The borderline patient and military life

Bird, John R.

doi:10.1111/j.2044-8341.1980.tb02872.x

British Journal of Medical Psychology

1980

DOI: 10.1111/j.2044-8341.1980.tb02872.x

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The borderline patient and military life

John R. Bird¹

Abstract: The view that the borderline patient can cope surprisingly well in a highly structured environment despite long-standing severe personality disturbance is studied. Military life provides such a structured environment and its role in the lives of these patients is presented through two case reports. The concept that the Army becomes 'military parents', accepts massive projections and survives splitting whilst providing a 'universal ego and super-ego' is developed and felt to be fundamental to the stability that… Show more

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Cited by 3 publications

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“…To date, there are two peer-reviewed articles examining BPD in active duty military. In his psychoanalytic perspective, Bird (1980) presents two case studies of army officers who experienced a "breakdown" one of which resulted in a SA. Despite Bird's accurate descriptions of BPD symptomology in these officers, his conclusions that the Army can remedy those symptoms by standing in as a parent figure and as their only security have not been empirically investigated.…”

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Borderline personality disorder and self-directed violence in a sample of suicidal army soldiers.

Fruhbauerova¹,

DeCou²,

Crow³

et al. 2021

Psychological Services

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There has been a sharp increase in the military suicide rates in 2004. While, borderline personality disorder (BPD) has a stronger association with suicide attempts than any other mental health disorder, there is limited evidence concerning the prevalence and scope of BPD symptoms among military personnel. This secondary data analysis compared active duty suicidal soldiers to characterize the presence-absence of BPD diagnostic criteria and lifetime history of self-directed violence in a suicidal military sample. The current study examined data of 137 active Service Members with significant suicidal ideation. Approximately one-quarter of the soldiers in this sample met full diagnostic criteria for BPD. The presence of BPD criteria was generally consistent among participants with BPD who reported past self-directed violence relative to those who did not. The number of BPD criteria was a significant predictor of the odds of reporting any nonsuicidal self-injury (NSSI) as well as the amount of NSSI, but was not associated with suicide attempt. This study demonstrated that a nontrivial proportion of suicidal soldiers meet criteria for this condition, which is strongly associated with self-directed violence. It is important to rigorously assess for the presence-absence of BPD criteria among suicidal military personnel and cultivate prevention strategies and treatment options for BPD.

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confidence: 99%

Borderline personality disorder and self-directed violence in a sample of suicidal army soldiers.

Fruhbauerova¹,

DeCou²,

Crow³

et al. 2021

Psychological Services

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The Use of the Term ‘Borderline Patient’ by Scottish Psychiatrists: A Preliminary Survey

Macaskill¹,

Macaskill²

1981

Br J Psychiatry

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One hundred and sixty Scottish psychiatrists complete a questionnaire eliciting the extent of their use of the term 'borderline patient' and the factors affecting this. The term was used by 27.5 per cent, the majority of whom felt that it ought to be included in current diagnostic classification systems. There was, however, general dissatisfaction with the vagueness of current definitions of the term and a confusing use of numerous diagnostic labels. Use of the term was not related to status, geographical location, or familiarity with American psychiatric literature. The practice of psychodynamically-oriented psychotherapy and extended working contact with psychiatry in North America were found significantly to increase its use.

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More than One Borderline? The Current Status of the Concept of Borderline Personality

Mayne

1981

Aust N Z J Psychiatry

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Borderline Personality has acquired diagnostic respectability with its inclusion in DSM III. Descriptions of the syndrome by the major contributors to the field are reviewed and the criteria developed by Spitzer, Endicott and Gibbon (1979), and adopted for DSM III, are discussed. It is suggested that there may be an identifiable sub-group of patients with Borderline Personality Disorder who are best classified with the affective disorders.

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The borderline patient and military life

Cited by 3 publications

References 8 publications

Borderline personality disorder and self-directed violence in a sample of suicidal army soldiers.

Borderline personality disorder and self-directed violence in a sample of suicidal army soldiers.

The Use of the Term ‘Borderline Patient’ by Scottish Psychiatrists: A Preliminary Survey

More than One Borderline? The Current Status of the Concept of Borderline Personality

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