{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:52:06Z","timestamp":1792050726725,"version":"4.4.0"},"reference-count":8,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>Borderline personality disorder (BPD) may be overlooked when the therapist does not occupy the role of primary attachment object. In such cases, characteristic borderline dynamics emerge chiefly in external relationships rather than within psychotherapy, leading clinicians to underestimate the disorder. Drawing on Gunderson\u2019s original ego psychology\u2013object relations model, this paper argues that BPD is fundamentally organised around relationships with emotionally significant others. Diagnostic formulations that rely heavily on transference dynamics may therefore miss BPD in seemingly organised patients whose central conflicts are enacted outside treatment. Gunderson\u2019s model thus remains essential for understanding the interpersonal core of borderline psychopathology.<\/jats:p>","DOI":"10.1192\/bjb.2026.10313","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:11:08Z","timestamp":1792048268000},"page":"1-2","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["\u2018But the patient doesn\u2019t seem borderline\u2019: some observations on a common diagnostic error"],"prefix":"10.1192","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5727-9423","authenticated-orcid":false,"given":"Mark L.","family":"Ruffalo","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/036nfer12","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Central Florida College of Medicine"},{"id":[{"id":"https:\/\/ror.org\/05wvpxv85","id-type":"ROR","asserted-by":"publisher"}],"name":"Tufts University School of Medicine"},{"name":"The New Jersey Institute for Training in Psychoanalysis"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"S2056469426103131_ref2","doi-asserted-by":"publisher","DOI":"10.1037\/0000440-000"},{"key":"S2056469426103131_ref3","volume-title":"Borderline Personality Disorder","author":"Gunderson","year":"1984"},{"key":"S2056469426103131_ref8","volume-title":"Borderline Psychopathology and Its Treatment","author":"Adler","year":"1985"},{"key":"S2056469426103131_ref5","first-page":"32","author":"JG.","year":"1984","journal-title":"Borderline Personality Disorder"},{"key":"S2056469426103131_ref7","doi-asserted-by":"publisher","DOI":"10.1521\/bumc.2026.90.2.168"},{"key":"S2056469426103131_ref4","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2008.22.1.22"},{"key":"S2056469426103131_ref1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v65n0804"},{"key":"S2056469426103131_ref6","first-page":"5","author":"JG.","year":"1984","journal-title":"Borderline Personality Disorder"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469426103131","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:11:09Z","timestamp":1792048269000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469426103131\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":8,"alternative-id":["S2056469426103131"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2026.10313","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}