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April 1973

Borderline Patients in a Chronic Ward

Author Affiliations

Jerusalem, Israel
From the Eitanim Psychiatric Hospital, Jerusalem, Israel.

Arch Gen Psychiatry. 1973;28(4):517-521. doi:10.1001/archpsyc.1973.01750340051009

The borderline syndrome was reexamined recently in a new comprehensive way. We present a diagnostic reevaluation of chronic ward patients who were formerly diagnosed and treated as chronic schizophrenics. A new, meticulous clinical assessment, as well as psychological testing, suggested the borderline-syndrome diagnosis. These patients represent a special category of borderline patients not hitherto described and a characteristic etiological background was found in their familial constellation. A causal and descriptive differentiation between these patients and schizophrenics is mandatory: careful investigation of backward populations in hospitals might reveal numerous similar cases (borderlines in this special category). They call for a different, definite line of treatment.