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DIAGNOSIS AND CLASSIFICATION

The clinician's dilemma: borderline personality disorder or bipolar spectrum disorder?

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Pages 303-308 | Published online: 21 Jul 2010
 

Abstract

Objectives: This paper aims to explore the use of science as a basis for introducing bipolar spectrum disorder to conceptualize people who may otherwise be described as having borderline personality disorder, and offer suggestions for the management of clinical dilemmas.

Conclusions: Testable observations, thoughtfulness and humility are helpful in clinical practice.

ACKNOWLEDGEMENTS

The first author dedicates this work to his wife who has always supported him in this pursuit and exploration. The initial drafts were typed by the late Lesley Hopkins, the final by Karen Masters. Thanks are also extended to Scott and Martin for reviewing an early draft, to Norma and Gemma for unparalleled library support, and to Drs Synott and the late Jessie Anderson, who bought our attention to the death of the child and the fallacy of the confirming antecedent respectively.

DISCLOSURE

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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