Hsu Ming-Hua
Taipei Municipal Hoping Hospital, Taiwan, ROC.
Hu Li Za Zhi. 2004 Feb;51(1):91-8.
Personality traits reveal characteristics and patterns of an individuals environmental observations, thinking processes, and coping strategies. They exert long-term effects on adaptation and personal identity. The author presents a case study of a patient with Borderline Personality Disorder (BPD) who suffered from suicidal ideation, intense mood swings, all-good/all-bad thinking patterns, and poor job performance. An assessment is offered of the patient's physical, emotional, cognitive, social, and spiritual characteristics based on his subjective reports, interview records, and behavioral observations. Three primary nursing diagnoses were identified: a) potential for self-directed violence, b) ineffective coping mechanisms, and c) personal identity disturbance. A stable therapeutic relationship was formed over an 18-month period, including the establishment of coping skills, a support system, and crisis intervention training for both the patient and his family. The treatment was successful in reducing the patient's self-mutilating behavior, increasing his stress management skills at his workplace, and developing appropriate social behaviors leading to a more stable personal identity.
人格特质揭示了个体环境观察、思维过程和应对策略的特征及模式。它们对适应和个人身份认同产生长期影响。作者呈现了一个边缘型人格障碍（BPD）患者的案例研究，该患者有自杀念头、强烈情绪波动、非黑即白的思维模式以及糟糕的工作表现。基于患者的主观报告、访谈记录和行为观察，对其身体、情感、认知、社会和精神特征进行了评估。确定了三个主要护理诊断：a）有自我暴力倾向，b）应对机制无效，c）个人身份认同紊乱。在18个月的时间里建立了稳定的治疗关系，包括为患者及其家人建立应对技能、支持系统和危机干预培训。治疗成功减少了患者的自残行为，提高了他在工作场所的压力管理技能，并培养了适当的社交行为，从而形成了更稳定的个人身份认同。
