GREGORY E. BERGER, M.D.
To the editor: As a medical director of an alcoholism treatment center, I have a different perspective on the five case histories included in the article (1) on the borderline personality.
The recurrent themes of labile personality changes, hostility, manipulation, defiance, marital problems, and physical ailments are characteristic of the untreated alcoholic. Regardless of the correct diagnosis, it is significant that none of the proposed management plans included aggressive therapy for alcoholism. Nor did the plans suggest reevaluating the diagnosis of borderline personality after a period of prolonged sobriety as a treatment stratagem.
In an earlier article, Clark (2) suggested
BERGER GE. Alcohol and the Borderline Personality. Ann Intern Med. ;97:280. doi: 10.7326/0003-4819-97-2-280_3
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Published: Ann Intern Med. 1982;97(2):280.
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