Pope H G, Jonas J M, Hudson J I, Cohen B M, Tohen M
Am J Psychiatry. 1985 Nov;142(11):1285-90. doi: 10.1176/ajp.142.11.1285.
To assess the nature and prevalence of psychotic symptoms in borderline personality disorder, the authors reviewed the cases of 33 patients meeting DSM-III criteria for borderline personality disorder, using both "narrow" and "broad" definitions of psychosis. Only eight patients displayed psychotic symptoms meeting the "narrow" DSM-III definition; in all of these cases, the symptoms appeared to be attributable to either severe drug abuse or major affective disorder, present simultaneously with borderline personality disorder. The remaining patients displayed only "broadly defined" psychotic symptoms or symptoms that appeared to be under voluntary control. These findings weigh against the assumption that borderline personality disorder lies "on the border" of classical psychotic disorders.
为评估边缘型人格障碍中精神病性症状的性质和患病率，作者回顾了33例符合DSM-III边缘型人格障碍标准的患者病例，采用了对精神病的“狭义”和“广义”定义。只有8例患者表现出符合DSM-III“狭义”定义的精神病性症状；在所有这些病例中，症状似乎归因于严重药物滥用或重度情感障碍，与边缘型人格障碍同时存在。其余患者仅表现出“广义定义”的精神病性症状或似乎受自主控制的症状。这些发现不支持边缘型人格障碍处于经典精神病性障碍“边缘”的假设。
