{"id":"https://openalex.org/W185827643","doi":"https://doi.org/10.1176/ajp.142.1.9","title":"Medicolegal pitfalls in the treatment of borderline patients","display_name":"Medicolegal pitfalls in the treatment of borderline patients","publication_year":1985,"publication_date":"1985-01-01","ids":{"openalex":"https://openalex.org/W185827643","doi":"https://doi.org/10.1176/ajp.142.1.9","mag":"185827643","pmid":"https://pubmed.ncbi.nlm.nih.gov/3966590"},"language":"en","primary_location":{"id":"doi:10.1176/ajp.142.1.9","doi":"https://doi.org/10.1176/ajp.142.1.9","is_oa":false,"landing_page_url":"https://doi.org/10.1176/ajp.142.1.9","pdf_url":null,"source":{"id":"https://openalex.org/S116025658","display_name":"American Journal of Psychiatry","issn_l":"0002-953X","issn":["0002-953X","1535-7228"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316602","host_organization_name":"American Psychiatric Association","host_organization_lineage":["https://openalex.org/P4310316602"],"host_organization_lineage_names":["American Psychiatric Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005230640","display_name":"Thomas Gordon Gutheil","orcid":"https://orcid.org/0000-0003-1683-0925","observed_orcids":["https://orcid.org/0000-0003-1683-0925"]},"institutions":[{"id":"https://openalex.org/I2801075670","display_name":"Massachusetts Mental Health Center","ror":"https://ror.org/0229c7854","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801075670"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"T G Gutheil","raw_affiliation_strings":["Massachusetts Mental Health Ctr, Program in Psychiatry & the Law, Boston"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts Mental Health Ctr, Program in Psychiatry & the Law, Boston","institution_ids":["https://openalex.org/I2801075670"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5005230640"],"corresponding_institution_ids":["https://openalex.org/I2801075670"],"apc_list":null,"apc_paid":null,"fwci":5.4797,"has_fulltext":false,"cited_by_count":71,"citation_normalized_percentile":{"value":0.95205169,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"142","issue":"1","first_page":"9","last_page":"14"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11093","display_name":"Personality Disorders and Psychopathology","score":0.6669999957084656,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11093","display_name":"Personality Disorders and Psychopathology","score":0.6669999957084656,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10565","display_name":"Psychopathy, Forensic Psychiatry, Sexual Offending","score":0.07970000058412552,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12339","display_name":"Medical Malpractice and Liability Issues","score":0.057999998331069946,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/borderline-personality-disorder","display_name":"borderline personality disorder","score":0.9819999933242798},{"id":"https://openalex.org/keywords/medicolegal-issues","display_name":"medicolegal issues","score":0.9459999799728394},{"id":"https://openalex.org/keywords/countertransference","display_name":"countertransference","score":0.8050000071525574},{"id":"https://openalex.org/keywords/splitting","display_name":"splitting","score":0.7919999957084656},{"id":"https://openalex.org/keywords/limit-setting","display_name":"limit setting","score":0.9399999976158142},{"id":"https://openalex.org/keywords/psychotherapy","display_name":"psychotherapy","score":0.5440000295639038}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5400863289833069},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4384792149066925}],"mesh":[{"descriptor_ui":"D001883","descriptor_name":"Borderline Personality Disorder","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D001883","descriptor_name":"Borderline Personality Disorder","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D003379","descriptor_name":"Countertransference","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003675","descriptor_name":"Defensive Medicine","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007175","descriptor_name":"Impulsive Behavior","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D007603","descriptor_name":"Jurisprudence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008257","descriptor_name":"Machiavellianism","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009289","descriptor_name":"Narcissism","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010554","descriptor_name":"Personality