Bradley Rebekah, Westen Drew
Emory University, Atlanta, GA 30322, USA.
Dev Psychopathol. 2005 Fall;17(4):927-57. doi: 10.1017/s0954579405050443.
This article provides a contemporary view of the psychodynamics of borderline personality disorder (BPD) from a developmental psychopathology perspective. We first briefly describe the evolution of the borderline construct in psychoanalysis and psychiatry. Then we provide clinically and empirically informed model of domains of personality function and dysfunction that provides a roadmap for thinking about personality pathology from a developmental psychopathology standpoint and examine the nature and phenomenology of BPD in terms of these domains of functioning. Next, we describe prominent dynamic theories of etiology of BPD and examine these in relation to the available research. Finally, we describe psychodynamic conceptions of treatment and the way BPD phenomena manifest in treatment, followed again by consideration of relevant research, particularly on transference-countertransference constellations empirically identified in the treatment of patients with BPD.
本文从发展心理病理学的角度，对边缘型人格障碍（BPD）的心理动力学提供了一种当代观点。我们首先简要描述边缘型概念在精神分析和精神病学中的演变。然后，我们提供一个基于临床和实证的人格功能与功能障碍领域模型，该模型为从发展心理病理学角度思考人格病理学提供了路线图，并根据这些功能领域来审视BPD的本质和现象学。接下来，我们描述BPD病因的主要动力学理论，并结合现有研究对其进行考察。最后，我们描述治疗的心理动力学概念以及BPD现象在治疗中的表现方式，随后再次考虑相关研究，特别是关于在BPD患者治疗中通过实证确定的移情 - 反移情模式的研究。
