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History of Borderline Personality Disorder

In an article by Elizabeth Finley-Belgrad, MD, of the Department of Psychiatry at Northeastern Ohio Universities College of Medicine, the history of Borderline Personality Disorder is reported to date back to 1941, when Zilboorg described a disorder that he considered to be a mild version of schizophrenia. Patients with this disorder had what he called associative thinking, disturbances of reality testing, pervasive anger, and shallowness of effect.

In 1942, Deutsch described a group of patients lacking a consistent sense of identity without a source of inner direction. She created the term “As-If Personalities,” because the patients completely identified with those people upon whom they were dependent. Hoch and Polatin later created the term “Pseudoneurotic Schizophrenia” to describe a disorder characterized by pananxiety, panphobias, and pansexuality.

Schmideberg first described Borderline Personality Disorder in 1959 as a disorder of character.

Grinker and associates made the first efforts describing Borderline Personality Disorder through systematic empirical investigation.

Kernberg conceptualized Borderline Personality Disorder in 1975 as a diagnosis within a particular group of patients with primitive defense mechanisms. Previous to this time, many different terms were used describing the condition in patients who had similar traits.

In 1938, Stern referred to the borderline between psychoses and neuroses, which is where the term “Borderline Personality Disorder” originated.

The original Diagnostic and Statistical Manual of Mental Disorders (DSM-I) would have given patients with the criteria for Borderline Personality Disorder the diagnosis of “Emotionally Unstable Personality.”

The Diagnostic and Statistical Manual of Mental Disorders – Second Edition (DSM-II) still contained nothing that would adequately describe Borderline Personality Disorder.

In the Diagnostic and Statistical Manual of Mental Disorders – Third Edition (DSM-III), however, Borderline Personality Disorder became a diagnosis, based on a systematic description of observable clinical characteristics.

In 1994, this description of Borderline Personality Disorder was carried over into the Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition (DSM-IV) as well.

Borderline Personality Disorder has historically been considered as being on the border between psychosis and neurosis, which is how it got its name. This disorder is characterized by marked instability in functioning, mood, effect, and interpersonal relationships.

About the Author

David Oliver is the founder of BorderlineCentral.com a one stop source of information on how to cope and deal with borderline personality disorder.

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