Borderline Personality Disorder: Ontogeny of a Diagnosis

Objective: The purpose of this article is to describe the development of the borderline personality disorder diagnosis, highlighting both the obstacles encountered and the associated achievements. Method: On the basis of a review of the literature, the author provides a chronological account of the...

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Bibliographic Details
Published in:The American journal of psychiatry 2009-05, Vol.166 (5), p.530-539
Main Author: Gunderson, John G.
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Affect
Awareness
Biological and medical sciences
Borderline Personality Disorder - diagnosis
Borderline Personality Disorder - epidemiology
Borderline Personality Disorder - therapy
Countertransference (Psychology)
Diagnosis, Differential
Health Education
Humans
Medical sciences
Patients
Personality disorders
Psychoanalytic Therapy - methods
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychopharmacology
Public health
Schizophrenia
Stress Disorders, Post-Traumatic - diagnosis
Stress Disorders, Post-Traumatic - epidemiology
Stress Disorders, Post-Traumatic - psychology
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Summary:Objective: The purpose of this article is to describe the development of the borderline personality disorder diagnosis, highlighting both the obstacles encountered and the associated achievements. Method: On the basis of a review of the literature, the author provides a chronological account of the borderline construct in psychiatry, summarizing progress in decade-long intervals. Results: Borderline personality disorder has moved from being a psychoanalytic colloquialism for untreatable neurotics to becoming a valid diagnosis with significant heritability and with specific and effective psychotherapeutic treatments. Nonetheless, patients with this disorder pose a major public health problem while they themselves remain highly stigmatized and largely neglected. Conclusions: Despite remarkable changes in our knowledge about borderline personality disorder, increased awareness involving much more education and research is still needed. Psychiatric institutions, professional organizations, public policies, and reimbursement agencies need to prioritize this need.
ISSN:0002-953X
1535-7228
DOI:10.1176/appi.ajp.2009.08121825