School of Psychiatry, University of New South Wales, NSW 2050, Australia.
School of Psychiatry, University of New South Wales, NSW 2050, Australia; Black Dog Institute, Hospital Rd, Randwick, NSW 2031, Australia.
Psychiatry Res. 2017 Nov;257:197-202. doi: 10.1016/j.psychres.2017.07.047. Epub 2017 Jul 26.
The aim is to review the salient literature on borderline personality disorder (BPD) in men and link those findings with case vignettes. We provide a literature review and then report case examples of those who met DSM and clinical BPD criteria, and consider the extent to which the small male sub-set corresponded developmentally and phenomenologically with prototypic BPD in women. The review considered phenomenological, epidemiological, biological and developmental BPD factors, finding BPD men evidence elevated substance abuse, and 'externalising' patterns of behavior, antisocial personality traits, violent self-harm and interpersonal aggression, whereas women display more 'internalising' strategies. The five male vignettes enriched the literature review providing support for gender differences reported in our review. The literature and case vignette findings should assist clinicians in recognising that BPD in men may not be as rare as generally viewed, and which may reflect BPD being commonly viewed as weighted to women and being misdiagnosed as an antisocial personality disorder (ASPD) in men.
目的是回顾男性边缘型人格障碍 (BPD) 的重要文献，并将这些发现与病例进行关联。我们提供了文献综述，然后报告了符合 DSM 和临床 BPD 标准的病例示例，并考虑了小部分男性在发展和表现上与女性典型 BPD 的一致性程度。该综述考虑了 BPD 的现象学、流行病学、生物学和发展因素，发现男性 BPD 患者存在更高的物质滥用和“外化”行为模式、反社会人格特征、自残和人际攻击，而女性则表现出更多的“内化”策略。五个男性病例丰富了文献综述，为我们综述中报告的性别差异提供了支持。文献和病例发现应该有助于临床医生认识到，男性 BPD 并不像普遍认为的那样罕见，这可能反映了 BPD 通常被视为女性更常见的疾病，而在男性中则被误诊为反社会人格障碍 (ASPD)。
