Starting from the entire idea of “borderline”, today’s really works concentrates on the essential areas of identity sickness that define the fresh medical and diagnostic contexts, putting the latest foundations to have the correct differential prognosis, versus forgetting the fresh neural functions developed by the medical people. A special class brand of borderline character disorder, considering five profile, are proposed. The new dialogue finishes with the best ideal healing methods.
Meaning, differential prognosis and you can health-related context from borderline identity infection
Definition, introduction and epidemiological profile: The phrase “borderline” came into this world due to the fact a label intended for discussing a whole collection from features and you may habits that are difficult to explain. Migone (1990) pulls up a listing of the fresh significance of different authors, which refer almost directly to the brand new borderline city, below particular: “borderline neurosis” (Clark, 1919), “parataxies in certain borderline rational states” (Moore, 1921), “spontaneous reputation”, “incipient schizophrenia” (Glover, 1932), “atypical schizophrenia” or “affective schizophrenia” (Kasanin, 1933), “outpatient schizophrenia” (Zilboorg, 1941), “character as if” (Deutsch, 1942), “hidden psychosis” (Federn, 1947), “pseudonevrotic schizophrenia” (Hoch & Polatin, 1949), “latent schizophrenia” (Bychowsky, 1953), “psychotic character” (Frosch, 1954, 1960), “attenuated schizophrenia” (Ekstein, 1955), “histeroids” (Easser & Cheaper, 1965), “atypical psychosis”, “borderline schizophrenia” (Kety, et al. 1968), “hysteroid dysphoria” (Klein & Davis, 1969; Klein, 1977), “borderline psychosis”, “indescribable people” (Welner, ainsi que al. 1973), “subaffective problems” (Akiskal, 1981) .
Items in the new manuscript
The employment of the expression “borderline”, as we know they, have origins one to rest in early tries to codify diagnostic categories on psychiatric setting. In reality, regarding the 50s of one’s history millennium, a group of active psychotherapists and you can psychiatrists attempted to do a good symptomatic class for several rational problems you to definitely didn’t meet the requirements best to neuroses otherwise psychoses, starting from the theory developed by Harsh during the 1938 with the cystic toward border between neurosis and you can psychosis. Such patients experienced severe temper instability, big dilemmas during the target relations, and you may most importantly consolidation trouble when you look at the community. New malfunction of the symptomatic behaviors composed of numerous nosographic perplexities as this type of people displayed a much more dramatic clinical picture of the fresh new neuroses however, without having any typical properties for the diagnosis from psychosis (particularly towards disconnected exposure to reality).
For the reason that months, for this reason, unique categories for it type of disease blossomed, like the “pre-schizophrenia” regarding Rapaport and you will Gill or the “states/characters in the restriction” out-of Rangell. The effective hypotheses you to definitely unwrapped the door on very varied inquiries. On this subject character, in the 60s of the identical millennium, Kernberg, doctor and you may psychoanalyst, create good psychoanalytic make of these conditions according to Klein’s “Concept away from target affairs” and on the fresh new “Therapy of your own Pride” of Good. Freud and you will Hartmann. Kernberg, specifically, implies certain attacks, like sugar babies Liverpool totally free and changing nervousness, several fears, dissociative responses, hypochondriac concerns, perverse polymorphic sex, and you will drug abuse. Assuming, but not, that prognosis are founded less into the periods found however, more on the existence of specific architectural services one to determine the company out-of identity, arranged the word “Borderline Business out of Identity”, distinct from neurotic organizations and psychotic teams already codified by scientific area, stating that company are characterized by the fresh new scientific the means to access a particular number of immunity and this Kernberg considered so much more “primitive” than those of the neurotic kind of, particularly busting, devaluation, idealization, and you will projective identity, by which anyone classified differing people within his ecosystem while the “totally an excellent” otherwise “totally bad”, even when the judgment on the a guy you certainly will range between time to-day or even each day.