Borderline daughters: An optimal configuration for their growth

A significant majority of patients with borderline personality disorder, in a long-term psychiatric hospital for adolescents, had been the daughters of younger middle class mothers (14–20) with fathers absent since birth or before age 5. This family configuration is optimal for the growth of a symbiotic mother-daughter relationship and the identity disorder prevalent in borderline patients. The similar histories of these patients are examined. They can be described in two categories: those who combine precocious sexuality with infantile behavior and a smaller group with a somewhat masculine pseudo-mature identity. The first group usually attempts to retreat to the father, has clinging, dependent relationships with males, sexually acts out and is at a very high risk for pregnancy and a repetition of the mothers' lives.This paper was presented at the American Association of Psychiatric Services for Children, Las Vegas, Nevada, March, 1986.Mr. Levy is at Wesleyan University