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Article   |    
Descriptive, Biological, and Theoretical Aspects of Borderline Personality Disorder
Glenn C. Davis; Hagop S. Akiskal
Psychiatric Services 1986; doi:
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The Veterans Administration Medical Center, 10701 East Boulevard, Cleveland, Ohio 44106, The Department of Psychiatry at Case Western Reserve School of Medicine in Cleveland

The Department of Psychiatry, The Department of Pharmacology at the University of Tennessee Center for the Health Sciences, The Sleep Disorders Center at Baptist Memorial Hospital in Memphis

1986 American Psychiatric Association

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Although the diagnosis of borderline personality disorder has reasonable interrater and test-retest reliability, its discriminative validity is poor. The authors review studies indicating that the patient group subsumed by the borderline category actually includes those with various affective, organic, and schizotypal disorders. They speculate that borderline personality disorder represents a broad range of affective disorders resulting in part from childhood object loss, which may impair the reinforcement mechanisms necessary for the development of competent object relations.

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