Major Orientations to the Borderline Personality Disorder
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 |
This page has been up for for five years without remembrance of the source from the internet. However I have posted on this page for anyone to come forward with information on where this source came from. Finally on 10/29/01 someone came forward stating that the source from the internet was from http://web.psychology.ru/affective/BPD(table).htm. As on that page, this page is not intended to make any profit; it's presence here may or may not fall under fair-use of copyrighted material. It was placed here to provide useful information to a public (non-professionals) for which the book was not written, and less but also to inform the public and professionals of the existence of this book.
Note. Adapted from Treatment of the Borderline Personality by P.M. Chatham, 1985, New York: Jason Aronson.
This table has been taken without permission from the third print of the book:
Cognitive-behavioral
treatment of borderline personality disorder
Author: Marsha M. Linehan
ISBN: 0-89862-183-6
© Copyright 1993 The Guilford Press