Lansky M R
UCLA Medical School.
Hillside J Clin Psychiatry. 1988;10(1):24-37.
Failure to begin the hospital treatment of the "borderline" patient with a formulation of the problems requiring hospitalization is an indication of a lack of integration in the staff's view of the patient's pathology. This failure may dovetail with a basic lack of integration in the patient's personality and recapitulate similar confusion and inconsistency within that patient's family. A 15-minute educational tape about "borderline" illness has been used to enhance integration and formulation of problems by staff and patients in a hospital setting in which stay is limited to one or two months. The program is described, and the taped programs included. "Self-regulatory disorder" is preferred to "borderline personality disorder." After one year's experience with the program, the staff has been better able to formulate difficulties in clinical discussions with patients and their families. The staff has noted a clearcut reduction of disruptive impulsive action in this population of hospitalized nonpsychotic patients.
未能针对“边缘型”患者开始医院治疗时提出需要住院治疗的问题，表明工作人员对患者病理情况的看法缺乏整合。这种失败可能与患者人格基本缺乏整合相契合，并在该患者家庭中重现类似的混乱和不一致。在一家住院时间限制为一两个月的医院环境中，已使用一段15分钟关于“边缘型”疾病的教育录像带，以促进工作人员和患者对问题的整合与表述。本文描述了该项目，并列出了录像节目。“自我调节障碍”比“边缘型人格障碍”更可取。经过一年对该项目的实践，工作人员在与患者及其家属的临床讨论中，能更好地表述困难。工作人员注意到，在这群住院的非精神病患者中，破坏性行为冲动明显减少。
