Compare and Contrast DSM-4 and DSM-5 when it comes to the criteria that we now use to diagnose Borderline Personality Disorder. With this content.
Panel
DSM-IV criteria for borderline personality disorder:
Affective criteria:
- Inappropriate intense anger or difficulty controlling anger - e.g. frequent display of temper, constant anger, frequent physical fights
- Chronic feelings of emptiness
- Affective instability due to a marked reactety of mood - e.g. episodic dysphoric mood variability or daily uualy lasting a few hours and only rarely more than a few days
Cognitive criteria:
- Transient stress-related paranoid ideation or severe suogdhuls angeyxosp
- Identity disturbance - king and patient unstable f image or sense of self
Behavioral criteria (forms of impulsivity):
- Recurrent suicidal behavior, gestures, or self-mutilating behavior
- Impulsivity in at least two areas that are potentially damaging that do not include suicidal or self-mutilating behavior
Interpersonal criteria:
- Frantic efforts to avoid real or imagined abandonment that do not include suicidal or self-mutilating behavior
- A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
Problem:
The first is a profound fear of abandonment which tends to manifest itself in desperate efforts to avoid being left alone - calling people on the phone repeatedly or physically clinging to them. The second is a tumultuous quality to close relationships which are marked by frequent arguments, repeated breakups, and reliance on a series of maladaptive strategies that can both anger and frighten others - e.g. highly emotional or unpredictable responses.
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