Skip to content

A Developmental Model of Borderline Personality Disorder

Understanding Variations in Course and Outcome

Patricia Hoffman Judd, Ph.D., and Thomas H. McGlashan, M.D.

  • ISBN 978-0-88048-515-9
  • Item #8515

View Pricing

List Price

APA Members

20% off

APA Resident-Fellow Members

25% off

Buying In Canada or Europe?


Patients with borderline personality disorder (BPD) are among the most challenging patients for clinicians to treat. Their behaviors and emotions can shift abruptly. As a result, these patients can seem like therapeutic moving targets, and improvement can be vexingly slow.

A Developmental Model of Borderline Personality Disorder is a landmark work on this difficult condition. The book emphasizes a developmental approach to BPD based on an in-depth study of inpatients at Chestnut Lodge in Rockville, Maryland, during the years 1950 through 1975 and the authors' thirty years of clinical and supervisory experience. Using information gleaned from the original clinical notes and follow-up studies, the authors present four intriguing case studies to chart the etiology, long-term course, and clinical manifestations of BPD. With three main parts that cover theory, case examples, and practical strategies for treatment, A Developmental Model of Borderline Personality Disorder

  • Introduces the reader to a multidimensional and integrated etiologic model of BPD to inform treatment
  • Helps clinicians develop the understanding and empathy needed to deal with difficult patient behaviors
  • Gives strategies for designing psychotherapy in tandem with psychosocial services to help patients with BPD improve or sustain functioning in the community

A Developmental Model of Borderline Personality Disorder combines rich clinical case descriptions with an integrated theoretical model that captures the complexities of BPD. The first resource to chart BPD over the long term in such depth, this book is a first-rate clinical resource that reads like a novel, illuminating the disorder to help interpret its causes and course. It will inspire and encourage clinicians, along with patients and their family members, to strive for success in treating this difficult disease.


  • Introduction
  • Acknowledgments
  • Part I: Etiology
  • Chapter 1. An Integrated Developmental Model
  • Part II: Variations in Course and Outcome: Case Histories
  • Chapter 2. The Chestnut Lodge Follow-Up Study
  • Chapter 3. When She Was Good...Lillian
  • Chapter 4. Love Having No Geography...Susan
  • Chapter 5. Kindness of Strangers...Sylvia
  • Chapter 6. Wild at Heart...Wendy
  • Part III: Treatment
  • Chapter 7. Universal Features of Treatment
  • Chapter 8. Recurrent Themes and Issues
  • Index

About the Authors

Patricia Hoffman Judd, Ph.D., is Clinical Professor of Psychiatry at the University of California, San Diego, School of Medicine, and Program Director of UCSD Outpatient Psychiatric Services in San Diego, California.

Thomas H. McGlashan, M.D., is Professor of Psychiatry at the Yale University School of Medicine and Yale Psychiatric Institute in New Haven, Connecticut.

With the reader's indulgence, I would like to begin this review with my final comment: this may well be the best book on borderline personality disorder you are likely to read. . . . As for the treatment section, there is so much wisdom packed into its two chapters that I gave up underlining the gems with highlighter lest I underline the whole 63 pages. . . . I hope this wonderful book of Judd and McGlashan will inspire others to carry on this work, learning along the way what makes borderline patients behave as they do, and what we can do to make them better.—Michael H. Stone, M.D., American Journal of Psychiatry, 7/1/2004

I enjoyed reading this book. Its view of the field is state of the art, and the text is beautifully written. . . . I found the overall orientation of this book to be down to earth, practical, and broad minded. I would strongly recommend it to clinicians struggling with this patient population.—Joel Paris, M.D., Psychiatric Services, 7/1/2004

Clinicians will find much here that, while familiar, is illuminated by new insights and presented in an easy-to-read and often enlightening fashion.—The Journal of Nervous and Mental Disease, 7/1/2004

This is not just another book on BPD. The theory on etiology and treatment is comprehensive and clearly articulated and provides the structure in presentation of cases. The authors' familiarity with BPD allows them to present an easy to understand book rich with information.—Patricia E. Murphy Ph.D., Doody's Health Science Review, 7/1/2004

Related Products

Become an APA Member
Join Now