Derner Institute of Advanced Psychological Studies, Adelphi University, Garden City, NY 11530, USA.
J Pers Disord. 2010 Feb;24(1):109-27. doi: 10.1521/pedi.2010.24.1.109.
Personality theorists and practicing clinicians agree that high levels of interpersonal dependency play a role in Borderline Personality Disorder (BPD), and this link has been codified in several editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Although there is widespread agreement that dependency is linked to BPD, there has never been a systematic review of empirical evidence bearing on this issue. This article reviews research in three areas: (1) the comorbidity of Dependent Personality Disorder (DPD) and BPD; (2) the association between trait dependency and BPD; and (3) differences in free-response (i.e., Rorschach) dependency scores in BPD and non-BPD patients. Results support DSM assertions of DPD-BPD comorbidity, confirm that high levels of trait dependency are associated with BPD traits and symptoms, and show that high levels of implicit dependency needs are present in BPD-diagnosed inpatients, but not BPD outpatients. Theoretical, clinical, and empirical implications of these patterns are discussed.
人格理论家与临床医生均认同，高程度的人际依赖在边缘型人格障碍（BPD）中发挥作用，这一关联在《精神障碍诊断与统计手册》（DSM）的多个版本中均有明确说明。尽管人们普遍认为依赖与 BPD 有关联，但一直以来都没有针对这一问题的实证证据进行系统性综述。本文在三个领域综述了相关研究：（1）依赖性人格障碍（DPD）与 BPD 的共病性；（2）特质依赖与 BPD 的关联；以及（3）BPD 患者与非 BPD 患者在自由反应（即罗夏测验）依赖得分上的差异。研究结果支持 DSM 关于 DPD-BPD 共病的论断，证实了高水平的特质依赖与 BPD 特质和症状相关，同时表明，在 BPD 住院患者中存在高水平的内隐依赖需求，但在 BPD 门诊患者中则不然。对这些模式的理论、临床和实证意义进行了讨论。
