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The Development of Criteria

Robert L. Spitzer, MD; Jean Endicott, PhD; Miriam Gibbon, MSW

Arch Gen Psychiatry. 1979;36(1):17-24.

Abstract
• Although there is a large psychiatric literature on various "borderline" conditions, there has been no agreement as to the definition of the concept. A review of the literature reviewed two major uses of the term: Borderline Schizophrenia and Borderline Personality. Two item sets were developed to provide diagnostic criteria for the two concepts. High sensitivity and specificity were demonstrated for both item sets using data describing 808 borderline and 808 control patients. These criteria will be used in the forthcoming DSM-III classification for the categories of Borderline Personality Disorder and Schizotypal Personality Disorder.

Author Affiliations
From Biometrics Research, New York State Department of Mental Hygiene, New York State Psychiatric Institute, Department of Psychiatry, Columbia University, New York.

Footnotes
Accepted for publication April 10, 1978.

Read in part before a Scientific Symposium honoring Eli Robins, MD, St Louis, May 1977.

Reprint requests to New York State Psychiatric Institute, 722 W 168th St, New York, NY 10032 (Dr Spitzer).

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