Pharmacotherapy of Borderline States

Brinkley, J.R.

doi:10.1016/s0193-953x(18)30155-2

Cited by 11 publications

(2 citation statements)

References 77 publications

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“…Antianxiety and anti-convulsive medications (sometimes in combination) are used to treat obsessive-compulsive, avoidant, dependent, histrionic, paranoid, and borderline PDs (Bornstein, 1997b; Tuinier & Verhoeven, 1995). Antipsychotics are used to treat schizotypal, paranoid, schizoid, antisocial, borderline, and obsessive-compulsive PDs (Brinkley, 1993; Coccaro, 1993)…”

Section: The Discriminant Validity Challengementioning

confidence: 99%

“…Antianxiety and anticonvulsive medications (sometimes in combination) are used to treat obsessive-compulsive, avoidant, dependent, histrionic, paranoid, and borderline PDs (Bomstein, 1997b;Tuinier & Verhoeven, 1995). Antipsychotics are used to treat schizotypal, paranoid, schizoid, antisocial, borderline, and obsessive-compulsive PDs (Brinkley, 1993;Coccaro, 1993) The use of common treatment approaches for different PDs supports a cogent observation made by Widiger (1993): There is as much heterogeneity w i h n PD categories as there is between them. As Widiger noted, when DSM-III-R criteria are used there are 93 different symptom combinations that can lead to a diagnosis ofbor-derline PD, and 149,495,616 different symptom combinations that can lead to an antisocial P D diagnosis.…”

Section: Treatment Commonalitymentioning

confidence: 99%

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Reconceptualizing personality disorder diagnosis in the DSM-V: The discriminant validity challenge.

Bernstein¹

1998

Clinical Psychology: Science and Practice

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Research on personality disorder (PD) diagnostic reliability, comorbidity, and treatment confirms that PD diagnoses lack discriminant validity: Our ability t o describe dfierent PDs in an abstract sense has outstripped our ability t o diagnose them accurately in real-world clinical settings. Here an alternative model of PD diagnosis is presented wherein three types of information are coded on h i s 11: (a) an overall rating of level of personality pathology, (b) separate intensity and impairment ratings for each relevant PD dimension, and (c) a listing of personality traits (including PDrelated traits) that enhance adaptation and functioning. Possible objections to the alternative model are considered (e.g., problems of diagnostician compliance, d i dplinewide resistance t o a new diagnostic framework),and advantages of the model over the cumnt diagnostic system are discussed (e.g., greater heuristic value, increased predictive validity).

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Section: The Discriminant Validity Challengementioning

confidence: 99%

Section: Treatment Commonalitymentioning

confidence: 99%