Fertuck Eric A, Fischer Stephanie, Beeney Joseph
Department of Psychology, The City College of New York, The City University of New York, NAC Room 7/239, 160 Convent Avenue, New York, NY 10031, USA.
Department of Psychology, The City College of New York, The City University of New York, NAC Room 7/239, 160 Convent Avenue, New York, NY 10031, USA.
Psychiatr Clin North Am. 2018 Dec;41(4):613-632. doi: 10.1016/j.psc.2018.07.003. Epub 2018 Oct 16.
The Borderline personality disorder (BPD) diagnosis has its origins in the concept of borderline personality organization (BPO). BPO is rooted in psychoanalytic object relations theory (ORT) which conceptualizes BPD and BPO to exhibit a propensity to view significant others as either idealized or persecutory (splitting) and a trait-like paranoid view of interpersonal relations. From the ORT model, those with BPD think that they will ultimately be betrayed, abandoned, or neglected by significant others, despite periodic idealizations. This article synthesizes the extant literature splitting and trust impairments in BPD, identifies avenues for further investigation, and discusses the relative promise of different methods to evaluate these clinical processes.
边缘型人格障碍（BPD）的诊断起源于边缘型人格组织（BPO）的概念。BPO植根于精神分析客体关系理论（ORT），该理论将BPD和BPO概念化为表现出将重要他人视为理想化或迫害性（分裂）的倾向以及对人际关系的特质性偏执观点。根据ORT模型，患有BPD的人认为，尽管会有周期性的理想化，但他们最终会被重要他人背叛、抛弃或忽视。本文综合了关于BPD中分裂和信任受损的现有文献，确定了进一步研究的途径，并讨论了评估这些临床过程的不同方法的相对前景。
