Burns T
Int J Soc Psychiatry. 1986 Winter;32(4):32-9.
Four hundred and sixty seven Swedish psychiatrists (response rate = 52.5%) returned a questionnaire on their understanding of the term "borderline patient". Virtually all had heard of it and 75.2% regularly used it as a diagnosis. Its use was positively associated with female sex, psychotherapy interest and training. 38.8% of the respondents aligned themselves with a predominantly constitutional, and 57.8% with a psychodynamic, understanding of the term. This difference was strongly associated with those diagnoses to which the term was considered equivalent, the symptoms most characteristic of it and with various aspects of the responding psychiatrists' training and work. Swedish psychiatrists emphasized the subjective aspects of the patients' disorder rather than the lability and socially disruptive behaviour which are so prominent in the DSM-III diagnosis. The results of this study underline the urgent need for the establishment of simpler and more practical criteria for the diagnosis.
467名瑞典精神科医生（回复率=52.5%）返回了一份关于他们对“边缘型患者”这一术语理解的调查问卷。几乎所有人都听说过这个术语，75.2%的人经常将其用作诊断。该术语的使用与女性性别、对心理治疗的兴趣及培训呈正相关。38.8%的受访者主要从体质角度理解该术语，57.8%的受访者从心理动力学角度理解。这种差异与该术语被认为等同的那些诊断、其最典型的症状以及回复问卷的精神科医生培训和工作的各个方面密切相关。瑞典精神科医生强调患者疾病的主观方面，而非《精神疾病诊断与统计手册》第三版（DSM - III）诊断中如此突出的情绪易变性和社会破坏性行为。这项研究结果突显了建立更简单、更实用诊断标准的迫切需求。
