Stern Barry L, Caligor Eve, Hörz-Sagstetter Susanne, Clarkin John F
Columbia University Medical Center, 122 East 42nd Street, Suite 3200, New York, NY 10168, USA.
Columbia University Medical Center, 122 East 42nd Street, Suite 3200, New York, NY 10168, USA.
Psychiatr Clin North Am. 2018 Dec;41(4):595-611. doi: 10.1016/j.psc.2018.07.007.
The authors describe an object-relations based model drawing on the work of Kernberg and colleagues for the assessment of borderline pathology. The substrate of internal object relations that constitutes borderline pathology internally or structurally is described and a model for assessing such pathology in a clinical interview format focusing on identity, defensive style, and quality of object relations is presented. Two clinical examples illustrate how these data can be compiled for purposes of psychodynamic case formulation and decisions about psychodynamic treatment.
作者描述了一种基于客体关系的模型,该模型借鉴了克恩伯格及其同事的研究成果,用于评估边缘性病理状态。文中描述了构成边缘性病理状态内在或结构基础的内部客体关系,并提出了一种在临床访谈中评估此类病理状态的模型,该模型侧重于身份认同、防御方式和客体关系质量。两个临床案例说明了如何收集这些数据,以用于心理动力学病例制定和心理动力学治疗决策。