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The borderline diagnosis in adolescents: symptoms and developmental history

1990; American Psychiatric Association; Volume: 147; Issue: 4 Linguagem: Inglês

10.1176/ajp.147.4.470

1535-7228

Pamela S. Ludolph, Drew Westen, Barbara Misle, Alun C. Jackson, Jean Wixom, F C Wiss,

Psychology of Development and Education

Back to table of contents Previous article Next article No AccessThe borderline diagnosis in adolescents: symptoms and developmental historyPublished Online:1 Apr 2006https://doi.org/10.1176/ajp.147.4.470AboutSectionsView articleAbstractPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail View articleAbstractAdult criteria for borderline personality disorder distinguished a group of 27 inpatient adolescent girls from 23 nonborderline inpatient female comparison subjects. The two groups were compared on retrospectively assessed variables measuring psychological, familial, and constitutional factors. Variables most likely to predict borderline personality disorder included history of disrupted attachments, maternal neglect, maternal rejection, grossly inappropriate parental behavior, number of mother and father surrogates, physical abuse, and sexual abuse. Families of borderline adolescents were chronically disrupted, particularly during the patients' early childhoods. The traumatic childhood experiences of the borderline adolescents were similar to those of adults with borderline personality disorder in recent studies. Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - American Journal of Psychiatry $35.00 Add to cart PPV Articles - American Journal of Psychiatry Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. 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FiguresReferencesCited byDetailsCited byBorderline personality features influence treatment response to suicide preventionJournal of Affective Disorders, Vol. 311Mécanismes de défense et traits de personnalité limite chez les enfants hébergés en protection de l'enfanceLa psychiatrie de l'enfant, Vol. 62, No. 1Current Opinion in Psychology, Vol. 21Personality and Mental Health, Vol. 11, No. 3Clinical Psychology Review, Vol. 44Journal of Personality Disorders, Vol. 30, No. 2Frontiers in Pediatrics, Vol. 4Development of Personality Throughout the Lifecycle20 February 2015European Child & Adolescent Psychiatry, Vol. 24, No. 4Journal of Infant, Child, and Adolescent Psychotherapy, Vol. 14, No. 1Acta Psychiatrica Scandinavica, Vol. 132, No. 4Diagnosing Borderline Personality Disorder During Adolescence: A Review of the Published Literature30 November 2014 | Scandinavian Journal of Child and Adolescent Psychiatry and Psychology, Vol. 3, No. 1L'Évolution Psychiatrique, Vol. 79, No. 1Journal of the American Academy of Child & Adolescent Psychiatry, Vol. 53, No. 5Development and Psychopathology, Vol. 26, No. 2Development and Psychopathology, Vol. 26, No. 2Suicide and Life-Threatening Behavior, Vol. 44, No. 1Personality Pathology3 March 2014Childhood Adversity and the Development of Borderline Personality Disorder28 March 2014Conceptualizing Youth Borderline Personality Disorder Within a Normative Personality Framework28 March 2014Borderline Personality Disorder in Adolescence: Phenomenology and Construct Validity28 March 2014Borderline personality disorder in adolescents: the He-who-must-not-be-named of psychiatry1 April 2022 | Dialogues in Clinical Neuroscience, Vol. 15, No. 2Cognitive Therapy and Research, Vol. 37, No. 3Child and Adolescent Psychiatric Clinics of North America, Vol. 22, No. 2Beschreibung des Störungsbildes13 November 2013Parenting Behaviours Associated with the Development of Adaptive and Maladaptive Offspring Personality Traits1 August 2011 | The Canadian Journal of Psychiatry, Vol. 56, No. 8References28 March 2011Development and Psychopathology, Vol. 23, No. 1Emergent Personality Disorders Among Adolescents with Anxiety Disorders8 February 2011Psychiatric Clinics of North America, Vol. 33, No. 2Neuropsychiatrie de l'Enfance et de l'Adolescence, Vol. 57, No. 5Development and Psychopathology, Vol. 21, No. 3Development and Psychopathology, Vol. 21, No. 3Development