Sansone Randy A, Sansone Lori A
Dr. R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine in Dayton, Ohio, and Director of Psychiatry Education at Kettering Medical Center in Kettering, Ohio.
Psychiatry (Edgmont). 2010 May;7(5):42-6.
Stalking, which consists of chronic nuisance behaviors by an offender that result in deleterious emotional and/or physical effects on a victim, is experienced by a significant minority of individuals in the community. According to the United States Department of Justice, eight percent of women and two percent of men have been victimized at some time in their lives by stalkers. Stalking could be viewed as an illogical or irrational preoccupation with another individual. Because of the unusual and intense attachment dynamics in borderline personality disorder, this diagnosis is particularly suggestive among stalkers. In this edition of The Interface, we examine the possible association between stalking behavior and borderline personality disorder. Five studies report prevalence rates of borderline personality disorder among stalkers, with four reporting rates between 4 and 15 percent (i.e., a small minority). However, three of these studies represent forensic populations and one consists of patients who stalked their psychiatrists. In contrast, in the remaining sample of stalkers, where being charged with a crime was not an inclusion criterion, the prevalence of borderline personality disorder was considerably higher at 45 percent. These data suggest that in less forensically focused samples of stalkers, rates of borderline personality are likely to be substantially higher, but confirmatory data is lacking.
跟踪是指犯罪者长期实施滋扰行为，对受害者造成有害的情感和/或身体影响，社区中有相当一部分人经历过这种情况。根据美国司法部的数据，8%的女性和2%的男性在其一生中曾在某个时候成为跟踪者的受害者。跟踪行为可被视为对另一个人的不合逻辑或不理性的痴迷。由于边缘型人格障碍中存在异常且强烈的依恋动态，这种诊断在跟踪者中尤为常见。在本期《界面》中，我们探讨了跟踪行为与边缘型人格障碍之间可能存在的关联。五项研究报告了跟踪者中边缘型人格障碍的患病率，其中四项报告的患病率在4%至15%之间（即少数）。然而，这些研究中有三项针对的是法医群体，另一项研究的对象是跟踪其精神科医生的患者。相比之下，在其余跟踪者样本中（被指控犯罪并非纳入标准），边缘型人格障碍的患病率相当高，为45%。这些数据表明，在较少关注法医问题的跟踪者样本中，边缘型人格障碍的患病率可能会高得多，但目前缺乏证实性数据。
