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建立人际资源圈Borderline_Personality_Disorder
2013-11-13 来源: 类别: 更多范文
Borderline Personality Disorder
What is Borderline Personality Disorder'
Personality disorders affect about 10% of the general
population. This group of mental disorders is defined by
maladaptive personality characteristics that have a
consistent and serious effect on work and interpersonal
relationships. DSM-IV defines ten categories of personality
disorder. Of these, Borderline Personality Disorder (BPD) is
the most frequent in clinical practice. BPD is also one of
the most difficult and troubling problems in all of
psychiatry.
The term "borderline" is a misnomer. These patients
were first described sixty years ago by psychoanalysts who
noted they did poorly in treatment, and therefore theorized
that this is a form of pathology lying on the border between
psychosis and neurosis.
Although we no longer believe that patients with BPD
have an underlying psychosis, the name "borderline" has
stuck. A much more descriptive label would be "emotionally
unstable: personality disorder." The central feature of BPD
is instability, affecting patients in many sectors of their
lives.
Thus, borderline patients show a wide range of
impulsive behaviors, particularly those that are self
destructive. They are highly unstable emotionally, and
develop wide mood swings in response to stressful events.
Finally, BPD may be complicated by brief psychotic episodes.
Most often, borderline patients present to
psychiatrists with repetitive suicidal attempts. We often
see these patients in the emergency room, coming in with an
overdose or a
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