and Psychopathology, Vol. 21, No. 4Development and Psychopathology, Vol. 21, No. 4Child Development Perspectives, Vol. 3, No. 1Questioning the Coherence of Histrionic Personality DisorderJournal of Nervous & Mental Disease, Vol. 196, No. 11Konzeptuelle Fragen und Behandlungsansätze bei Persönlichkeitsstörungen im JugendalterPraxis der Kinderpsychologie und Kinderpsychiatrie, Vol. 57, No. 8-9Clinical Psychology Review, Vol. 28, No. 6Journal of Mental Health, Vol. 16, No. 1Bulletin of the Menninger Clinic, Vol. 71, No. 2Comprehensive Psychiatry, Vol. 47, No. 2Psychiatry Research, Vol. 134, No. 2Development and Psychopathology, Vol. 17, No. 04Development and Psychopathology, Vol. 17, No. 04Development and Psychopathology, Vol. 17, No. 04Journal of Child Psychology and Psychiatry, Vol. 46, No. 9British Journal of Psychiatry, Vol. 186, No. 3Comprehensive Psychiatry, Vol. 45, No. 2Factor Structure of the Borderline Personality Inventory in AdolescentsEuropean Journal of Psychological Assessment, Vol. 20, No. 1American Psychologist, Vol. 59, No. 7Perspectives Psy, Vol. 43, No. 4Perspectives Psy, Vol. 43, No. 5Eating Disorders, Vol. 13, No. 1International Journal of Mental Health Nursing, Vol. 13, No. 3Journal of Personality Disorders, Vol. 18, No. 6Personality Diagnoses in Adolescence: DSM-IV Axis II Diagnoses and an Empirically Derived AlternativeDrew Westen, Ph.D., Jonathan Shedler, Ph.D., Christine Durrett, A.B., Samantha Glass, A.B., and Andy Martens, B.A.1 May 2003 | American Journal of Psychiatry, Vol. 160, No. 5Diagnostic Efficiency of Borderline Personality Disorder Criteria in Hospitalized Adolescents: Comparison With Hospitalized AdultsDaniel F. 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A Comparison Between Treated and Untreated Cohorts26 June 2016 | Australian & New Zealand Journal of Psychiatry, Vol. 33, No. 4Bodily Self-Harm and Its Relationship to Childhood Abuse Among Women in a Primary Care Setting30 June 2016 | Violence Against Women, Vol. 5, No. 2Psychoanalytic Inquiry, Vol. 19, No. 5Journal of Emotional Abuse, Vol. 1, No. 4Clarithromycin-Induced ManiaAHMED ABOUESH, M.D., and William R. Hobbs, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Violent Behavior Associated With DonepezilW. P. BOUMAN, M.D., and G. PINNER, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Etiology of Borderline Personality DisorderJUDITH P. SALZMAN, ED.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Drs. Zanarini and Frankenburg ReplyMARY C. ZANARINI, ED.D., and FRANCES R. FRANKENBURG, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Science of AddictionAVIEL GOODMAN, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Dr. O'Brien RepliesCHARLES P. O'BRIEN, M.D., PH.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Use of Psychotropic Medications During LactationJAMES G. LONGHURST, M.D., and ERICA WEISS, M.D. , 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Drs. Stowe and Owens ReplyZACHARY N. STOWE, M.D., and MICHAEL J. OWENS, PH.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Association Between Age at Onset of Schizophrenia and Obstetric ComplicationsRAINER T. SCHAUB, M.D., FRIEDEL M. REISCHIES, M.D., and PETER SCHLATTMAN, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Dr. Verdoux and Colleagues ReplyHÉLÈNE VERDOUX, M.D., , JOHN R. GEDDES, M.R.C.PSYCH., NORIYOSHI TAKEI, M.D., PH.D., and ROBIN M. MURRAY, D.SC., F.R.C.PSYCH., F.R.C.P., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Treatment of Borderline Personality DisorderEDWARD R. SHAPIRO, M.D., and ERIC M. PLAKUN, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Drs. Sharfstein and Quaytman ReplySTEVEN S. SHARFSTEIN, M.D., and MILES S. QUAYTMAN, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Use of Herbal Products and Symptoms of Bipolar DisorderNARESH P. EMMANUEL, M.D., CATHIE JONES, B.A., and R. BRUCE LYDIARD, PH.D., M.D. , 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Antidepressants in Depressed Patients With Irritable Bowel SyndromeIRINA EFREMOVA, M.D., and GREGORY ASNIS, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Response of the Parkinsonian Symptoms of Multiple System Atrophy to ECTW. MICHAEL HOOTEN, M.D., GABRIELLE MELIN, M.D., and JARRETT W. 