Aviram Ron B, Hellerstein David J, Gerson Jessica, Stanley Barbara
New York State Psychiatric Institute, NY 10032, USA.
J Psychiatr Pract. 2004 May;10(3):145-55. doi: 10.1097/00131746-200405000-00002.
We have utilized supportive therapy (ST) with an outpatient population with borderline personality disorder (BPD) who also engage in nonsuicidal self-injurious and suicidal behavior. In recent years, ST has been described as an active psychotherapeutic approach that may have efficacy comparable to other psychotherapies. ST emphasizes the mobilization of strengths to enhance self-esteem and utilize adaptive defenses and positive coping skills. Patients with BPD who self-injure and attempt suicide require integration of tangible solution-focused approaches with standard ST in order to address negative thinking patterns, impulsive behavior, and affective dysregulation, along with crisis intervention during periodic crisis states. ST appears to be well tolerated by patients with BPD who have self-injurious behavior and may be efficacious in engaging BPD patients in treatment and in minimizing the frequency and intensity of self-injurious and suicidal behavior.
我们对患有边缘型人格障碍（BPD）且有非自杀性自伤和自杀行为的门诊患者采用了支持性治疗（ST）。近年来，ST被描述为一种积极的心理治疗方法，其疗效可能与其他心理治疗方法相当。ST强调调动优势以增强自尊，并运用适应性防御机制和积极的应对技巧。有自伤和自杀企图的BPD患者需要将注重实际解决方案的方法与标准的ST相结合，以解决消极思维模式、冲动行为和情绪失调问题，同时在周期性危机状态下进行危机干预。对于有自伤行为的BPD患者，ST似乎耐受性良好，并且在促使BPD患者接受治疗以及减少自伤和自杀行为的频率和强度方面可能有效。
