McGlashan T H, Heinssen R K
Chestnut Lodge Research Institute, Rockville, Maryland.
Psychiatr Clin North Am. 1989 Sep;12(3):653-70.
This study evaluates the influence of narcissistic and antisocial features on the long-term functioning of individuals with borderline personality disorder. Borderline patients discharged from Chestnut Lodge Hospital, an inpatient residential treatment facility, were followed up an average of 15 years later to assess longitudinal clinical profile. Despite differences in baseline psychopathology, members of Narcissistic, Antisocial, and Noncomorbid Borderline subgroups turned out to be roughly equivalent on almost all long-term course and outcome dimensions. The implications of these results for the nosology and treatment of personality disorders are discussed.
本研究评估自恋和反社会特征对边缘型人格障碍患者长期功能的影响。从住院式治疗机构栗树屋医院出院的边缘型患者，平均在15年后接受随访，以评估其纵向临床概况。尽管基线精神病理学存在差异，但自恋型、反社会型和无共病边缘型亚组的成员在几乎所有长期病程和结局维度上大致相当。本文讨论了这些结果对人格障碍分类学和治疗的意义。
