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这是谁的边缘状态?边缘型人格的假定病因

[Whose borderline is it? Hypothesized etiologies of borderline personality].

作者信息

Gil Tsvi E

机构信息

Western Galilee Mental Health Clinics, Fligelman Psychiatric Hospital, Acre, Israel.

出版信息

Harefuah. 2008 Nov;147(11):906-9, 939.

Abstract

Borderline personality is a well known concept in psychiatric literature, however, not fully understood as to its very nature. This article presents a short review of hypothesized etiologies of the borderline personality, starting with so called traditional theories, namely, borderline personality as a consolidated personality organization, in which the patient pathologically deals with his or her inner aggression, or with an enduring developmental failure. More modern hypotheses focus on possible childhood sexual abuse as the origin of the borderline, viewing the adult personality as a chronic, unresolved, post-traumatic disorder. Additionally, a neuro-epigenetic view hypothesized that a unique congenital neurological structure interacts with consequential events in early childhood to create the borderline personality.

摘要

边缘型人格在精神病学文献中是一个广为人知的概念,然而,其本质尚未得到充分理解。本文简要回顾了边缘型人格的假定病因,首先从所谓的传统理论开始,即边缘型人格是一种整合的人格结构,患者在其中以病理方式处理其内在攻击性,或应对持久的发育失败。更现代的假说则聚焦于童年期可能遭受的性虐待是边缘型人格的起源,将成人人格视为一种慢性、未解决的创伤后障碍。此外,一种神经表观遗传学观点假定,独特的先天性神经结构与童年早期的后续事件相互作用,从而形成边缘型人格。

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