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January 1983

The Validity of DSM-III Borderline Personality Disorder: A Phenomenologic, Family History, Treatment Response, and Long-term Follow-up Study

Author Affiliations

From the Department of Psychiatry, Harvard Medical School, Boston, and McLean Hospital, Belmont, Mass.

Arch Gen Psychiatry. 1983;40(1):23-30. doi:10.1001/archpsyc.1983.01790010025003

• To test the validity of the DSM-III diagnosis of borderline personality disorder (BPD), we examined the phenomenology, family history, treatment response, and four-to-seven-year long-term outcome of a cohort of 33 patients meeting DSM-III criteria for BPD. We found that (1) BPD could be distinguished readily from DSM-III schizophrenia; (2) BPD did not appear to represent "borderline affective disorder," although many patients displayed BPD and major affective disorder concomitantly; and (3) BPD could not be distinguished on any of the Indices from histrionic and antisocial personality disorders.

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