Menchaca Antonio, Pérez Orietta, Peralta Astrid
Universidad del Desarrollo, Santiago, Chile.
J Psychiatr Pract. 2007 Jul;13(4):281-4. doi: 10.1097/01.pra.0000281492.72935.00.
Psychotherapies recommended for borderline personality disorder (BPD) can be difficult to implement in public hospitals. For example, in Chile, patients with BPD generally receive only pharmacotherapy, which is far from sufficient. This report describes a group psychotherapy approach called Intermittent-Continuous Eclectic Therapy (ICE) developed to treat patients with BPD. Results are presented from a small pilot study in which 15 outpatients with BPD between 15 and 40 years of age treated with ICE were followed for 1 year. In this small group of patients, improvements were seen in self-aggression and general symptoms. These preliminary findings suggests that ICE may be a useful option for treating BPD in real-world clinical settings and that more research in this area is warranted. A case report illustrating the implementation of ICE is also presented.
推荐用于治疗边缘型人格障碍(BPD)的心理疗法在公立医院可能难以实施。例如,在智利,BPD患者通常仅接受药物治疗,这远远不够。本报告描述了一种名为间歇性-连续性折衷疗法(ICE)的团体心理治疗方法,该方法是为治疗BPD患者而开发的。本文呈现了一项小型试点研究的结果,该研究对15名年龄在15至40岁之间接受ICE治疗的BPD门诊患者进行了为期1年的随访。在这一小群患者中,自我攻击行为和一般症状都有改善。这些初步研究结果表明,ICE可能是在现实临床环境中治疗BPD的一种有用选择,并且该领域值得进行更多研究。本文还呈现了一个说明ICE实施情况的病例报告。