Journal
AMERICAN JOURNAL OF PSYCHIATRY
Volume 166, Issue 5, Pages 530-539Publisher
AMER PSYCHIATRIC PUBLISHING, INC
DOI: 10.1176/appi.ajp.2009.08121825
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Funding
- NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH050840, R01MH070377] Funding Source: NIH RePORTER
- NIMH NIH HHS [R01 MH050840-13, R01 MH070377-05, MH400130, MH400122] Funding Source: Medline
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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.
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