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‘Borderline Personality’: Diagnostic Attitudes at the Maudsley Hospital

Published online by Cambridge University Press:  29 January 2018

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

About a quarter of the psychiatrists at the Maudsley Hospital use the diagnosis of ‘borderline’ personality. The description of the borderline patient obtained in this study does not overlap with any existing ICD personality disorder but has characteristics of the schizoid, paranoid, hysteric, explosive, anankastic and antisocial personalitities. The item that discriminated best between borderlines and controls was ‘brief, unsystematized, psychotic episodes', which is not included in the DSM-III definitions of borderline diagnoses. Items of the DSM-III ‘schizotypal’ set—e.g. ‘suspiciousness' and ‘ideas of reference'—discriminated better between borderline cases and controls, whereas items of the DSM-III ‘borderline personality’ set—e.g. ‘impulsivity’ or ‘unpredictability'— scored more frequently in both groups. These are similar to American findings.

Type
Papers
Information
The British Journal of Psychiatry , Volume 144 , Issue 4 , April 1984 , pp. 364 - 369
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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