文档介绍：Impulsive Aggression in
Borderline Personality Disorder
Marianne Goodman, MD, and Antonia New, MD
Address assaultiveness (criteria A-4) is one of the diagnostic criteria
Psychiatry Service 116-A, Bronx Veterans Affairs Medical Center, for antisocial personality disorder (APD), and repetitive
1130 West Kingsbridge Road, Bronx, NY 10468, USA. suicide attempts, self-mutilation and impulsivity are
Current Psychiatry Reports 2000, 2:56–61 among the diagnostic criteria for borderline personality
Current Science Inc. ISSN 1523–3812 disorder (BPD). Although not all impulsive behaviors can
Copyright © 2000 by Current Science Inc.
be categorized as impulsive aggression, it is the impulsive
aggressive behavior that frequently brings patients to
Impulsive aggressive behaviors that include physical clinical attention.
aggression directed towards others, self-mutilation,
suicide attempts, domestic violence, substance abuse,
and property destruction account for a substantial por- Clinical Importance of Impulsivity
tion of the morbidity and mortality associated with person- Impulsive aggression is of particular clinical importance
ality disorders, in particular borderline personality disorder in borderline patients as it often leads to functional impair-
(BPD). Recent ic, neurobiologic, and diagnostic ment through overt physical aggression, which can disrupt
st