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“我是在和 BPD 斗争,而不是我的伴侣”:一对伴侣共同应对边缘型人格障碍的生活体验的双重解释现象学分析。

"I'm fighting with BPD instead of my partner": A dyadic interpretative phenomenological analysis of the lived experience of couples navigating borderline personality disorder.

机构信息

Department of Human Development and Family Science, Virginia Tech, Falls Church, Virginia, USA.

Department of Human Sciences, The Ohio State University, Columbus, Ohio, USA.

出版信息

J Marital Fam Ther. 2024 Jan;50(1):45-70. doi: 10.1111/jmft.12669. Epub 2023 Oct 9.

Abstract

Borderline personality disorder (BPD) is associated with romantic relationship distress and dissolution. The complex interaction between BPD and romantic relationships warrants further attention. Dyadic interviews (N = 10) were conducted to examine the experience and impact of BPD on couples' relationships. The results of interpretative phenomenological analysis consisted of two superordinate themes describing the couple experience of navigating BPD: (a) the shared experience of BPD as a relational stressor; and (b) adaptive dyadic coping in the context of BPD. Although BPD was experienced as a relational stressor, dyadic coping and shared externalization of BPD emerged as central components to adaptive couple functioning. Most couples reported that therapy was a critical external resource in their journey toward adaptively functioning in the context of BPD, both intrapersonally and interpersonally. The lived experiences of these couples provides therapists with an increased understanding of the resources that support adaptive dyadic coping with BPD.

摘要

边缘型人格障碍(BPD)与恋爱关系困扰和破裂有关。BPD 与恋爱关系之间的复杂相互作用值得进一步关注。采用对偶访谈(N = 10)的方法,考察了 BPD 对夫妻关系的体验和影响。解释性现象学分析的结果包括两个描述夫妻双方体验 BPD 的主题:(a)将 BPD 视为关系压力源的共同体验;(b)在 BPD 背景下进行的适应性对偶应对。尽管 BPD 被体验为一种关系压力源,但对偶应对和 BPD 的共同外在化成为适应夫妻功能的核心组成部分。大多数夫妇报告说,治疗是他们在 BPD 背景下实现个人和人际关系适应功能的过程中的一个关键外部资源。这些夫妇的生活经历为治疗师提供了更多的了解,以支持对偶应对 BPD 的资源。

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