Freed Peter, Choi-Kain Lois W, Liebson Elizabeth
Private practice, Brooklyn, New York (Freed); Department of Psychiatry, McLean Hospital, Belmont, Massachusetts, and Department of Psychiatry, Harvard Medical School, Boston (Choi-Kain, Liebson).
Focus (Am Psychiatr Publ). 2022 Oct;20(4):397-401. doi: 10.1176/appi.focus.20220060. Epub 2022 Oct 25.
Transient stress-related paranoia is the descriptive definition of psychotic phenomena associated with borderline personality disorder. Although psychotic symptoms usually do not qualify patients for a separate diagnosis in the psychotic spectrum, statistical probabilities predict the co-occurrence of cases with comorbid borderline personality disorder and major psychotic disorder. This article presents three perspectives on a complex case of borderline personality disorder and psychotic disorder: one from a medication prescribing psychiatrist who is a transference-focused psychotherapist responsible for care, one from the anonymous patient, and one from a specialist in psychotic disorder. A discussion of clinical implications concludes this multidimensional presentation of borderline personality disorder and psychosis.
短暂应激相关偏执是与边缘型人格障碍相关的精神病性现象的描述性定义。虽然精神病性症状通常不足以使患者在精神病谱系中获得单独诊断，但统计概率预测了边缘型人格障碍合并症与重度精神病性障碍病例的共现情况。本文呈现了关于一例边缘型人格障碍与精神病性障碍复杂病例的三种观点：一种来自负责治疗的以移情为重点的心理治疗师且开处方的精神科医生，一种来自匿名患者，还有一种来自精神病性障碍专家。对临床意义的讨论为这一边缘型人格障碍与精神病的多维度呈现画上句号。
