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双相障碍与边缘型人格障碍之间的连续统。

The continuum between Bipolar Disorder and Borderline Personality Disorder.

机构信息

Department of Clinical and Experimental Medicine, University of Perugia, Perugia, Italy.

出版信息

Psychiatr Danub. 2012 Sep;24 Suppl 1:S143-6.

PMID:22945209
Abstract

INTRODUCTION

Several studies have been carried out regarding the possible overlap between Bipolar Disorder and borderline personality disorder. Up to now, it is not possible to provide a definitive picture. In fact, there is currently significant debate about the relationship between Borderline Personality Disorder and Bipolar Disorder.

METHODS

MEDLINE searches were performed to identify the latest studies of these disorders, considering psychodynamic aspects.

DISCUSSION

Bipolar disorder and borderline personality disorder share common clinical features, namely affective instability and impulsivity which however differ in quality. Consequently, to better understand these aspects, it is necessary to trace the stages of childhood psychological development.

CONCLUSIONS

It has been claimed that Bipolar Disorder Type II can be divided into two subtypes: one stable and functional between episodes and one unstable between episodes which is related to Borderline Personality Disorder. However, better diagnostic theories, psychiatrist's empathy and patience remain the essential tool to understand and to face human suffering.

摘要

简介

已经有几项研究探讨了双相情感障碍和边缘型人格障碍之间可能存在的重叠。到目前为止,还无法提供明确的答案。事实上,目前关于边缘型人格障碍和双相情感障碍之间的关系存在很大的争议。

方法

通过 MEDLINE 搜索,确定了这些障碍的最新研究,考虑了心理动力学方面。

讨论

双相情感障碍和边缘型人格障碍具有共同的临床特征,即情感不稳定和冲动性,但在质量上有所不同。因此,为了更好地理解这些方面,有必要追溯儿童心理发展的阶段。

结论

有人声称,双相情感障碍 II 型可以分为两个亚型:一个是发作间稳定和功能正常,另一个是发作间不稳定,与边缘型人格障碍有关。然而,更好的诊断理论、精神科医生的同理心和耐心仍然是理解和面对人类痛苦的必要工具。

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1
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Psychiatr Danub. 2012 Sep;24 Suppl 1:S143-6.
2
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