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An Affective Syndrome in Psychopaths with Borderline Personality Disorder?

Published online by Cambridge University Press:  02 January 2018

Jeremy W. Coid
Jeremy W. Coid*
Affiliation:
Department of Psychological Medicine, St Bartholomew's Hospital, London EC1
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Abstract

A preliminary study of the repetitive mood swings of 72 female psychopaths with a DSM-III diagnosis of borderline personality disorder demonstrated considerable complexity and specificity in what has been previously considered a criterion of personality disorder. A principal-components analysis of the symptom profile for these affective disturbances revealed four factors (anxiety, anger, depression, and tension) which showed individual patterns of association with additional lifetime diagnoses of major mental illness and other personality disorders. The women also had multiple mood-related behavioural disorders, enacted with a feeling of compulsion, which appeared to relieve the original affective symptoms. It is hypothesised that these women could have a distinct affective syndrome that has not previously been described in the literature.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 162 , Issue 5 , May 1993 , pp. 641 - 650
Copyright
Copyright © Royal College of Psychiatrists, 1993 

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References

Akiskal, H. (1981) Subaffective disorders, dysthymic, cyclothymic and bipolar II disorders in the borderline realm. Psychiatric Clinics of North America, 4, 425–456.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM-III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM-III-R). Washington, DC: APA.Google Scholar
Coid, J. W. (1992) DSM-III diagnosis in criminal psychopaths: a way forward. Criminal Behaviour and Mental Health, 2, 78–94.Google Scholar
Coid, J. W., Allolio, B. & Rees, L. H. (1983) Raised plasma metenkephalin in patients who habitually mutilate themselves. Lancet, ii, 545–546.CrossRefGoogle Scholar
Coid, J. W., Allolio, B. & Rees, L. H., Wilkins, J., Coid, B., et al (1992) Self-mutilation in female remanded prisoners: II. A cluster analytic approach towards identification of a behavioural syndrome. Criminal Behaviour and Mental Health, 2, 1–14.CrossRefGoogle Scholar
Doherty, J. P., Fiester, S. J. & Shea, T. (1986) Syndrome diagnosis and personalty disorder. In American Psychiatric Association Annual Review (vol. 15) (eds Frances, A. J. & Hales, R. E.). Washington, DC: American Psychiatric Press.Google Scholar
Gunderson, J. G. & Singer, M. T. (1975) Defining borderline patients: An overview. American Journal of Psychiatry, 132, 1–10.Google ScholarPubMed
Gunderson, J. G. & Singer, M. T., Kolb, J. E. & Austin, Y. (1981) The diagnostic interview for borderline patients. American Journal of Psychiatry, 138, 896–903.Google Scholar
Gunderson, J. G. & Singer, M. T., Kolb, J. E. & Austin, Y. & Phillips, K. A. (1991) A current view of the interface between borderline personality disorder and depression. American Journal of Psychiatry, 148, 967–975.Google ScholarPubMed
Hare, R. D. (1980) The assessment of psychopathy in criminal populations. Personality and Individual Differences, 1, 111–119.Google Scholar
Kernberg, O. F. (1977) The structural diagnosis of borderline personality organisation. In Borderline Personality Disorders (ed. Hartocollis, P.). New York: International Universities Press.Google Scholar
Kernberg, O. F. (1981) Structural interviewing. Psychiatric Clinics of North America, 4, 169–195.CrossRefGoogle ScholarPubMed
Klein, D. F. (1977) Pharmacological treatment and delineation of borderline disorders. In Borderline Personality Disorders (ed. Hartocollis, P.). New York: International Universities Press.Google Scholar
Kroll, J., Carey, K., Sines, L., et al (1982) Are there borderlines in Britain? A cross-validation of U.S. findings. Archives of General Psychiatry, 39, 60–63.Google Scholar
Kroll, J., Carey, K., Sines, L., & Ogata, S. (1987) The relationship of borderline personality disorder to affective disorders. Psychiatric Developments, 2, 105–128.Google Scholar
Leighton, A. H. (1959) My Name is Legion: The Stirling County Study of Psychiatric Disorder and Sociocultural Environment. New York: Basic Books.Google Scholar
Liebowitz, M. K. & Klein, D. F. (1981) Inter-relationships of hystericoid dysphoria and borderline personality disorder. Psychiatric Clinics of North America, 4, 67–87.Google Scholar
Links, P. S. & Steiner, M. (1988) Psychopharmacologic management of patients with borderline personality disorder. Canadian Journal of Psychiatry, 33, 355–359.Google Scholar
Maier, W., Lichtermann, D., Klinger, T., et al (1992) Prevalences of personality disorders (DSM-III-R) in the community. Journal of Personality Disorders, 6, 187–196.Google Scholar
Nie, N. H., Hull, N. C., Jenkins, J. C., et al (1975) Statistical Package for the Social Sciences (2nd edn). New York: McGraw-Hill.Google Scholar
Reich, J., Yates, W. & Nduaguba, M. (1989) Prevalence of DSM-III personality disorders in the community. Social Psychiatry, 24, 12–16.Google ScholarPubMed
Reich, J., Yates, W. & Nduaguba, M. & Green, A. I. (1991) Effect of personality disorder on outcome of treatment. Journal of Nervous and Mental Disease, 179, 74–82.CrossRefGoogle ScholarPubMed
Robins, L. N., Helzer, J. E., Croughan, J., et al (1981) National Institute of Mental Health Diagnostic Interview Schedule - its history, characteristics and validity. Archives of General Psychiatry, 38, 381–389.Google Scholar
Simonsen, E. & Mellergard, M. (1988) Trends in the use of the borderline diagnosis in Denmark from 1975 to 1985. Journal of Personality Disorder, 2, 102–108.Google Scholar
Spitzer, R. L. & Williams, E. (1983) Structural Clinical Interview for DSM-III Disorders (SCID). New York State Psychiatric Institute, Biometric Research Department.Google Scholar
Stern, A. (1938) Psychoanalytic investigation and therapy in the borderline group of neuroses. Psychoanalytic Quarterly, 7, 467–489.Google Scholar
Stone, M. H. (1990) The Fate of Borderline Patients. New York: Guilford Press.Google Scholar
Tarnopolsky, A. & Berelowitz, M. (1984) Borderline personality; diagostic attitudes at the Maudsley hospital. British Journal of Psychiatry, 144, 364–369.Google Scholar
Tarnopolsky, A. & Berelowitz, M. (1987) Borderline personality; a review of recent research. British Journal of Psychiatry, 151, 724–734.Google Scholar
Tyrer, P., Casey, P. & Gall, J. (1983) Relationship between neurosis and personality disorder. British Journal of Psychiatry, 142, 404–408.Google Scholar
Wilkins, J. & Coid, J. (1991) Self-mutilation in female remanded prisoners: I. An indicator of severe psychopathology. Criminal Behaviour and Mental Health, 1, 247–267.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD-9). Geneva: WHO.Google Scholar
World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Disorders. Geneva: WHO.Google Scholar
Zimmerman, M. & Coryell, W. M. (1990) Diagnosing personality disorders in the community. Archives of General Psychiatry, 47, 527–531.CrossRefGoogle ScholarPubMed
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