Olsson Peter A
Retired Clinical Professor, Baylor College of Medicine.
Psychodyn Psychiatry. 2018 Summer;46(2):252-264. doi: 10.1521/pdps.2018.46.2.252.
Psychiatric clinicians are faced with the challenge of remaining flexible and psychotherapeutically relevant to the broadening scope of patients with severe narcissistic and borderline personality disorders. Diagnostic sophistication among mental health professionals, increased availability of psychotherapy services, and economic pressures combine to cause the public to expect cost-effective, successful, and shorter duration of treatments. These treatment challenges are particularly poignant with the treatment of those narcissistic and borderline patients who have meager capacity for insight and limited verbal skills. This article describes the use of psychodynamically oriented and informed psychodrama for the treatment of narcissistic and borderline patients.
精神科临床医生面临着一项挑战，即要保持灵活性，并在心理治疗方面与患有严重自恋型和边缘型人格障碍的患者范围不断扩大的情况保持相关性。心理健康专业人员的诊断水平提高、心理治疗服务的可及性增加以及经济压力共同导致公众期望获得具有成本效益、成功且疗程更短的治疗。对于那些洞察力有限且语言能力欠佳的自恋型和边缘型患者的治疗，这些治疗挑战尤为突出。本文介绍了运用以心理动力学为导向且基于心理动力学知识的心理剧来治疗自恋型和边缘型患者。
