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- W2204686193 abstract "The physician's dictum is primum non nocere first, do no harm. Dr. Allen Bergin is noted for his research showing that psychotherapy in some instances harms the patient or worsens his condition. Dr. Bergin's concern in assigning me this presentation is that we therapists need to know something of how to recognize and understand the prime candidates for getting worse in improper therapy. Little about the therapy of these patients will be discussed since it can't be learned from a lecture. Those not familiar with it should refer to the most experienced therapist they know. Even he will be challenged. Let us clarify which patients we are talking about. Most therapists have been baffled by certain patients who ;eem to show symptoms of several neuroses, sometimes all at once, and at times psychosis well. For patients hovering on these borders between categories, various diagnostic terms have been used, the most enduring of which has been, not surprisingly, borderline. The term evokes images of someone precariously balancing on a fence between neurosis and psychosis. A more accurately descriptive image may be that of the traffic of one's various ego functions running back and forth between personality integration and disintegration. It is usually rush hour where these patients' psyches reside. Helene Deutsch (1942) was struck by a depersonalization aspect to these people and described them with the term as if personalities, meaning that they behaved if they had a personality to rely on when they, themselves, most commonly complained of being devoid of personality, i.e. so empty inside. The external shell, like the skin of a chameleon, would change, adapting itself to the environment at any given moment, imitating, conforming, being someone this morning, someone different this afternoon, lacking the substance inside to know how to be amid the changing scenery. Paul Hoch and Philip Polatin (1949) wrote of these patients' multiple neurotic symptoms depressions, compulsions, obsessions, emotional outbursts, hypochondriasis and their anxieties, chronic and unattached to any specific fear situation. The equator, for example, may make such a patient nervous. Hoch" @default.
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- W2204686193 date "1981-07-31" @default.
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- W2204686193 title "Diagnosing Borderline Disorders" @default.
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