Borderline Personality Organization

Kernberg, Otto F.

doi:10.1177/000306516701500309

Cited by 1,093 publications

(542 citation statements)

References 17 publications

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“…Several diagnostic terms were used through the years to capture where within a dimension of severity (from neurotic to psychotic) a patient fell, sometimes colloquially referred to as north or south of the border to suggest a greater or lesser degree of "borderline." Diagnostic labels such as pseudoneurotic schizophrenia and ambulatory schizophrenia captured the more extreme side of borderline, whereas borderline personality organization [22] perhaps best represented the centrality of the borderline concept for many years. With the introduction of the Feighner Criteria [23], later the Research Diagnostic Criteria [24], came some debate over whether borderline was a variant of an affective disorder or more related to the psychotic spectrum.…”

Section: The Borderline Diagnosismentioning

confidence: 99%

Long-Term Outcomes in Borderline Psychopathology: Old Assumptions, Current Findings, and New Directions

Sanislow

Marcus

Reagan

2011

Curr Psychiatry Rep

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Borderline personality disorder (BPD) and historical variants of the diagnosis were long held to represent an intractable syndrome of psychopathology consisting of interpersonal, intrapsychic, and affective disturbances. For years, patients labeled "borderline" were regarded pejoratively due at least in part to the lack of effective treatments. Prospective data from recent naturalistic follow-along studies along with the development of treatments with empirically demonstrated efficacy have changed how BPD is viewed. It is now less common to hide the diagnosis from the patient, and BPD has become a useful label to guide the treatment process and help the patient make sense of his or her suffering. Although it is now accepted that BPD is a treatment-responsive disorder and that remission is the norm, more work is needed to help patients achieve a higher level of functioning, and targeting persistent trait-like features suggests new directions for future efforts in treatment development.

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Section: The Borderline Diagnosismentioning

confidence: 99%

Long-Term Outcomes in Borderline Psychopathology: Old Assumptions, Current Findings, and New Directions

Sanislow

Marcus

Reagan

2011

Curr Psychiatry Rep

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“…Les théoriciens contemporains, et notamment Kernberg (1967) et Masterson (1975Masterson ( , 1982, ont tendance à désigner sous le vocable «borderline» une ~>\J oanie memuit au s^ueoec personnalité-limite (c'est-à-dire ni psychotique ni névrotique) au fonctionnement psychique stabilisé et caractérisé par une propension à l'utilisation des processus primaires de pensée, par une dépression de type anaclitique et par l'utilisation contre celleci de défenses archaïques, telles que le clivage et ses dérivés. Sans m'objecter à cette théorisation, je considère cependant plus commode pour le travail clinique l'utilisation du concept d'«états-limites», car il a le mérite d'englober dans sa désignation le mode de fonctionnement psychique transitoire de certaines personnes névrotiques en situation de crise.…”

Section: éTats-limitesunclassified

Les leçons de Cléopâtre ou réflexions sur le contre-transfert et les états-limites

Richard¹

2006

smq

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L'auteure examine certains enjeux contre-transférentiels du travail psychothérapeutique avec les patients-limites. Plus particulièrement, elle étudie les enjeux contre-transférentiels liés, d'une part, au mode de communication de ces personnes, marqué par l'identification projective, d'autre part, à leur mode de relation, caractérisé par le désir de fusion et ses angoisses et à leur mode de pensée, influencé par l'utilisation abondante du mécanisme de clivage. L'auteure esquisse ensuite une réflexion sur l'économie narcissique et les conditions de durée du couple patient-thérapeute. Elle illustre ses dires de vignettes cliniques tirées de son travail avec une de ses patientes, Cléo, qui lui a inspiré le présent article.The author examines certain counter-transference stakes in psychotherapeutic work with borderline patients. Specifically, she looks at counter-transference linked, on the one hand, to these persons' mode of communication, marked by identity projection, and on the other hand, to their mode of relating, characterized by the desire to merge both their anxieties and their ways of thinking, influenced by abundant use of a splitting mechanism. The author then reflects on narcissistic economy and the length considerations for the patient-therapist pair. She illustrates her article with clinical vignettes from her work with one of her patients, Cleo, who inspired this article

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“…First categorized by Sigmund Freud, 18 and later expanded by Anna Freud, 19 Kernberg, 20 and Klein, 21 defense mechanisms are defined as the unconscious and habitual mental processes that attempt to resolve conflicts between impulses, internal prohibitions and external reality. Later, Vaillant 22,23 observed overt behaviors that reflected multiple intrapsychic processes in order to examine ego function in operational terms.…”

Section: Individual Psychological Maturity: the 'I' Parametermentioning

confidence: 99%

Psychological risk factors and early complications after bone marrow transplantation in adults

Szkrumelak

1999

Bone Marrow Transplant

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Summary:Complications of bone marrow transplantation can compromise its effectiveness, and often it is not possible to predict who is at greatest risk. In a previous study we reported that certain psychological factors correlated with a high incidence of post-transplant mortality, and here we analyze the associated complications and causes of death. Prior to receiving high-dose chemotherapy and bone marrow transplantation, 112 patients underwent a psychodynamically oriented psychiatric assessment (the 'FIT' assessment). Mortality and associated complications were ascertained by a retrospective chart review. The results of the 'FIT' assessment correlated with the incidence of complications and death, whether or not the transplant was performed for hematologic or solid organ cancers, or was from an allogeneic or autologous source. Most individuals with a high risk profile died of progressive major organ dysfunction or recurrent/refractory neoplastic disease in the first year after transplant. We propose that such a psychiatric assessment might identify a subgroup of individuals in whom pre-emptive therapeutic interventions could be most effective. Keywords: bone marrow transplantation; multiorgan failure; personality assessment; risk assessment; leukemia/lymphoma; cancer of breast and ovary Bone marrow transplantation can reverse the myelotoxicity of high-dose radiation and chemotherapy used in many current strategies to treat cancer. However, sepsis and hemorrhage before engraftment, acute and chronic graftversus-host disease, graft rejection, and late organ dysfunction still limit its effectiveness. 1 Thus, an understanding of predisposing factors that place an individual at risk for such difficulties might enable better control and prevention, and ultimately improve survival.Early in the development of clinical bone marrow transplantation, psychiatrists had recognized that family interactions, coping style, and meaning of the transplant had a profound impact on the individual, 2-5 but not until 1988

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Borderline Personality Organization

Cited by 1,093 publications

References 17 publications

Long-Term Outcomes in Borderline Psychopathology: Old Assumptions, Current Findings, and New Directions

Long-Term Outcomes in Borderline Psychopathology: Old Assumptions, Current Findings, and New Directions

Les leçons de Cléopâtre ou réflexions sur le contre-transfert et les états-limites

Psychological risk factors and early complications after bone marrow transplantation in adults

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