Gunderson J G, Zanarini M C
J Clin Psychiatry. 1987 Aug;48 Suppl:5-14.
The authors review the literature on the diagnosis of borderline personality disorder and describe the core dynamic features that account for its unstable phenomenology and explain in part the complexity of and the controversies associated with the diagnosis. A review of differential diagnosis suggests that the boundary with schizophrenia is well established, that the boundary with affective disorder is becoming clearer, and that the most subtle boundary distinctions lie with other forms of personality disorder. A growing body of evidence about antecedents to and longitudinal aspects of borderline personality disorder confirms its diagnostic validity.
作者回顾了关于边缘型人格障碍诊断的文献，并描述了导致其不稳定现象学的核心动态特征，部分解释了与该诊断相关的复杂性和争议。鉴别诊断的回顾表明，与精神分裂症的界限已明确确立，与情感障碍的界限正变得更加清晰，而最细微的界限区分存在于其他形式的人格障碍中。越来越多关于边缘型人格障碍的前驱因素和纵向方面的证据证实了其诊断效度。
