Terminal cardiomyopathy, splitting, and borderline personality organization.
A 63-year-old married man with idiopathic terminal cardiomyopathy was admitted to the medical service for treatment of advanced heart failure. A psychiatric consultation was requested to assist the medical treatment team in dealing with the patient's abusive behavior. The case is presented and discussed within the context of understanding the borderline personality in the medical setting.
McDaniel
J S
JS
Consult-Liaison Service, Emory University Hospital, Atlanta, Georgia.
Stoudemire
A
A
Riether
A M
AM
Firestone
S
S
Cohen-Cole
S A
SA
Cobbs
B W
BW
D000223:Adaptation, Psychological; D001883:Borderline Personality Disorder / Q000523:psychology*; D009202:Cardiomyopathies / Q000523:psychology*; D003674:Defense Mechanisms; D006333:Heart Failure / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010259:Paranoid Disorders / Q000523:psychology; D010348:Patient Care Team; D010817:Physician-Patient Relations; D012803:Sick Role; D013727:Terminal Care / Q000523:psychology*