청소년 경계선 상태의 임상적 분류

  • Hong, Kang-E (Division of Child & Adolescent Psychiatry, College of Medicine, Seoul National University) ;
  • Jeon, Seong-Ill (Department of Neuropsychiatry, College of Medicine, Inje University, Sanggye Paik Hospital) ;
  • Shin, Min-Sup (Division of Child & Adolescent Psychiatry, College of Medicine, Seoul National University)
  • 홍강의 (서울대학교 의과대학 정신과학교실(소아 청소년 분과)) ;
  • 전성일 (인제대학교 의과대학 상계백병원 정신과학교실) ;
  • 신민섭 (서울대학교 의과대학 정신과학교실(소아 청소년 분과))
  • Published : 1995.12.30


The Purpose of this article is to identify the specific characteristics of borderline disorder in adolescence to conceptualize the borderline state as an adolescent process different from borderline personality disorder in adult, and to classify them according to it's unique clinical feature, porcess and outcome. The development of borderline disorder in adolescent, epidemiology, comorbid disorders and differential diagnosis, pre-existing sub-classification systems, and etiology in theories of psychodynamics, biological theories, experimental studies, and follow-up studies are reviewed. The authors conceptualize the adolescent borderline state include all clinical states generated by re-emergence of unresolved rapproachement conflicts in adolescent, and propose that there are four subgroups in adolescent borderline state. (1) Borderline state as an adolescent process. (2) Borderline state associated with psychotic disorders (3) Borderline state as an initial stnge of typical borderline personality disorder (4) Borderline state associated with organic problems. Conceptually, borderline state in adolescence is not a simple continuation of primary failure of separation-individuation but a struggle for mastering unresolved separation-individuation conflicts in adolesance i.e., the second separation-individuation state, and if it fails this time, the struggle might continue into adult life as borderline personality disorder.