Perlmutter R A
Psychiatr Q. 1982 Fall;54(3):190-7. doi: 10.1007/BF01064762.
Emergency visits of borderline and chronically self-destructive patients remains a frequent and difficult problem. The author relates examples and clinical observations from these visits with emphasis on the meanings of suicide attempts, observations of families, patterns of visits, and psychodynamic issues. Suggestions for an approach to these patients are offered. The approach aims to preserve viable psychotherapeutic relationships through repeated crises and to decrease long-term risks of suicide. Theoretical consideration of the emergency room as an available object is suggested.
边缘性和慢性自我毁灭型患者的急诊就诊仍然是一个常见且棘手的问题。作者讲述了这些就诊案例及临床观察，重点关注自杀企图的意义、对家庭的观察、就诊模式以及心理动力学问题。并针对这类患者提供了一种应对方法。该方法旨在通过反复出现的危机来维持可行的心理治疗关系，并降低自杀的长期风险。文中还提出了将急诊室视为一个可用对象的理论思考。
