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January 1983

A Comparison of Borderline and Nonborderline Alcoholic Patients

Author Affiliations

From the University of Texas Medical Branch, Galveston (Dr Nace), and the Institute of the Pennsylvania Hospital, Philadelphia (Drs Saxon and Shore).

Arch Gen Psychiatry. 1983;40(1):54-56. doi:10.1001/archpsyc.1983.01790010056006

• Attempts to document systematically the presence of borderline personality disorder in alcoholic patients were made in 94 alcoholic patients consecutively admitted to an inpatient alcoholism program. Operational diagnoses of borderline or not borderline used Gunderson's semistructured Diagnostic Interview for Borderlines (DIB). With the use of conservative criteria, 12.8% of alcoholic patients could be designated as having borderline disorders. Borderline alcoholics were significantly younger and were more likely to have a history of drug abuse, suicide attempts, and accidents. Diminished satisfaction with self and family life and a greater tendency to experience craving across a variety of situations was reported.