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Test For Borderline Personality Disorder

The Diagnostic Interview for Borderlines, Revised (DIB-R) is the most influential and best-known "test" for diagnosing Borderline Personality Disorder. Use of this test has led researchers to identify the four behavior patterns considered specific to BPD: abandonment, engulfment, annihilation fears, and to arouse inappropriately close or hostile treatment relationships.

The Diagnostic Interview for Borderlines, Revised

Gunderson and his colleague, Jonathan Kolb, tried to make the diagnosis of Borderline Personality Disorder by constructing a clinical interview to assess borderline characteristics in patients. The DIB was revised in 1989 to sharpen its ability to differentiate between BPD and other personality disorders. It considers symptoms that fall under four main headings:

1. Affect

• chronic/major depression
• helplessness
• hopelessness
• worthlessness
• guilt
• anger (including frequent expressions of anger)
• anxiety
• loneliness
• boredom
• emptiness

2. Cognition

• odd thinking
• unusual perceptions
• non-delusional paranoia
• quasi-psychosis

3. Impulse action patterns

• substance abuse/dependence
• sexual deviance
• manipulative suicide gestures
• other impulsive behaviors

4. Interpersonal relationships

• intolerance of aloneness
• abandonment, engulfment, annihilation fears
• counter-dependency
• stormy relationships
• manipulativeness
• dependency
• devaluation
• masochism/sadism
• demandingness
• entitlement

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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