnosis is based |
Symptoms, inferred intrapsychic structures,
transference
|
Clinical symptoms, familial - genetic history,
treatment response, antibiological markers |
| 4. Etiology of disorder |
Nurture, nature, fate |
Nature
|
| 5. Composition of borderline population |
Homogeneous: intrapsychic structure
Heterogenous: descriptive symptoms |
Heterogeneous: total sample Homogeneous: each
subtype |
| 6. Importance of diagnostic subtyping |
Not important, except Meissner |
Important |
| 7. Basis on which subtyping made |
------------------- |
Etiology |
| 8. Recommended treatment |
Modified psychoanalysis, confrontive
psychotherapy |
Pharmacotherapy |
Chart Two
|
Eclectic
|
Biosocial
|
Cognitive
|
| Frances, Grinker, Gunderson;
Spitzer's DSM-III, DSM-III-R, DSM-IV |
Linehan, Milton, Turner |
Beck, Pretzer, Young |
| A specific personality disorder |
A specific personality disorder |
A specific personality disorder |
| Combination of symptoms and
behavioral observations, psycho-dynamics and psychological
test data (WAIS, Rorschach) |
Behavioral observations, structured,
interviews, behaviorally anchored test data |
Behavioral observations, structured,
interviews, behaviorally anchored test data |
|
Unspecified
|
Nature, Nurture |
Nurture |
|
Heterogeneous
|
Heterogeneous
|
Unspecified |
| Somewhat Important |
Important |
Unspecified |
| Grinker and Gunderson:
clinical; DSM: clinical and etiological |
Behavioral Patterns |
Unspecified
|
|
Unspecified |
Modified behavior/cognitive - behavior therapy |
Modified cognitive therapy |
Note. Adapted from Treatment of the Borderline
Personality by P.M. Chatham, 1985, New York: Jason Aronson.
This table is only for educational purposes.
Cognitive-behavioral treatment of borderline personality disorder
Author: Marsha M. Linehan
ISBN: 0-89862-183-6
The Guilford Press
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