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A Phenomenologic, Family History, Treatment Response, and Long-term Follow-up Study

Harrison G. Pope, Jr, MD; Jeffrey M. Jonas, MD; James I. Hudson, MD; Bruce M. Cohen, MD, PhD; John G. Gunderson, MD

Arch Gen Psychiatry. 1983;40(1):23-30.

Abstract
• 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.

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

Footnotes
Accepted for publication Aug 10, 1982.

Reprint requests to Mailman Research Center, McLean Hospital, 115 Mill St, Belmont, MA 02178 (Dr Pope).

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