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Borderline Patients at the Border of Treatability: At the Intersection of Borderline, Narcissistic, and Antisocial Personalities

STONE, MICHAEL H., MD

Journal of Psychiatric Practice®: July 2003 - Volume 9 - Issue 4 - p 279-290
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The author discusses the difficulties involved in treating patients with borderline personality disorder and concomitant Cluster B—narcissistic, histrionic, and/or antisocial—personality traits or disorders. He presents eight vignettes of patients with borderline personality disorder combined with various types of Cluster B personality traits or disorders and describes the course of their treatment. The author posits that such patients fall on a continuum ranging from difficult to treat but still treatable, to those with strong narcissistic or even psychopathic traits whose illness fails to improve no matter what treatment methods are applied (i.e., they have “untreatable” illness).

STONE: Columbia College of Physicians and Surgeons.

Please send correspondence and reprint requests to: Michael H. Stone, MD, Suite 114, 225 Central Park West, New York, NY 10024.

Copyright © 2003 Wolters Kluwer Health, Inc. All rights reserved.