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ANDREW CHAMBERS, M.D., ANNMARIE CARACANSI, M.D., and GORDON WEISS, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Suicide Attempts Among Seropositive Women in New York CityJANE M. SIMONI, PH.D., DAWN K. NERO, M.A., and BETH A. WEINBERG, 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Gabapentin Treatment of Alcohol WithdrawalHUGH MYRICK, M.D., ROBERT MALCOLM, M.D., and KATHLEEN T. BRADY, M.D., PH.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Behavioral Complications Associated With DonepezilSTEVEN P. WENGEL, M.D., , WILLIAM H. ROCCAFORTE, M.D., WILLIAM J. BURKE, M.D., BARBARA L. BAYER, R.N., M.S.N., DENNIS P. MCNEILLY, PSY.D., and DEBRA KNOP, R.N., M.S.N.1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Atypical Neuroleptic Malignant Syndrome and Atypical AntipsychoticsPETER F. BUCKLEY, M.D., and Samia Hasan, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Schizophrenia and Intellectual DeclineJAMES GOLD, PH.D. , 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Letters to the EditorANTHONY DAVID, M.D., M.R.C.PSYCH., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Letters to the EditorJANICE R. STEVENS, M.D. , CARL M. STEVENS, PH.D., , and RICHARD J. WYATT, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Drs. Russell and Murray ReplyAILSA J. RUSSELL, M.SC.CLIN.PSYCH., and ROBIN M. MURRAY, D.SC., F.R.C.PSYCH., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Fluoxetine and NorfluoxetineJEFFREY A. MATTES, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Dr. Amsterdam and Colleagues ReplyJAY D. AMSTERDAM, M.D., , JAN FAWCETT, M.D., FREDERIC M. QUITKIN, M.D., FREDERICK W. REIMHERR, M.D., JERROLD F. ROSENBAUM, M.D., DAVID MICHELSON, M.D., and CHARLES M. BEASLEY, M.D.1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Delirium Following Cessation of Alcohol ConsumptionBRYON ADINOFF, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Letters to the EditorMAX FINK, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Dr. Kranzler and Colleagues ReplyHENRY R. KRANZLER, M.D., , DAVID HERSH, M.D., and ROGER E. MEYER, M.D.1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Risk Factors for Neuroleptic Malignant SyndromeKEITH G. RASMUSSEN, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Letters to the EditorANDREW FRANCIS, PH.D., M.D., SANJAY CHANDRAGIRI, M.D., , and GEORGIOS PETRIDES, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Dr. Sachdev RepliesPERMINDER SACHDEV, M.D., PH.D., F.R.A.N.Z.C.P., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Suicide Risk in SchizophreniaEDUARD VIETA, M.D., EVARISTO NIETO, M.D., and CRISTOBAL GASTO, M.D., 1 November 1998 | American Journal of Psychiatry, Vol. 155, No. 11Dr. Heilä and Colleagues ReplyHANNELE HEILÄ, M.D., MARKUS M. HENRIKSSON, M.D., PH.D., MAURI J. MARTTUNEN, M.D., PH.D., ERKKI T. ISOMETSÄ, M.D., PH.D., MARTTI E. HEIKKINEN, M.D., PH.D., and JOUKO K. 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KINGSLEY1 April 2006 | American Journal of Psychiatry, Vol. 148, No. 6Comments on Hypnotizability and DissociationDAVID SPIEGEL, and ETZEL CARDEÑA1 April 2006 | American Journal of Psychiatry, Vol. 148, No. 6Borderline personality diagnosis in children and adolescents1 April 2006 | American Journal of Psychiatry, Vol. 148, No. 6Comments on hypnotizability and dissociation1 April 2006 | American Journal of Psychiatry, Vol. 148, No. 6Dissociation, borderline personality disorder, and childhood trauma23 January 2015 | American Journal of Psychiatry, Vol. 148, No. 6Comprehensive Psychiatry, Vol. 32, No. 5Cognitive-behavioral interventions in the psychoanalytic psychotherapy of borderline personality disordersClinical Psychology Review, Vol. 11, No. 3Psychiatric Clinics of North America, Vol. 14, No. 3Psychiatry, Vol. 54, No. 1Developmental history and object relations in psychiatrically disturbed adolescent girls1 April 2006 | American Journal of Psychiatry, Vol. 147, No. 8 Volume 147Issue 4 April 1990Pages 470-476 Metrics PDF download History Published online 1 April 2006 Published in print 1 April 1990