Breaking the walls? 80 let na hranici
Breaking the walls? 80 years on borderline

Summary/Abstract: The eleventh revision of the International Classification of Diseases (ICD-11) brings a different way of thinking about personality disorders (PDs) compared to the current ICD-10 model. The focus of the ICD-11 model conceptually returns to the psychodynamic tradition of understanding PDs, historically connected with the definitions of borderline states according to the object relations theory. The emphasis on the pathology of identity and interpersonal relationships, supplemented by specific constellations of personality traits, offers a plastic view of the patient’s personality and his difficulties. In addition, the almost absolute turn away from ICD-10 PD categories is aimed at destigmatizing PDs. In this article, the ICD-11 model is presented in the perspective of almost 80 years of development of borderline psychopathology. The individual components of the diagnosis of PO according to ICD-11 are connected with relevant theoretical conceptualizations and compared with the Alternative DSM-5 Model for PDs. Implications for clinical practice are also discussed.

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