Psychosis in Borderline Personality Disorder: A Neglected Clinical Phenomenon.
The Psychoanalytic Review March 1, 2026 Mark L Ruffalo, Alex M Ray, Abigail Rasol et al.
Psychotic symptoms are a prevalent yet underrecognized feature of borderline personality disorder (BPD), with studies estimating their occurrence in up to 60% of patients. Despite their clinical and theoretical relevance, these phenomena are marginalized in contemporary diagnostic frameworks, which emphasize affective instability and interpersonal dysfunction while minimizing impairments in...
DOI: 10.1521/prev.2026.113.1.23 (opens in new tab)
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Borderline personality disorder
Diagnosis
Psychosis