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The Use of the Term ‘Borderline Patient’ by Scottish Psychiatrists: A Preliminary Survey

Published online by Cambridge University Press:  29 January 2018

Norman D. Macaskill
Affiliation:
The Ross Clinic, Cornhill Road, Aberdeen AB9 2ZF
Ann Macaskill
Affiliation:
The Ross Clinic, Cornhill Road, Aberdeen AB9 2ZF

Summary

One hundred and sixty Scottish psychiatrists complete a questionnaire eliciting the extent of their use of the term ‘borderline patient’ and the factors affecting this. The term was used by 27.5 per cent, the majority of whom felt that it ought to be included in current diagnostic classification systems. There was, however, general dissatisfaction with the vagueness of current definitions of the term and a confusing use of numerous diagnostic labels.

Use of the term was not related to status, geographical location, or familiarity with American psychiatric literature. The practice of psychodynamically-oriented psychotherapy and extended working contact with psychiatry in North America were found significantly to increase its use.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1981 

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References

Bird, J. R. (1980) The borderline patient and military life. British Journal of Medical Psychology, 53, 8590.Google Scholar
Diagnostic and Statistical Manual of Mental Disorders. DSM—III (1980) American Psychiatric Association, Washington.Google Scholar
Frosch, J. (1964) The psychotic character. Psychiatric Quarterly, 38, 8196.Google Scholar
Gunderson, J. G. & Kolb, J. E. (1978) Discriminating features of borderline patients. American Journal of Psychiatry, 135, 792–6.Google ScholarPubMed
Henderson, D. & Gillespie, R. D. (1969) Henderson's and Gillespie's Textbook of Psychiatry, Tenth Edition. Revised by Batchelor, I. R. C. Oxford: University Press.Google Scholar
Hoch, P. H. & Polatin, P. (1949) Pseudo-neurotic forms of schizophrenia. Psychiatric Quarterly, 23, 248–76.Google Scholar
International Classification of Mental Disorders, Ninth Revision (1978) World Health Organization.Google Scholar
Khouri, P. J., Haier, R. J., Rieder, R. O. & Rosenthal, D. (1980) A symptom schedule for the diagnosis of borderline schizophrenia. British Journal of Psychiatry, 137, 140–7.Google Scholar
Knight, R. P. (1953) Borderline states. Bulletin of the Menninger Clinic, 17, 112.Google Scholar
Macaskill, N. D. (1980) The narcissistic core as a focus in the group therapy of the borderline patient. British Journal of Medical Psychology, 53, 137–43.Google Scholar
Mayer-Gross, W., Slater, E. & Roth, M. (1969) Clinical Psychiatry. Third Edition. London: Baillière, Tindall.Google Scholar
Spitzer, R. L., Endicott, J. & Gibbon, H. (1979) Crossing the border into borderline personality and borderline schizophrenia. Archives of General Psychiatry, 36, 1724.Google Scholar
Steiner, J. (1979) The border between the paranoid-schizoid and the depressive positions in the borderline patient British Journal of Medical Psychology, 52, 385–91.CrossRefGoogle ScholarPubMed
Stern, A. (1938) Psychoanalytic investigation and therapy in the borderline group of neuroses. Psychoanalytic Quarterly, 7, 467–89.Google Scholar
Stone, M. H. (1980) The Borderline Syndromes. New York: McGraw-Hill Book Company.Google Scholar
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