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Some nosological considerations on "borderline case".

H Koide1

  • 1Department of Psychiatry, Gifu University School of Medicine, Japan.

The Japanese Journal of Psychiatry and Neurology
|December 1, 1992
PubMed
Summary
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Borderline Personality Disorder (BPD) and Schizotypal Personality Disorder (SPD) share imaginary object relations, differing in patient-object distance. Borderline pathology involves a failure of repression, with subtypes linked to hysterical and obsessional neuroses.

Area of Science:

  • Psychiatry
  • Psychology
  • Psychoanalysis

Background:

  • Current classifications distinguish Borderline Personality Disorder (BPD) and Schizotypal Personality Disorder (SPD).
  • Both disorders are understood within the framework of object relations and defense mechanisms.

Observation:

  • The study examines the shared pathology of imaginary relationships to the object of identification in BPD and SPD.
  • A case study illustrates a position midway between borderline states and neurosis.
  • Japanese borderline cases are categorized into hysterical and obsessional subtypes.

Findings:

  • The core pathology of borderline cases is identified as a failure of repression.
  • Differences between BPD and SPD are attributed to the varying psychological distance from the object of identification.

Related Experiment Videos

  • Hysterical and obsessional borderline subtypes demonstrate distinct relationships with hysterical and obsessional neuroses, respectively.
  • Implications:

    • This analysis refines the understanding of borderline personality disorders and their differential diagnosis.
    • It highlights the significance of repression failure in the etiology of borderline pathology.
    • The classification into hysterical and obsessional subtypes offers a nuanced perspective for clinical practice and theoretical development.