Kuritárné Ildikó Szabó
Debreceni Egyetem, Pszichologiai Intezet, Szemelyiseg- es Klinikai Pszichologiai Tanszek, Nador u. 3, Nyiregyhaza, 4400 Hungary.
Psychiatr Hung. 2005;20(4):256-70.
Serious, prolonged intrafamilial childhood sexual abuse is considered to be the main etiological factor in about half of the patients with borderline personality disorder in the USA. Special features of childhood interpersonal trauma leading to the development of borderline personality disorder are the seriousness of the trauma and the fact that it is sexual in nature. Serious intrafamilial childhood abuse can lead not only to the classic post-traumatic stress syndrome, but can influence all aspects of personality development, including the distortion of the sense of identity, self-regulation, and the patterns of interpersonal relations. Viewed from the perspective of the trauma concept, the entire range of adult borderline symptoms are considered as being the consequences of severe complex traumatic experiences. Other clinicians regard such an abuse as a marker of the severity of familial dysfunction and emphasize the role of other pathogenic factors, such as biparental neglect and biological vulnerability of the pre-borderline child.
在美国，严重的、长期的家庭内儿童性虐待被认为是约一半边缘型人格障碍患者的主要病因。导致边缘型人格障碍发展的童年人际创伤的特殊特征在于创伤的严重性以及其性本质。严重的家庭内儿童期虐待不仅会导致典型的创伤后应激综合征，还会影响人格发展的各个方面，包括身份认同感的扭曲、自我调节以及人际关系模式。从创伤概念的角度来看，成人边缘型症状的整个范围都被视为严重复杂创伤经历的后果。其他临床医生将这种虐待视为家庭功能障碍严重程度的一个标志，并强调其他致病因素的作用，如双亲忽视和边缘型人格障碍前期儿童的生物易感性。
