Feldman R B, Guttman H A
Am J Psychiatry. 1984 Nov;141(11):1392-6. doi: 10.1176/ajp.141.11.1392.
While borderline personality disorder is a well-established psychiatric diagnosis, less is known about family functioning and interactional patterns in subjects with the disorder. The authors describe interactional patterns in families of borderline children where one parent has a severe personality disorder and the other fails to protect the child adequately against the effects of that psychopathology. Two types of parents are described: the literal-minded parent and the borderline parent. The literal-minded parent resembles an alexithymic patient, lacking the ability to empathically understand and respond to the child's feelings and needs. The borderline parent uses the child as the target of projections and reality distortions. Therapy should mobilize the active protective functions of the healthier parent.
虽然边缘型人格障碍是一种已被充分确立的精神科诊断，但对于患有该障碍的个体的家庭功能和互动模式却知之甚少。作者描述了边缘型儿童家庭中的互动模式，其中一位家长患有严重的人格障碍，而另一位家长未能充分保护孩子免受这种精神病理学影响。文中描述了两种类型的家长：刻板的家长和边缘型家长。刻板的家长类似于述情障碍患者，缺乏共情理解和回应孩子感受及需求的能力。边缘型家长将孩子作为投射和歪曲现实的对象。治疗应调动更健康家长的积极保护功能。
