Sansone R A, Fine M A, Dennis A B
Department of Psychiatry, Wright State University School of Medicine, Dayton, OH.
Am J Psychother. 1991 Apr;45(2):173-80. doi: 10.1176/appi.psychotherapy.1991.45.2.173.
This study investigates the treatment impressions and termination experiences of faculty clinicians treating individuals with borderline personality disorder. Thirty-nine clinicians (28 psychiatrists and 11 psychologists) completed the Treatment of Borderlines Survey. Results indicated that individual psychotherapy was perceived to be the most valuable treatment modality, that the majority of respondents work towards character change but do not expect "normal," the most common reported reasons for patient termination were "patient does not see the purpose of treatment" and "patient terminates through acting-out behaviors," and a slight majority reported that they had "cured" at least some of their borderline patients. The most common concerns experienced during the termination process included regression, acting-out, and self-destructive behavior. There were very few differences in the perceptions and treatment experiences between psychiatrists and psychologists. These results provide empirical support for claims made in the clinical literature on treating borderline patients.
本研究调查了治疗边缘型人格障碍患者的临床教员的治疗印象和终止治疗的经历。39名临床医生（28名精神科医生和11名心理学家）完成了边缘型人格障碍治疗调查。结果表明，个体心理治疗被认为是最有价值的治疗方式，大多数受访者致力于性格改变但并不期望达到“正常”状态，报告的患者终止治疗的最常见原因是“患者看不到治疗的目的”和“患者通过外化行为终止治疗”，并且略多于半数的受访者报告称他们已经“治愈”了至少部分边缘型人格障碍患者。终止治疗过程中最常见的担忧包括病情复发、外化行为和自我毁灭行为。精神科医生和心理学家在认知和治疗经历方面几乎没有差异。这些结果为临床文献中关于治疗边缘型人格障碍患者的观点提供了实证支持。
