The doctor said that Gacy fit, to a high degree, the following characteristics of borderline personality: “Intense affect (such as angry eruptions in an impulsive manner), usually hostile or depressed ... the depression characterized by loneliness rather than guilt or shame ... a history of impulsive behavior ... a lack of integrated identity or self-concept, difficulty with self-image and gender identity ... superficial interpersonal and chaotic sexual relations ... use [of] primitive ego-defense mechanisms, such as splitting, projective identification and gross denial.”
