Abstract
Sixteen children said to be “borderline” were referred for comprehensive evaluation. None met DSM III criteria for borderline personality disorder. Referring psychiatrists and psychologists seemed to base their impressions on the child's disorganized thinking and irrational, erratic behavior, problems that were better understood and treated from a developmental perspective. The borderline label had a negative impact on some children, and was not helpful for treatment planning or disposition. Clear guidelines for the application of this ambiguous and controversial diagnostic term in child psychiatry are nonexistent.
Similar content being viewed by others
References
Bradley, S. J. The relationship of early maternal separation to borderline personality in children and adolescents.American Journal of Psychiatry, 1979,136, 424–426.
Brask, B. H. Borderline schizophrenia in children.Acta Psychiatrica Scandinavica, 1959,34, 265–282.
Chethik, M. The borderline child. In J. Noshpitz (Ed.),Basic handbook of child psychiatry (Vol. II), Disturbances in development. New York: Basic Books, 1979.
Diagnostic and statistical manual of mental disorders (2nd ed.). Washington, D.C.: American Psychiatric Association, 1968.
Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, D.C.: American Psychiatric Association, 1978.
Ekstein, R., & Wallerstein, J. Observations on the psychology of borderline psychotic children.PSA Study Child, 1954,9, 344–369.
Engel, M. Psychological testing of borderline psychotic children.Archives of General Psychiatry, 1963,8, 426–434.
Freud, A. The assessment of borderline cases. In A. Freud (Ed.),Complete Works (Vol. V). New York: International Universities Press, 1967.
Fritling-Schreuder, E. C. M. Borderline states in children.PSA Study Child, 1969,24, 307–327.
Geleerd, E. R. Borderline states in childhood adolescence.PSA Study Child, 1958,13, 279–295.
Group for the Advancement of Psychiatry, Committee on Child Psychiatry.Psychopathological disorders in childhood: Theoretical considerations and a proposed classification (Vol. VI), Report No. 62. New York: Group for the Advancement of Psychiatry, June 1966.
Lewis, M. Transitory or pseudo-organicity and borderline personality in a 7-year-old child.Journal of the American Academy of Child Psychiatry, 1976,15, 131–138.
Mahler, M., Ross, J. G., & DeFries, Z. Clinical studies in benign and malignant cases of childhood psychoses (schizophrenia-like).American Journal of Orthopsychiatry, 1949,19, 295–304.
Perry, J. C., & Klerman, G. L. The borderline patient.Archives of General Psychiatry, 1978,35, 141–150.
Pine, F. On the concept “borderline” in children.PSA Study Child, 1974,29, 341–368.
Rosenfeld, S. K., & Sprince, M. P. Some thoughts on the technical handling of borderline children.PSA Study Child, 1963,20, 495–517 (a).
Rosenfeld, S. K., & Sprince, M. P. An attempt to formulate the meaning of the concept “borderline.”PSA Study Child, 1963,18, 603–635 (b).
Weil, A. P. Certain severe disturbances of ego development in childhood.PSA Study Child, 1953,8, 271–287.
Author information
Authors and Affiliations
Additional information
This work was supported in part by USPH Grant #HD 10570 to Dr. Gualtieri from the National Institute of Child Health and Human Development, Grant #77-20 to Dr. Gualtieri from the North Carolina Alcohol Research Authority, and Grant #MH 33127 to Dr. Gualtieri from the National Institute of Mental Health.
Rights and permissions
About this article
Cite this article
Gualtieri, C.T., Koriath, U. & Van Bourgondien, M.E. “Borderline” children. J Autism Dev Disord 13, 67–72 (1983). https://doi.org/10.1007/BF01531360
Issue Date:
DOI: https://doi.org/10.1007/BF01531360