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A Symptom Schedule for the Diagnosis of Borderline Schizophrenia

A First Report

Published online by Cambridge University Press:  29 January 2018

Philippe J. Khouri
Affiliation:
Department of Psychiatry, Georgetown University School of Medicine; Staff Psychiatrist, Veterans Administration Medical Center, Psychiatry Service, 50 Irving Street, N. W., Washington, D.C. 20422
Richard J. Haier
Affiliation:
Butler Hospital, 345 Blackstone Boulevard, Providence, Rhode Island 02906
Ronald O. Rieder
Affiliation:
New York State Psychiatric Institute, New York, New York 10032
David Rosenthal
Affiliation:
Laboratory of Psychology and Psychopathology, National Institute of Mental Health, 9000 Rockville Pike, Bethesda, Maryland 20205

Summary

The concepts of ‘borderline’ and ‘borderline schizophrenia’ remain a confusing area in psychiatry. In its functional use, the word ‘borderline’ refers to a hypothesized level of functioning on a continuum which extends from normality to psychosis, e.g. borderline personality organization. In the phenomenological use ‘borderline’ qualifies a psychiatric diagnosis, referring to a milder form of the disease process, e.g. borderline schizophrenia. In this paper we attempted to define and validate the concept of borderline schizophrenia using case records from the Danish Adoption study with this diagnosis and rating the cases on a new instrument: the Symptom Schedule for the Diagnosis of Borderline Schizophrenia, found reliable, and discriminating cases of borderline schizophrenia from cases of neurosis and personality disorder.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1980 

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