chapter  29
10 Pages

The Role of Psychopharmacology in the Treatment of Borderline Patients

DRUG TREATMENT OF the patient with a borderline syndrome is at once a heretical and a pragmatic practice. The dynamic formulation of the borderline character disorder forms the paradigm of modern psychological theory just as that of hysteria once served Freud. It is such a critical fulcrum of thought that the descriptions of this syndrome approach an art as much as a science. The clinician treating the borderline is forced into an acrobatic dance of contorted communication just to maintain contact with the patient. A completed case is an object of admiration. Medication is commonly regarded as an impurity in this rarefied atmosphere.