Gutheil T G
Am J Psychiatry. 1985 Jan;142(1):9-14. doi: 10.1176/ajp.142.1.9.
Patients with the borderline syndrome, although not always the sickest patients, often cause the most difficulty because of their intense and contagious affects, their often impulsive behavior, and the strains they place on the treaters' countertransference. The author explores the hitherto ignored area of medicolegal problems that often arise in treatment of borderline patients. Specifically, he addresses the issues of legal ignorance of the syndrome, the effect of dynamic processes such as splitting and psychotic transference, problems regarding limit setting and related management approaches, and problems arising from countertransference phenomena. He suggests approaches to these problems as well.
边缘性综合征患者，尽管并非总是病情最严重的患者，但因其强烈且具有感染力的情感、常常冲动的行为以及给治疗师反移情带来的压力，往往会造成最大的困难。作者探讨了在边缘性患者治疗中经常出现的、迄今被忽视的法医学问题领域。具体而言，他论述了对该综合征的法律无知问题、诸如分裂和精神病性移情等动态过程的影响、有关界限设定及相关管理方法的问题，以及反移情现象引发的问题。他还提出了应对这些问题的方法。
