Abstract
Abstract The high comorbidity with Axis I and II diagnoses and the unclear relationship with affective disorders lead to legitimate concerns about the validity of the diagnosis. Whilst these concerns are important and worthy of further research, it is critical that they do not distract from the need to treat people living with considerable morbidity. those people meeting diagnostic criteria for borderline personality disorder, 22% had a diagnosis of alcohol abuse and dependence and 50% had a lifetime history of drug problems. A majority of people meeting diagnostic criteria for borderline personality disorder also meet diagnostic criteria for another personality disorder (paranoid personality disorder -30%, dependent personality disorder 51%, avoidant personality disorder 43%, antisocial personality disorder 23%, histrionic personality disorder 15%, narcissistic personality disorder 16%) (Zanarini, Frankenberg, Dubo et al. 1998).
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