McGlashan T H
Arch Gen Psychiatry. 1983 Dec;40(12):1319-23. doi: 10.1001/archpsyc.1983.01790110061011.
Recent studies question whether the borderline syndrome represents two entities: borderline schizophrenia (or schizotypal personality) as a variant of schizophrenia and borderline personality disorder as a variant of primary affective disorder. Relevant data are presented from the long-term follow-up of patients at the Chestnut Lodge, Rockville, Md, receiving systematic diagnoses by the retrospective application of diagnostic criteria. Studied were (1) diagnostic overlap at index admission, (2) diagnostic change over follow-up period, and (3) comparative long-term functional outcome between borderline samples and other diagnostic groups. Findings supported the hypothesis that schizotypal personality (as defined by DSM-III) is a variant of schizophrenia but borderline personality disorder (as defined by the DSM-III and Gunderson et al criteria) is not. An affiliation of borderline personality disorder with primary affective disorder is suggested although not conclusive.
边缘型精神分裂症（或分裂样人格）作为精神分裂症的一种变体，以及边缘型人格障碍作为原发性情感障碍的一种变体。通过回顾性应用诊断标准对马里兰州罗克维尔市栗树旅馆的患者进行系统诊断，并给出了长期随访的相关数据。研究内容包括：（1）首次入院时的诊断重叠情况；（2）随访期间的诊断变化；（3）边缘性样本与其他诊断组之间的长期功能结局比较。研究结果支持了以下假设：分裂样人格（如DSM-III所定义）是精神分裂症的一种变体，但边缘型人格障碍（如DSM-III和冈德森等人的标准所定义）并非如此。尽管尚无定论，但边缘型人格障碍与原发性情感障碍之间存在关联。
