Borderline personality traits in hysterical neurosis

Abstract

The objective of the present study is to demonstrate the traits of the psychopathology of Borderline Personality Disorder (BPD) compared with hysterical neurosis. A total of 48 subjects with BPD and 40 subjects with hysterical neurosis both defined by DSM-III-R were assessed by Diagnostic Interview for Borderlines (DIB). Statistical analysis was done by quantification of the second type, a multivariate data analysis. The total scores of DIB were BPD group, 6.13 ± 1.52; hysterical neurosis group, 4.9 ± 2.12 (t = 3.05, P = 0.0016). The correlation ratio (index of to what extent the two groups are discriminated) was 0.2442. Among the four parameters of: (i) affect, (ii) cognition, (iii) impulse-action pattern, (iv), and interpersonal relationships, the partial coefficient correlations of (iii) and (iv) were significantly high (0.342, 0.287, P < 0.01). The question items with high independent coefficients were manipulation (0.4416), intolerance of aloneness (0.3797), demanding nature (0.3768), self-mutilation (0.3609), visual hallucination (0.3395). Those with low score of independent coefficients were counterdependency (0.0533), identity disturbance (0.1010), depression (0.1551), loneliness (0.1752), hypomanic episode (0.1936). Both of BPD and hysterical neurosis groups were not so fairly well discriminated. However, these results suggested that impulse-action pattern and disorder of interpersonal relationships were traits of borderline personality disorder. We could admit manipulation, intolerance of aloneness as its symptoms. In addition, counterdependency, identity disturbance were comparatively common to both. There were some borderline personality traits symptomatically in hysterical neurosis.

Measuring the shadows: A systematic review of chronic emptiness in borderline personality disorder

“…Intolerance of aloneness broadly relates to the intolerable distress of being alone with one's own thoughts and feelings and an associated incapacity for solitude [132]. Overall findings indicate that people with BPD experience the feeling of aloneness more frequently and severely compared individuals with neurotic disorders [113] and have an intolerance to being alone [61,105]. A recent study developed a measure for the experience of being alone for individuals with BPD and they report the intolerance of this experience as a salient feature of the disorder [132].…”

“…People with BPD demonstrated higher dysregulation compared to healthy controls following presentation of attachment pictures which may induce loneliness, suggesting an intolerance of loneliness [54]. Similarly, people with BPD demonstrated a higher intolerance to loneliness compared to people with dissociative or conversion disorders [105]. One study reported that loneliness in BPD was related to poor social and relational function, but after controlling for these deficits loneliness was still high for people with BPD, suggesting there are multiple factors which contribute to feeling lonely [89].…”

Exploring the Interaction between Comorbid Psychiatric and Medical Diagnoses: The Potential Impact of Borderline Personality Disorder on Adherence to Highly Active Antiretroviral Therapy (HAART)

“…Kluger and Song (2003) report similar dynamics between patients with BPD and their mental health practitioners and other service providers, which often become turbulent and strained, thereby demonstrating their global tendency to form intensely fragile attachments (Bateman & Fonagy, 2004). Patients with BPD, according to Ohshima (2001) are more demanding and manipulative, and have poorer and more conflicted relationships with medical personnel than non-BPD patients.…”