1. On the Borderline to Psychosis: A machine learning and network approach to reveal phenomenological similarities between psychosis and borderline personality in the UK Adult Population
- Author
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Zavlis, Orestis and Bentall, Richard
- Subjects
FOS: Psychology ,Clinical Psychology ,Psychology ,Social and Behavioral Sciences - Abstract
Since its conceptual origins, borderline personality has been deeply intertwined with psychosis. Although initially thought to be on the ‘borderline’ to psychosis (hence its label) (Knight, 1953; Stern, 1938), afflicted individuals were eventually recognized to be suffering from a distinct syndrome of primarily neurotic features. This ‘borderline’ (to psychosis) syndrome was formally recognized in 1980, when it was included in DSM-III, and has since been defined in terms of affective instability and extreme interpersonal sensitivity (see Gunderson, 2009). Psychosis, on the other hand, has been defined as a constellation of positive (i.e., delusions or hallucinations), negative (e.g., flat affect and anhedonia), and disorganized (e.g., thought disorder) symptoms (American Psychiatric Association, 2013). Despite their historical affiliation, the two syndromes are now considered distinct, with almost no research existing on their relation. As a consequence, little is understood about how the modern conceptions of the ‘psychotic’ and ‘borderline’ constructs relate to each other. In this study, we aim to address this gap in the literature, by applying state-of-the-art machine-learning and network psychometric methods on three large, representative samples of the UK population (N > 20,000) to reveal ‘phenomenological’ similarities, as well as key differences, across the two psychiatric conditions.
- Published
- 2023
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