Goldstein W N
George Washington University Medical Center.
Am J Psychother. 1989 Jul;43(3):321-42. doi: 10.1176/appi.psychotherapy.1989.43.3.321.
An ego-psychological diagnostic approach to the borderline patient has been presented and detailed in previous publications. This paper modifies and expands this approach, providing a new, up-to-date model. This new model tries to accomplish the somewhat contradictory tasks of: (1) providing a current generally accepted psychodynamic framework, and (2) being more compatible with DSM-III-R. Both historical and current concepts of the borderline patient are reviewed and related to this new model. The concept of the borderline patient as someone with a specific structural configuration, to be differentiated from the normal-neurotic, the narcissistic, and the psychotic configurations, is retained.
在以往的出版物中，已经介绍并详细阐述了一种针对边缘型患者的自我心理学诊断方法。本文对该方法进行了修改和扩展，提供了一个新的、与时俱进的模型。这个新模型试图完成以下有点矛盾的任务：（1）提供一个当前普遍接受的心理动力学框架，以及（2）与《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）更兼容。本文回顾了边缘型患者的历史和当前概念，并将其与这个新模型联系起来。边缘型患者作为具有特定结构构型的个体这一概念得以保留，以便与正常神经症、自恋和精神病性构型相区分。
