Szabó Brigitta, Miklósi Mónika
ELTE Eötvös Loránd Tudományegyetem Pszichológiai Doktori Iskola, Budapest.
ELTE Eötvös Loránd Tudományegyetem Pszichológiai Intézet, Fejlődés- és Klinikai Gyermekpszichológia Tanszék, Budapest
Neuropsychopharmacol Hung. 2024 Mar;26(1):53-56.
This paper aims to describe Roger Mulder's presentation on borderline personality disorder organized by the 23rd World Congress of Psychiatry, supplemented with relevant research results.
Mulder presents the diagnostic criteria of borderline personality disorder, its comorbidity, therapeutic considerations and the phenomenon of stigmatization related to the disorder.
According to Mulder, the diagnostic criteria of borderline personality disorder are vague and it shows a very high comorbidity with other psychiatric disorders. Mulder draws attention to the fact that it was not possible to identify a borderline factor in previous research because the borderline symptoms disappeared during the analysis in a general ("g") personality disorder factor. According to Mulder, there is no specific psychotherapy that is effective only in borderline personality disorder, and the pharmacological treatment has also not proven to be effective in treating the core symptoms of borderline personality disorder. According to Mulder, the stigma associated with the diagnosis of borderline personality disorder hinders the recognition and treatment of other psychiatric or somatic difficulties of patients.
according to Mulder, based on modern scientific standards, borderline personality disorder has no place in the classification, however, specialists still insist on the diagnosis.
本文旨在描述由第23届世界精神病学大会组织的罗杰·穆德关于边缘型人格障碍的演讲，并补充相关研究结果。
穆德介绍了边缘型人格障碍的诊断标准、共病情况、治疗考量以及与该障碍相关的污名化现象。
根据穆德的观点，边缘型人格障碍的诊断标准模糊，且与其他精神障碍的共病率非常高。穆德提请注意，在先前的研究中无法识别出一个边缘型因素，因为在一般（“g”）人格障碍因素分析过程中，边缘型症状消失了。根据穆德的说法，不存在仅对边缘型人格障碍有效的特定心理治疗方法，药物治疗在治疗边缘型人格障碍的核心症状方面也未被证明有效。根据穆德的观点，与边缘型人格障碍诊断相关的污名化阻碍了对患者其他精神或躯体问题的识别和治疗。
根据穆德的观点，基于现代科学标准，边缘型人格障碍在分类中没有立足之地，然而，专家们仍然坚持进行诊断。
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