Disorders","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D010817","descriptor_name":"Physician-Patient Relations","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011570","descriptor_name":"Psychiatry","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011613","descriptor_name":"Psychotherapy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011889","descriptor_name":"Rage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012043","descriptor_name":"Regression, Psychology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013405","descriptor_name":"Suicide","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D014167","descriptor_name":"Transference, Psychology","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1176/ajp.142.1.9","doi":"https://doi.org/10.1176/ajp.142.1.9","is_oa":false,"landing_page_url":"https://doi.org/10.1176/ajp.142.1.9","pdf_url":null,"source":{"id":"https://openalex.org/S116025658","display_name":"American Journal of Psychiatry","issn_l":"0002-953X","issn":["0002-953X","1535-7228"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310316602","host_organization_name":"American Psychiatric Association","host_organization_lineage":["https://openalex.org/P4310316602"],"host_organization_lineage_names":["American Psychiatric Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Psychiatry","raw_type":"journal-article"},{"id":"pmid:3966590","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3966590","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of psychiatry","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9074000120162964},{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions","score":0.6601999998092651}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[{"id":"https://openalex.org/G1206061424","display_name":null,"funder_award_id":"MH-16460","funder_id":"https://openalex.org/F4320337346","funder_display_name":"National Institute of Mental Health"}],"funders":[{"id":"https://openalex.org/F4320337346","display_name":"National Institute of Mental Health","ror":"https://ror.org/04xeg9z08"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":21,"referenced_works":["https://openalex.org/W210914058","https://openalex.org/W1764513364","https://openalex.org/W1984359390","https://openalex.org/W1992471187","https://openalex.org/W2005921038","https://openalex.org/W2044031481","https://openalex.org/W2046612400","https://openalex.org/W2053440424","https://openalex.org/W2056614186","https://openalex.org/W2075177046","https://openalex.org/W2076897795","https://openalex.org/W2076973450","https://openalex.org/W2101398429","https://openalex.org/W2119820056","https://openalex.org/W2126699483","https://openalex.org/W2133678050","https://openalex.org/W2288993408","https://openalex.org/W2301323975","https://openalex.org/W2335958988","https://openalex.org/W2409562841","https://openalex.org/W4237041858"],"related_works":["https://openalex.org/W144617799","https://openalex.org/W2979552506","https://openalex.org/W143162928","https://openalex.org/W6903616201","https://openalex.org/W66183973","https://openalex.org/W422499963","https://openalex.org/W2410845383","https://openalex.org/W2418564857","https://openalex.org/W4400191018","https://openalex.org/W121104366"],"abstract_inverted_index":{"Patients":[0],"with":[1],"the":[2,8,13,28,33,39,57,63,65],"borderline":[3,52],"syndrome,":[4,64],"although":[5],"not":[6],"always":[7],"sickest":[9],"patients,":[10],"often":[11,24,47],"cause":[12],"most":[14],"difficulty":[15],"because":[16],"of":[17,43,51,59,62,67],"their":[18,23],"intense":[19],"and":[20,27,73,80,84],"contagious":[21],"affects,":[22],"impulsive":[25],"behavior,":[26],"strains":[29],"they":[30],"place":[31],"on":[32],"treaters'":[34],"countertransference.":[35],"The":[36],"author":[37],"explores":[38],"hitherto":[40],"ignored":[41],"area":[42],"medicolegal":[44],"problems":[45,76,85,95],"that":[46],"arise":[48],"in":[49],"treatment":[50],"patients.":[53],"Specifically,":[54],"he":[55],"addresses":[56],"issues":[58],"legal":[60],"ignorance":[61],"effect":[66],"dynamic":[68],"processes":[69],"such":[70],"as":[71,96],"splitting":[72],"psychotic":[74],"transference,":[75],"regarding":[77],"limit":[78],"setting":[79],"related":[81],"management":[82],"approaches,":[83],"arising":[86],"from":[87],"countertransference":[88],"phenomena.":[89],"He":[90],"suggests":[91],"approaches":[92],"to":[93],"these":[94],"well.":[97]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":1},{"year":2013,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}