边缘性综合征：术语的演变、遗传学方面及预后

The borderline syndrome: evolution of the term, genetic aspects, and prognosis.

作者信息

Stone M H

出版信息

Am J Psychother. 1977 Jul;31(3):345-65. doi: 10.1176/appi.psychotherapy.1977.31.3.345.

DOI:10.1176/appi.psychotherapy.1977.31.3.345

PMID:331970

Abstract

"Borderline" has been used to designate conditions intermediate between psychosis and neurosis, analyzability and nonanalyzability; also, for dilute or questionable schizophrenia. Contemporary usage inclines toward patients with manic-depressive heredity, although borderlines are still etiologically heterogeneous. Various subtypes are outlined, each responsive to a particular method of psychotherapy or pharmacotherapy. If drug-abuse or antisocial tendencies are absent, prognosis is ofter favorable.

摘要

“边缘性”一词已被用于指代介于精神病与神经症、可分析性与不可分析性之间的状况；此外，也用于指轻度或可疑的精神分裂症。当代的用法倾向于用于有躁郁症遗传倾向的患者，尽管边缘性患者在病因上仍然是异质性的。文中概述了各种亚型，每种亚型对特定的心理治疗或药物治疗方法有反应。如果没有药物滥用或反社会倾向，预后通常良好。