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Transitional objects and borderline personality disorder

W Cardasis1, J A Hochman, K R Silk

  • 1Department of Psychiatry, University of Michigan Medical School, Ann Arbor 48109-0704, USA.

The American Journal of Psychiatry
|February 1, 1997
PubMed
Summary
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Patients with borderline personality disorder are more likely to bring transitional objects to the hospital. While not a definitive diagnostic tool, these objects may offer comfort and insight into treatment.

Area of Science:

  • Psychiatry
  • Psychology

Background:

  • Transitional objects, often used in childhood, may persist into adulthood.
  • Their presence in psychiatric inpatients has not been extensively studied in relation to specific diagnoses.

Purpose of the Study:

  • To explore the association between possessing transitional objects and a diagnosis of borderline personality disorder (BPD).
  • To hypothesize that inpatients with BPD are more likely to bring objects of special meaning to the hospital.

Main Methods:

  • A semistructured interview was conducted with 146 psychiatric inpatients.
  • The presence of transitional objects (in hospital, home, or childhood) was assessed.
  • Borderline personality disorder diagnosis was confirmed using DSM-III-R criteria and discharge diagnoses.

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Main Results:

  • A significantly higher proportion of patients with transitional objects (in hospital or at home) received a borderline personality disorder diagnosis.
  • Specificity and negative predictive power of transitional objects for BPD were higher than sensitivity and positive predictive power.
  • Adult transitional object possession had 63% sensitivity and 45% positive predictive power for BPD.

Conclusions:

  • Bringing a transitional object to the hospital may aid BPD inpatients by providing comfort and reminders of home.
  • The persistence of transitional objects into adulthood can offer therapists insights into potential transference dynamics during treatment.