Center of Alcohol Studies, Graduate School of Applied and Professional Psychology, Rutgers University.
Department of Psychology, Ryerson University.
Personal Disord. 2019 Jul;10(4):297-308. doi: 10.1037/per0000328. Epub 2019 Feb 4.
Borderline personality disorder (BPD) is a debilitating mental health condition that is highly associated with distress in close relationships and in romantic and nonromantic (e.g., familial) significant others. Interventions that efficiently improve BPD treatment outcomes are needed. Theory and research suggest that BPD may both promote and be maintained by close relationship distress. Incorporating significant others into BPD treatments may therefore present a novel and unique opportunity to maximize treatment outcomes. This work systematically reviews the empirical support for interventions that incorporate significant others in BPD treatment in addressing three potential treatment targets: (a) BPD pathology, (b) significant other distress, and (c) close relationship distress. Three distinct categories of intervention that involve significant others into BPD treatment are presented, and the interventions that fall within them are reviewed: (a) significant-other-assisted interventions, (b) education- and family-facilitated engagement interventions, and (c) disorder-specific interventions. Twelve articles outlining six treatments that vary in terms of potential treatment target, form of intervention, and level of empirical support are discussed. Interventions that target BPD in the context of close relationships, which are disorder-specific interventions, have amassed the most robust evidence base as an efficacious approach for all three targets at once. We conclude our review with a synthesis of the extant literature and offer future directions in terms of advancing theory to better understand and treat BPD. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
边缘型人格障碍（BPD）是一种严重的心理健康状况，与亲密关系中的痛苦以及浪漫和非浪漫（例如，家庭）重要他人的痛苦高度相关。需要有效的干预措施来改善 BPD 的治疗效果。理论和研究表明，BPD 可能会促进和维持亲密关系的痛苦。因此，将重要他人纳入 BPD 治疗可能是最大限度提高治疗效果的一个新的独特机会。这项工作系统地回顾了将重要他人纳入 BPD 治疗中的干预措施的实证支持，以解决三个潜在的治疗目标：（a）BPD 病理，（b）重要他人的痛苦，以及（c）亲密关系的痛苦。提出了三种将重要他人纳入 BPD 治疗的不同干预类别，并对属于这些类别的干预措施进行了回顾：（a）重要他人协助的干预措施，（b）教育和家庭促进参与的干预措施，以及（c）特定障碍的干预措施。讨论了十二篇概述了六种治疗方法的文章，这些治疗方法在潜在治疗目标、干预形式和实证支持水平上各不相同。针对亲密关系背景下的 BPD 的干预措施，即特定障碍的干预措施，作为一种有效的方法，在同时针对所有三个目标方面积累了最有力的证据基础。我们在总结现有文献的基础上，提出了进一步推进理论的未来方向，以更好地理解和治疗 BPD。（PsycINFO 数据库记录（c）2019 APA，保留所有权利）。
