Borderline Personality Disorder ( Bpd ) - 1136 Words

The Revised Diagnostic Interview for Borderlines (DIB-R) was designed to reliably diagnose Borderline Personality Disorder (BPD). It is not a global diagnostic assessment. Rather, the purpose of the DIB-R is to distinguish Borderline Personality Disorder from other clinical diagnoses (Gunderson, Kolb, Austin, 1981). Development John Gunderson, M.D. and Jonathon Kolb, M.D developed the Diagnostic Interview for Borderlines (DIB) in 1976 (Hurt, Clarkin, Koenigsberg, Frances, Nurnberg, 1986). The purpose of the DIB was to address the diagnostic issues associated with Borderline Personality Disorder by developing reliable, uniform diagnostic criteria (Gunderson et al., 1981). In fact, the DIB was used to establish the DSM-III diagnostic†¦show more content†¦Based on studies showing that the social adaptation section did little to boost the discriminant power of the DIB, it was excluded from the revision (Zanarini et al., 1989). Reworking the psychosis section further modified the DIB. In the revision, the psychosis section was now called the cognition section. This section was changed to include not only psychotic thoughts, but those that would be considered disturbed though nonpsychotic. The third modification to the DIB changed the scale weight of several sections in the interview. Stud ies showed that the impulse action patterns section and the interpersonal relations section had more discriminant power than the affect section and the cognition section so the scaled weighting was adjusted accordingly (Gunderson et al., 1981). In yet another modification to the DIB, the reference time frame for all questions in the interview was changed to the past two years of the client’s life. In the DIB, the reference time frame for the interview questions ranged from 3 months to 3 years. This change allowed the instrument to more accurately distinguish trait phenomena (Zanarini et al., 1989). The revised DIB saw three summary statements transferred to sections that were more fitting. This change moved â€Å"demanding, entitled behavior† from the affect section to the interpersonal relationship section (Zanarini et al., 1989). It also moved â€Å"chronic feelings of helplessness/guilt† from the cognitions section to the