4.2 Article

Borderline Personality Organization as an Aid in Differential Diagnosis

Journal

JOURNAL OF NERVOUS AND MENTAL DISEASE
Volume 211, Issue 7, Pages 479-485

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/NMD.0000000000001673

Keywords

Borderline personality disorder; psychosis; psychodynamics; Diagnostic and Statistical Manual of Mental Disorders; International Classification of Diseases

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There are patients whose diagnoses are difficult, but accuracy and precision are possible and beneficial for most patients. This is especially true for patients with borderline personality organization who have psychotic symptoms. The concept of borderline personality organization can enrich and provide information for the development of personality disorders.
There are subsets of patients whose presentations elude a precise diagnosis. All diagnoses are asymptotic to nature as they are constructs imposed on the world. Nonetheless, a greater degree of accuracy and precision is possible and beneficial for most patients. This is particularly true for patients with borderline personality organization (BPO) who present with psychotic symptoms. For the purposes of avoiding a misconstrual of the meaning of psychotic experiences in these patients, a brief synopsis of borderline personality organization, in contradistinction to borderline personality disorder, may prove to be of some clinical utility. The BPO construct presciently anticipates the trend toward a dimensional model of personality disorders and has the potential to enrich and inform these developments.

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