Conceptual Paper

Symptomatic Expression and Psychopathological Features of the Personality by Borderline Subjects

Scharbach Hugues MD*

Paris’s University, National Expert : C.A.(Nancy, Rennes) & C. Cass.(Paris) Hon, Expert in Pharmacology Hon. Neuro-Psychiatrist Past head of Psychiatric Service in C.H.U, Doctor in Psychology’s, Lyon II Forensic Expert Hon, France

Submission:July 27, 2024; Published:August 07, 2024

*Corresponding author:Scharbach Hugues MD, Paris’s University Neuro-Psychiatrist Past head of Psychiatric Service in C.H.U, Doctor in Psychology’s, Lyon II Forensic Expert Hon, France

How to cite this article: Scharbach Hugues MD. Symptomatic Expression and Psychopathological Features of the Personality by Borderline Subjects. J of Pharmacol & Clin Res. 2024; 10(3): 555789. DOI: 10.19080/JPCR.2024.10.555789

Abstract

The progression of this psychiatric Troubles takes part of interest to the psychopathological exploration, of taking in consideration/account the distortions of Features of Personality, to importance of the Narcissistic problematic, to the possible disruption of comportment, to the loneliness’s Feeling may be in the background of “depressively”, to the great moment of anxiety’s occurrence, to the frequent association of Addictions.

Keywords: Psychopathology and nosography; Psychotherapists; Symptomatic Expression; Psychopathological Features

Introduction

I-Since around 50 years, Psychiatrists, Psychologists, psychotherapists wondered highlighting a grouping of disorders, the coherence of which did not find its place in the context of classification based on the criteria of both alienists as well as practitioners and psychanalysts relying on the research, the elaboration and theorizing of both S.FREUD (notably Oedipal conflict, Hans the Kid, The Wolf Man…), M. Klein (early processes of Identity building), Bowlby (attachment theory/ maternal deprivation, role of crucial bonds) and in 1980, a team leading by Robert Spitz in the frame of APA (American Psychiatric Association published the revised D.S.M., describing and classifying on statistical bases the mental trouble. (now D.S.M. 5-TR). II-This reference Manual should allow the discover and the implementation about this psychopathological concept difficult to be more accepted until then the opportunity to deepen the psychopathological aspects, particularly in the depressive register, did not escape psychoanalysts, like J. Bergeret in France and we had to highlight the frequency of the feeling of solitude in these subjects, who are sometimes quite enough chaotic in their interpersonal exchanges this new conception permits to be situated, overcoming the classical nosological level [1-6].

This emergence clinical taking in account the features of personality should modify a more adapted therapeutic Practice, notably in the register of narcissistic disturbances. Moreover, this new entity in research of categorization was even seeming to be encountered more frequently in the context of socio economic and cultural evolution, often including problems of addiction, food restriction, even suicide attempts in particular III-Psychopathological Configuration according to our Findings after a long Practice of nursing care and also in the frame of Forensic Expert Examination [7-15].

The Borderline Personalities or Limit Psychic States in France seem to be distributed along four Axes:

a) That has Prevalence of psychotic Traits according to Little in particular;

b) That of Borderline or anaclitic depressive personalities with inconsistency of the feeling of self-esteem linked to an insecure identity, a fluctuation of affects with recurrence of depressiveness, state of tenability or occurrence of moment of great anxiety emergence of anger and possible self- or hetero-aggressive acts [16-25].

c) That of personalities “as if “ with conventional and adaptative aspects to social norms, going hand in hand with a superficiality of affects giving rise to a resulting poverty of emotional life.

d) That with neurotic presentations, such as infantile or hysterical forms, as identified by O. Kernberg [25-31].

Main Psychopathological Aspects and Styles

i. More of less notable narcissistic Failures connoted by fragile Identity, affective-emotional weakness, avoid or loneliness feeling, anxiety, mood’s fluctuation, relative, bad control of emotion and of aggressivity, possible actings against himself, even violent acting reaching proof of its existence due to a fragile Identity; immature emotional development [31,33].

ii. Complex imaginary and possible odd fantasy, even with perverse connotations.

iii. Cahotic pulsional Organization.

iv. They could experiment a dependence on the other with a search for support, even promiscuity or “a contrario”, an intrusive perception of the other, possibly depending of the encounter [34].

Introduction

As had been written notably by H. Akiska (1981, 1983) about a population sample, it seems that the emotional disorders are frequent by borderline subjects, such emotional disturbances as well as depressive feelings appears, as well as instinctual troubles, such anorexia, disruptive conduct, facilitated by addictive behavior, disruptive comportment, poor impulse control, leading to possible hetero-aggressive acts or especially self-aggression such as self-harm or mutilation or suicide.