The borderline diagnosis and integration of self

To try to encompass what is meant by borderline with parameters that are too delineating can lead to conceptual difficulties and confusion for several reasons: The human psyche is too complex and probably has too much of the quality of a gestalt to be understood adequately by dichotomizing thinking; an individual does not experience himself as operating in discrete units, but as a unified whole; and the most characteristic manifest quality of the borderline picture is its tendency toward a chaotic functioning that somehow always spills over any defining boundaries which are set up to attain conceptual containment. If we then accept our limitations on the precision and order with which we can comprehend it, the understanding of borderline might be supplemented by seeing it in terms of the subjective experience of an integrated self. This offers a more holistic approach that tends not to be so subject to objectifying compartmentalization. It is more in tune with the subjective experiencing a person has of that which defines and moves him in the world. And it offers a referent axis along which the distance one has traveled in the borderline direction might be gleaned. Finally, the relationship of the borderline diagnosis to character disorder might be looked this way: The diagnosis does not refer to a particular character disorder or to a group of disorders. It emerges in all character pathology to the degree that the experiencing of an integrated and whole sense of self, which is at the heart of character structure, is diminished.     

Boundary disturbance in borderline and psychotic states

This study examines evidence for boundary disturbances in depressive, borderline, and schizophrenic hospitalized inpatients. Certain thought disorder signs on the Rorschach are reconceptualized as indices of boundary formation, which is defined as the capacity to create particular distinctions along wome bipolar coordinate of experience where previously no distinction was possible, and which defines each cluster of experience through a maintenance of differential functioning. The borderline group scored significantly high on the indices of laxness and moderately severe inner-outer boundary formation. The schizophrenic group scored significantly higher on indices of self-other and somewhat higher on severe inner-outer boundary disturbance. Schizophrenics may be organized at a level of self-other boundary formation which subsumes inner-outer boundary formation, while the borderline group is organized at a level of inner-outer boundary formation.     

Antidepressant treatment of children: clinical relapse is unrelated to tricyclic plasma concentrations

Plasma concentrations of imipramine and amitriptyline and their desmethylated metabolites were measured in 20 children being treated for major depressive illness 2 wk. and 5 to 10 wk. after achieving drug dosages of 2.25 mg/kg body weight. At 2 wk. all children had exhibited clinical improvement, but by 10 wk. 4 of the 10 children treated with imipramine and 5 of the 10 children treated with amitriptyline had experienced clinical relapse of depressive symptoms. Tricyclic antidepressant plasma concentrations and ratios were comparable in the subgroups of children who maintained their clinical improvement and those who relapsed. There was no evidence of a systematic decline in plasma tricyclic antidepressant concentrations in those children who relapsed.     

Symbolic comparisons with and without perceptual referents: Is interval information used?

In an attempt to investigate the range effect obtained by Moyer and Bayer (1976), two groups of subjects were taught to associate colors with circles that differed in size by larger or smaller intervals and then participated in a symbolic comparison task, in which they determined which of two simultaneously presented symbols (the first letters of two colors) represented the larger magnitude. A third group of subjects, who merely learned an arbitrary ordering of the colors along the dimension of size, also participated in the symbolic comparison task. Despite the fact that no practice trials were given, there was no effect of interval size in either early or late blocks, and the circle-learning groups did not differ in performance from the group who only learned an arbitrary ordering of colors, even when pairs containing end terms were removed from the analysis. It is concluded that subjects do not use analogue codes in symbolic comparison tasks involving small, repeated sets of arbitrarily defined symbols.     

Are the times changing? An analysis of gender differences in sexual graffiti

This study examined the assumption that the gender gap has narrowed over time in the writing of sexual graffiti from male and female bathrooms of five colleges and universities in 1972 and 1984. In both studies, female graffiti, in relation to male graffiti, made fewer sexual references. In addition, female graffiti were more socially acceptable in regard to langauge and content. Overall, these results suggest that the decade of the 1970s may have had little or no impact on the pattern of gender differences in the sexual content and social acceptability of wall writings.An earlier version of this paper was presented at the annual meeting of the Society for the Study of Social Problems, August 26, 1985.