Laboratory for the Study of Adult Development, McLean Hospital, Belmont, Massachusetts 02478, USA.
J Pers Disord. 2010 Jun;24(3):365-76. doi: 10.1521/pedi.2010.24.3.365.
The literature on borderline personality disorder (BPD) describes interpersonal disturbances as a core sector of psychopathology. The longitudinal course of these features remains poorly understood. Our aim is to describe the course of interpersonal features of BPD in a more detailed way than has been done previously. Twenty interpersonal aspects of borderline psychopathology were assessed using two reliable semi-structured diagnostic interviews at baseline and at five successive two-year follow-up waves in the ongoing McLean Study for Adult Development. Behaviorally-oriented features, such as recurrent breakups, sadism, demandingness, entitlement, regression in treatment, and boundary violations, remitted quickly and were rare at the end of follow-up. The interpersonal features slowest to remit were affective responses to being alone, active caretaking, discomfort with care, and dependency. The behavioral interpersonal features of BPD remit rapidly, while core affectively-oriented features related to intolerance of aloneness and conflicts over dependency are more persistent.
文献中提到边缘型人格障碍（BPD）的人际紊乱是精神病理学的核心领域。这些特征的纵向过程仍未被充分理解。我们的目的是比以往更详细地描述 BPD 的人际特征的过程。在麦克莱恩成人发展研究中，使用两个可靠的半结构化诊断访谈，在基线和随后的五个连续的两年随访波次中，评估了 20 种边缘性精神病理学的人际方面。行为导向的特征，如反复分手、施虐、苛刻、自命不凡、治疗中的倒退和边界违规，在随访结束时很快缓解且很少见。缓解最慢的人际特征是对独处的情感反应、主动照顾、对照顾的不适和依赖。BPD 的行为人际特征迅速缓解，而与不能忍受独处和依赖冲突有关的核心情感特征则更持久。
