John G. Gunderson

John Gunder Gunderson (June 20, 1942 – January 11, 2019) was a psychiatrist, psychoanalyst, and professor of psychiatry at Harvard University and a director at the Borderline Center at McLean Hospital. He is best known for identifying borderline personality disorder as a distinct psychiatric syndrome.

Education, residencies and fellowships

Born in Two Rivers, Wisconsin, Gunderson graduated from Johns Hopkins College in 1963, received his MBS from Dartmouth Medical School in 1965 and his MD from Harvard Medical School in 1967. Between 1967 and 1971, he was an Intern in Medicine at Hennepin County General Hospital, Resident in Psychiatry at the Massachusetts Mental Health Center, and Chief Resident in Psychiatry at the Massachusetts Mental Health Center. Between 1971 and 1973, he was a Visiting Candidate at the Washington Psychoanalytic Institute, Research Fellow at the Center for Studies of Schizophrenia, Psychiatric Assessment Section of the National Institute of Mental Health, and at the Chestnut Lodge Sanitarium. He was a Resident at the Boston Psychoanalytic Institute between 1969 and 1980.

Career

Gunderson's early interest was in the area of schizophrenia, and he published with Loren Mosher an edited book on its psychotherapy in 1975. That same year, he published a seminal paper with Margaret Singer identifying borderline personality disorder (BPD) as a distinct form of psychopathology. His career thereafter shifted towards focus on the treatment of borderline patients.

Gunderson published nearly 250 papers, 100 reviews, and 12 books regarding borderline and other personality disorders. In 1984, he published his major textbook on BPD, titled simply, Borderline Personality Disorder. According to Massachusetts General Hospital, his success led to him being called the "father" of BPD. He led the academic group that described personality disorders in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM). In 2009, McLean Hospital named a treatment center in Cambridge, Massachusetts, after him, called the "Gunderson Residence."

In the latter part of his career, Gunderson developed a treatment model called "Good Psychiatric Management" (or "General Psychiatric Management"), a psychodynamically-informed psychotherapy for BPD. This involves research which shows that less intensive, easier-to-learn therapies could be nearly as effective as more developed approaches (DBT, TFP, MBT), and would cater to unmet needs often seen in the clinical setting. Gunderson theorized that the patient with borderline personality disorder suffers from a fundamental interpersonal hypersensitivity and that this problem is at the core of the various problems and symptoms associated with the disorder.

Gunderson is remembered as a theoretical pluralist who attempted to bridge gaps between sometimes-competing approaches to BPD. His work helped open the door to the effective management of a group of patients historically deemed untreatable by traditional psychoanalysis.

Honors and awards

• 2017: Joseph Zubin Award from the American Psychopathological Association

Personal life

He died on January 11, 2019, at the age of 76 from prostate cancer in Weston, Massachusetts. Following his death, McLean renamed the BPD Training Institute the "Gunderson Personality Disorders Institute" in his honor.

Gunderson was an accomplished artist, with many of his paintings adorning the walls of the Gunderson Residence and offices in the McLean Hospital. He was an avid golfer, gardener, fly fisherman, and played basketball into his 70s. He met his wife, Susan, on a blind date while they were college students. The couple had two children and remained married for 53 years until Gunderson's death.

External links

• Borderliner Notes - Gunderson, a series of YouTube-clips where Gunderson talks about borderline personality disorder.
• Search Results for author Gunderson JG on PubMed.