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Persistent hallucinosis in borderline personality disorder.

Lesley Yee1, Leslie Yee, Anthony James Korner

  • 1Department of Psychological Medicine, University of Sydney at Westmead Hospital, Wentoworthville, NSW 2145, Australia.

Comprehensive Psychiatry
|February 22, 2005
PubMed
Summary

Auditory hallucinosis is a significant symptom in borderline personality disorder (BPD), affecting nearly 30% of patients. Recognizing this phenomenon is crucial for accurate diagnosis and effective treatment of BPD.

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Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Borderline personality disorder (BPD) is often associated with various distressing symptoms.
  • Auditory hallucinosis is a less emphasized symptom in BPD, potentially leading to misdiagnosis.

Purpose of the Study:

  • To examine the prevalence and characteristics of auditory hallucinosis in patients with BPD.
  • To propose a new nomenclature for hallucinosis based on clinical significance.

Main Methods:

  • A case series of 10 patients with BPD and auditory hallucinosis was analyzed.
  • Findings were extrapolated to a larger sample of 171 BPD patients.
  • A review of existing literature on hallucinosis and "normativity" was conducted.

Main Results:

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  • Auditory hallucinosis was persistent, longstanding, and caused significant distress and disability in the case series.
  • Extrapolation suggests nearly 30% of BPD patients may experience auditory hallucinosis.
  • Current terminology may undervalue the clinical reality of these hallucinations.

    • Conclusions:

    • Auditory hallucinosis is a prevalent and clinically significant phenomenon in BPD that requires greater attention.
    • A proposed nomenclature includes normative, traumatic-intrusive, psychotic, and organic hallucinosis.
    • Accurate classification is essential to avoid misdiagnosis and ensure appropriate treatment for BPD patients.