Hutsebaut Joost, Debbané Martin, Sharp Carla
1Viersprong Institute for Studies on Personality Disorders, Halsteren, the Netherlands.
Centre of Expertise on Personality Disorders, Utrecht, the Netherlands.
Borderline Personal Disord Emot Dysregul. 2020 Mar 12;7:6. doi: 10.1186/s40479-020-0121-4. eCollection 2020.
Borderline personality disorder (BPD) can have a long-lasting impact on social and professional functioning, even when core symptoms of BPD are in remission. Adolescence may be a critical developmental period to change the potential long-term functional outcome of BPD. This paper presents a range of mentalizing interventions to alter the course and outcome of BPD, based upon a model of clinical staging. Mentalizing interventions have in common a focus on strengthening self-regulatory and interpersonal capacities, aiming to improve adaptive social learning. This paper argues that these interventions should be dosed and organized according to the stage of progression of BPD, which is illustrated by discussing different specific formats for mentalization-based interventions, including an early-intervention program for BPD and a standard program for full BPD.
边缘性人格障碍（BPD）即使在其核心症状缓解后，仍可能对社交和职业功能产生长期影响。青春期可能是改变BPD潜在长期功能结果的关键发育时期。本文基于临床分期模型，提出了一系列心理化干预措施，以改变BPD的病程和结果。心理化干预的共同特点是注重加强自我调节和人际能力，旨在改善适应性社会学习。本文认为，这些干预措施应根据BPD的进展阶段进行安排和组织，通过讨论基于心理化的干预措施的不同具体形式来说明这一点，包括BPD的早期干预计划和完整BPD的标准计划。
