Dawson D F
Department of Psychiatry, McMaster University, Hamilton, Ontario.
Can J Psychiatry. 1988 Jun;33(5):370-4. doi: 10.1177/070674378803300511.
The author suggests that not the borderline syndrome itself but many of the worst behaviours of borderline patients are essentially iatrogenic. To do no harm should be the primary goal of any therapist encountering a patient exhibiting borderline features. Management of the patient-therapist relationship is paramount and may be in itself the most effective and safe treatment for both crisis situations and longer therapy. A conceptual model borrowing from and bridging self psychology and interpersonal theory is described. This model leads to a reframing or new interpretation of borderline symptoms and therapists' reactions. Realtionship management guidelines and specific interventions are suggested.
作者认为，边缘性人格障碍综合征本身并非如此，而是边缘性人格障碍患者的许多最恶劣行为本质上是医源性的。不造成伤害应是任何遇到表现出边缘性人格特征患者的治疗师的首要目标。医患关系的管理至关重要，对于危机情况和长期治疗而言，其本身可能就是最有效且最安全的治疗方法。本文描述了一种借鉴并融合自体心理学和人际理论的概念模型。该模型促使对边缘性人格障碍症状及治疗师的反应进行重新构建或全新解读。文中还提出了关系管理指南及具体干预措施。
