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Previous Volume 345:1003 September 27, 2001 Number 13 Next

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By John G. Gunderson. 329 pp. Washington, D.C., American Psychiatric Press, 2001. $57. ISBN 1-58562-016-5.

Borderline personality disorder may be one of the most pleomorphic disorders in medicine. Patients with this diagnosis are a complex mixture of strengths and weaknesses that confuse the diagnostician and frustrate the psychotherapist. Such patients may seem charming, composed, and psychologically intact one day and collapse into suicidal despair the next. Impulsivity, affective lability, frantic efforts to avoid abandonment, and identity diffusion are all hallmarks of borderline personality disorder (although the name of the condition does not necessarily reflect these dimensions). Patients with borderline personality disorder often raise hope in the dedicated psychiatrist only to dash that hope by demonstrating . . . [Full Text of this Article]

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