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Borderline Personality Disorder

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Aretaeus in particular described the vacillating presence of melancholia, mania and impulsive anger within a single person. The concept was revived by Theophile Bonet, a Swiss physician in 1684 after its medieval suppression. His observations were supported by other writers who realized the same patterns in people. These include writers like Hughes, the American psychiatrist in 1884 and Rosse in 1890 who in their writings, described “borderline insanity.In 1921, Kraeplin identified an “excitable personality” which resemble with the borderline features described in the current concept of borderline. The first important psychoanalytic work to utilize the term borderline was written in 1938 by Adolf Stern. He used the term to refer to patients he thought were suffering from mild form of schizophrenia. This is a condition on the borderline between psychosis and neurosis. The term gained popularity for the next decade both in colloquial and popular use. In 1960s and 1970s, there was a shift from thinking of this syndrome as borderline schizophrenia into perceiving a borderline affective disorder, also called mood disorder, on the fringes of cyclothymia, manic depression and dysthymia.The term borderline was used psychoanalytics like by Otto Kernberg to refer to an intermediate level of personality organization that lies between psychotic and neurotic processes. A standardized criteria for distinguishing BPD from affective disorders was later developed. With the publication of DSM-III in 1980, BPD was made a personality disorder diagnosis. The final terminology that is currently used by DSM was decided by the DSM-IV Axis II Work Group that belongs to American Psychiatric Association.There are various causes of BPD and history of childhood abuse and trauma is one of its possible causes. According to Aviram, Brodskyand Stanley (2006), many studies have shown that there is a strong correlation between various forms of child abuse, especially sexual abuse and the BPD development. A significant number of patients with BPD reported to have undergone such abuses by caregivers of either gender. BPD development among maltreated children is supported by attachment difficulties. Research indicates that many women with BPD have reported a history of neglect during childhood. Many state that they were neglected by a female caregiver and were abused by a male
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