Abstract

Patients with Borderline Personality Disorder and adopted emotionally-disturbed adolescents share many personality and psychodynamic characteristics: problems with object loss, separation and abandonment, identity disorders. Emotionally-disturbed adopted adolescents are likely to receive a BPD diagnosis because of 1. unknown genetic or constitutional components, 2. defects in early mothering or chaotic parenting seen in late adoptions, 3. possible misdiagnosis, 4. psychodynamic similarities. Authors caution against the possibility of misdiagnosis because of this environmental reinforcement provided by an adopted status.

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