Zanarini M C
Harvard Medical School, Boston, MA, USA.
Acta Psychiatr Scand. 2009 Nov;120(5):373-7. doi: 10.1111/j.1600-0447.2009.01448.x.
Psychotherapy is considered the primary treatment for borderline personality disorder (BPD). Currently, there are four comprehensive psychosocial treatments for BPD. Two of these treatments are considered psychodynamic in nature: mentalization-based treatment and transference-focused psychotherapy. The other two are considered to be cognitive-behavioral in nature: dialectical behavioral therapy and schema-focused therapy.
A review of the relevant literature was conducted.
Each of these lengthy and complex psychotherapies significantly reduces the severity of borderline psychopathology or at least some aspects of it, particularly physically self-destructive acts.
Comprehensive, long-term psychotherapy can be a useful form of treatment for those with BPD. However, less intensive and less costly forms of treatment need to be developed.
心理治疗被视为边缘型人格障碍(BPD)的主要治疗方法。目前,有四种针对BPD的综合性社会心理治疗方法。其中两种治疗方法本质上被认为是心理动力学的:基于心理化的治疗和聚焦移情的心理治疗。另外两种本质上被认为是认知行为的:辩证行为疗法和聚焦图式疗法。
对相关文献进行了综述。
这些冗长而复杂的心理治疗方法中的每一种都能显著降低边缘型精神病理学的严重程度或至少降低其某些方面,尤其是身体自我毁灭行为。
综合性的长期心理治疗对患有BPD的人可能是一种有用的治疗形式。然而,需要开发强度较小且成本较低的治疗形式。