title: Borderline Pathology of Childhood: Implications of Early Axis II Diagnoses.
abstract: BACKGROUND
  A personality pathology framework may be useful in the diagnosis and treatment of children with chronic psychopathology and impairment in many domains of functioning. This paper presents the utility of such an approach through a description of research investigating borderline pathology of childhood (BPC).
  
  
  METHODS
  Literature regarding the phenomenology, risk factors, and outcomes of BPC and similar disorders is reviewed.
  
  
  RESULTS
  Research conducted at the SMBD-Jewish General Hospital in Montreal has shown that children with BPC can be reliably identified via chart review, and that they exhibit a pattern of risk factors similar to that of adults with borderline personality disorder, such as psychological trauma and deficits in executive function. Preliminary results of a follow-up study in adolescence suggests that these children remain more functionally impaired than a comparison group. Our current research investigates neuropsychological deficits and their relationship to trauma in children with BPC. We are also exploring whether a similar pattern can be observed in their parents.
  
  
  CONCLUSIONS
  We conclude that BPC symptom patterns may diagnostically define a group of high risk children and may eventually guide our approach to early intervention.
authors.affiliation: SMBD Jewish General Hospital.
authors.forename: Phyllis
authors.initials: P
authors.lastname: Zelkowitz
authors.forename: Jaswant
authors.initials: J
authors.lastname: Guzder
authors.forename: Joel
authors.initials: J
authors.lastname: Paris
authors.forename: Ron
authors.initials: R
authors.lastname: Feldman
authors.forename: Carmella
authors.initials: C
authors.lastname: Roy
authors.forename: Alessandra
authors.initials: A
authors.lastname: Schiavetto