Borderline Personality Disorder Orientations

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 is only for educational purposes. No profit is made from this.

Cognitive-behavioral treatment of borderline personality disorder
Author: Marsha M. Linehan
ISBN: 0-89862-183-6
The Guilford Press

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