Stone M H
Adolesc Psychiatry. 1983;11:163-76.
Borderline adolescents from wealthy families pose a number of special problems in psychotherapy. The family may use great affluence to cushion the lives of their children in such a way as to diminish motivation for work, avocational pursuits, or anything requiring self-discipline. This in turn may exacerbate problems in the formation of identity, already impaired in the borderline adolescent. Antisocial tendencies may go unchecked because of the wealthy family's unusual ability to get around the authorities whenever its children are apprehended for an offense. Appropriate limit setting, imposed in ordinary families partly out of economic necessity, may fail to be imposed where family wealth has nullified the necessity for it. Parental deprivation, encountered often among the very poor, may also be seen among the wealthy, some of whom insulate themselves against their children to a marked degree, via household servants to whom almost all parental functions may have been allocated. From such deprivation, various character deformations may develop, including pathological narcissism. Clinical vignettes, illustrating these points and containing some suggestions for therapy, have been included.
来自富裕家庭的边缘青少年在心理治疗中会带来一些特殊问题。家庭可能会利用巨大的财富来呵护孩子的生活，其方式会削弱孩子工作、业余爱好或任何需要自律的事情的动力。这反过来可能会加剧身份认同形成过程中的问题，而这些问题在边缘青少年中本来就已存在。反社会倾向可能得不到抑制，因为富裕家庭在孩子因违法而被逮捕时，有超乎寻常的能力疏通当局。在普通家庭中，部分出于经济需要而实施的适当界限设定，在家庭财富消除了这种必要性的情况下可能无法实施。在非常贫困的人群中经常出现的父母缺失情况，在富裕人群中也可能出现，他们中的一些人通过几乎承担了所有父母职能的家仆，在很大程度上与孩子隔离开来。从这种缺失中，可能会发展出各种性格变形，包括病理性自恋。文中包含了说明这些要点并给出一些治疗建议的临床案例。
