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C HAPTER 1: B ORDERLINE BASICS 2 plagued Princess Diana Sally B. Smith, Diana in Search of Herself (New York: Random House, 1999). 2 Our previous book . . . one of the first attempts Jerold J. Kreisman and Hal Straus, I Hate You—Don’t Leave Me: Understanding the Borderline Personality (New York: Avon Books, 1991), 4–9. 4 defining psychiatric illnesses American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (Washington, D.C.: APA, 2000), 706–710; American Psychiatric Association: “Practice Guideline for the Treatment of Patients with Borderline Personality Disorder,” American Journal of Psychiatry (October Supplement) 158 (2001). 4 Patients with the diagnosis of BPD are more likely “Practice Guideline,” p. 158; American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Third Edition (Washington, D.C.: APA, 1980), 346–347; Glen O. Gabbard, “BPD and Rational Managed Care Policy,” symposium presented at the annual meeting of the American Psychiatric Association, Philadelphia, 1994; John G. Gunderson and Mary C. Zanarini, “Current Overview of the Borderline Diagnosis,” Journal of Clinical Psychiatry (Supplement) 48 (1987): 5–11. 4 One large study indicated Scott Snyder, Walter A. Goodpaster, Wesley M. Pitts Jr., et al., “Demography of Psychiatric Patients with Borderline Personality Traits,” Psychopathology 18 (1985): 38–49. 6 more severe functional impairment Andrew E. Skodol, John G. Gunderson, Thomas H. McGlashan, et al., “Functional Impairment in Patients with Schizotypal, Borderline, Avoidant, or Obsessive Compulsive Personality Disorder,” American Journal of Psychiatry 159 (2002): 276–283. 7 A collaborative, longitudinal study Charles A. Sanislow, Carlos M. Grilo, Leslie C. Morey, et al., “Confirmatory Factor Analysis of DSM-IV Criteria for Borderline Personality Disorder: Findings from the Collaborative Longitudinal Personality Disorders Study,” American Journal of Psychiatry 159 (2002): 284–290. 9 Rather than concluding . . . these authors argue Kurt A. Heumann and Leslie C. Morey, “Reliability of Categorical and Dimensional Judgments of
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