Livesley W J
Department of Psychiatry, University of British Columbia, Vancouver.
Psychiatr Clin North Am. 2000 Mar;23(1):211-32. doi: 10.1016/s0193-953x(05)70152-0.
This approach to the treatment of BPD is part of a general framework for treating all forms of personality disorder. The therapeutic model has two components: (1) general strategies to manage core self and interpersonal pathology that characterizes all cases of personality disorder and (2) a specific or tailored component required to treat the problems of individual cases. The general strategies, derived from generic models of therapeutic change and self-psychology, emphasize the therapeutic relationship and the importance of a consistent treatment process, validation, and building motivation. A combination of specific interventions, including medication and psychotherapeutic strategies drawn from treatment approaches, is incorporated into this framework as required. The overall model is not an eclectic approach to treatment but an integrated framework based on an understanding of borderline pathology that emerges from recent research.
这种治疗边缘型人格障碍（BPD）的方法是治疗所有形式人格障碍的总体框架的一部分。治疗模式有两个组成部分：（1）管理核心自我和人际病理的一般策略，这些病理是所有人格障碍病例的特征；（2）治疗个别病例问题所需的特定或量身定制的组成部分。这些一般策略源自治疗改变和自体心理学的通用模型，强调治疗关系以及持续治疗过程、验证和激发动力的重要性。根据需要，将包括药物治疗和从各种治疗方法中提取的心理治疗策略在内的特定干预措施组合纳入该框架。总体模型不是一种折衷的治疗方法，而是一个基于对近期研究中出现的边缘型病理的理解的综合框架。
