Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
:
Login
Tip: To quickly return from a journal’s Table of Contents to the Table of Volumes…

PEP-Web Tip of the Day

You can return with one click from a journal’s Table of Contents (TOC) to the Table of Volumes simply by clicking on “Volume n” at the top of the TOC (where n is the volume number).

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Tarnopolsky, A. Chesterman, L.P. Parshall, A.M. (1995). What is psychosis?. Free Associations, 5(4):536-566.

(1995). Free Associations, 5(4):536-566

What is psychosis?

Alex Tarnopolsky, L. Paul Chesterman and Alice M. Parshall

There are very few certainties in psychiatry. At least one division of psychiatric states about which many psychiatrists have felt reasonably certain is that between psychotic and non-psychotic conditions. Some disorders, however, puzzle the observer because they seem to straddle the divide, like some forms of hysteria, Multiple Personality Disorder, or non-productive forms of schizophrenia. Borderline personality disorder (BPD) epitomizes the problem and we have chosen it as a test case to elucidate the strengths and weaknesses of different ways of conceptualizing psychosis. BPD continues to be a disputed clinical entity for many psychiatrists and indeed is not recognized in ICD 10. In contrast, in the USA it was first included in DSM III and remains in its revision. Questions have been raised not only about the validity of the disorder as a nosological entity but also about the value of retaining it or dismissing it on purely practical and semantic grounds.

We argue that understanding the reasons for the continuing debate and resistance to the acceptance of BPD requires examination of wider conceptual issues. It is not surprising that a syndrome that seems to vacillate between psychosis and non-psychosis, and state and trait psychiatric disorder, be met with emotional resistance and intellectual objection. Incomplete knowledge may contribute to this unease but BPD is the most investigated personality disorder of recent years (Blashfield and McElroy, 1987). An earlier paper (Tarnopolsky and Berelowitz, 1984) showed that while 65% of Maudsley psychiatrists were familiar with the concept and vocabulary of BPD, many objected strongly to it.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2019, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.