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The case of an aging person with borderline personality disorder and possible dementia

Published online by Cambridge University Press:  04 March 2010

Edward Helmes  and
Lynda Steward
Edward Helmes*
Affiliation:
Department of Psychology, James Cook University, Townsville, Queensland, Australia
Lynda Steward
Affiliation:
Department of Psychology, James Cook University, Townsville, Queensland, Australia
*
Correspondence should be addressed to: Dr. E. Helmes, Department of Psychology, James Cook University, Townsville, Queensland 4811, Australia. Phone: +617 4781 5159; Fax: +617 4781 5117. Email: edward.helmes@jcu.edu.au.
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Abstract

There is little literature on older adults with borderline personality disorder during neuropsychological assessment. Here we report on a 59-year-old woman with borderline personality disorder who referred herself for assessment because she feared the onset of dementia. Results showed an above average level of intelligence, with scores on memory tests that ranged from well below to well above average in a pattern that was not consistent with a dementia or with common forms of neurologically based memory impairments. A test of memory malingering was within normal limits. Results are discussed in terms of somatization within this personality disorder.

Type
Case Report
Information
International Psychogeriatrics , Volume 22 , Issue 5 , August 2010 , pp. 840 - 843
Copyright
Copyright © International Psychogeriatric Association 2010

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References

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders. Text Revision (4th edn). Washington, DC: American Psychiatric Association.Google Scholar
Delis, D. C., Kaplan, E., and Kramer, J. H. (2001). Delis-Kaplan Executive Function System. Examiner's Manual. San Antonio, TX: Psychological Corp.Google Scholar
Meyers, J. E. and Meyers, K. R. (1995). Rey Compex Figure Figure Test and Recognition Trial. Odessa, FL: Psychological Assessment Resources.Google Scholar
Modestin, J. (1987). Quality of interpersonal relationships: the most characteristic DSM-III BPD criterion. Comprehensive Psychiatry, 28, 397–402.CrossRefGoogle ScholarPubMed
Morey, L. C. (1991). Personality Assessment Inventory Professional Manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Paris, J. (2009). The treatment of borderline personality disorder: implications of research on diagnosis, etiology, and outcome. Annual Review of Clinical Psychology, 5, 277–290.CrossRefGoogle ScholarPubMed
Paris, J. and Zweig-Frank, H. (2001). A twenty-seven year follow-up of borderline patients. Comprehensive Psychiatry, 42, 482–487.CrossRefGoogle Scholar
Psychological Corp. (1999). WASI: Wechsler Abbreviated Scale of Intelligence. Manual. San Antonio, TX: Psychological Corp.Google Scholar
Segal, D. L., Coolidge, F. L. and Rosowsky, E. (2006). Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment. Hoboken, NJ: Wiley.Google Scholar
Silbersweig, D., Clarkin, J. F., Goldstein, M., Kernberg, O. F., Tuescher, D. and Levy, K. N. (2007). Failure of frontolimbic inhibitory function in the context of negative emotion in borderline personality disorder. American Journal of Psychiatry, 148, 711–718.Google Scholar
Tombaugh, T. N. (1997). The Test of Memory Malingering (TOMM): normative data from cognitively intact and cognitively impaired individuals. Psychological Assessment: Journal of Consulting and Clinical Psychology, 9, 260–268.CrossRefGoogle Scholar
Trappler, B. and Backfield, J. (2001). Clinical characteristics of older psychiatric inpatients with borderline personality disorder. Psychiatric Quarterly, 72, 29–40.CrossRefGoogle ScholarPubMed
Wechsler, D. (1997). WMS-III. Wechsler Memory Scale – Third Edition. Administration and Scoring Manual. San Antonio, TX: Psychological Corporation.Google Scholar