Table 1.
Case 1 | Case 2 | Case 3 | Case 4 | Case 5 | |
---|---|---|---|---|---|
Age | 17 | 13 | 17 | 16 | 17 |
Gender | Female | Female | Female | Female | Female |
Physical illness | |||||
Name | Diabetes Mellitus | Bird Fancier’s lung | Maple Syrup Disease | Diabetes Mellitus | AIDS |
Duration | 3 years | 3 years | 17 years | 4 years | 17 years |
Current Treatment | Insulin, diet | Oxygen | Severe diet | Insulin, diet | Oral drugs |
Hospitalizations (N) | 6 | 3 (last for 15 months) | >15 (total=3.5 years) | 12 | 7 |
Psychosocial background | |||||
Family history | Alcoholism | Fruit of rape | Alcoholism | ??? | HIV, addiction |
Rupture in childhood | Parental divorce | Mother rejection | Provisional family | Provisional family | Mother death |
Maltreatment | Sexual abuse | Violence | No | No | Neglect |
DSM-IV BPD signs | |||||
Unstable relationships | Severe | Moderate | Severe | Severe | Moderate |
Impulsiveness | Severe | Severe | Severe | Severe | Severe |
Affective instability | Severe | Moderate | Severe | Severe | Moderate |
Inappropriate anger | Moderate | Severe | Severe | Severe | Severe |
Suicidal threats | Severe | Moderate | Severe | Severe | Moderate |
Identity disturbance | Severe | Severe | Moderate | Severe | Severe |
Emptiness | No | Moderate | No | Severe | Moderate |
Transient psychosis | Moderate | Severe | No | Severe | Severe |
Abandonment | Severe | Severe | Severe | Severe | Moderate |
Psychiatric variables | |||||
GAF score at entry | 15 | 20 | 10 | 7 | 10 |
GAF score at discharge | 55 | 70 | 75 | 45 | 68 |
Child DIB-R score* | 7 | 8 | 8 | 8 | 7 |
AIDS: Auto-Immune Deficiency Syndrome; GAF: Global Assessment Functioning; BPD: Borderline Personality Disorder; DIB-R: Diagnostic Interview for Borderlines - Revised;
a score > 6 supports the diagnosis of Borderline Personality Disorder.