Sansone R A, Sansone L A
Department of Psychiatry, University of Oklahoma College of Medicine, Tulsa 74129, USA.
Postgrad Med. 1995 Jun;97(6):169-71, 175-6, 179.
Patients with borderline personality disorder may be the most psychologically challenging patients a primary care physician ever encounters. Early diagnosis is important to avoid interpersonal enmeshment and personalization in dealings with these patients, who often appear intact initially. The acronym PISIA is useful in recalling the major characteristics of the disorder: psychotic episodes, impulsivity, superficially intact social adaptation, interpersonal-relationship problems, and affective disorders. Specific techniques (eg, setting limits, separating medical and psychological issues, consulting a psychiatrist to determine a psychotropic drug regimen) promote effective treatment of these difficult patients.
边缘型人格障碍患者可能是初级保健医生所遇到的心理上最具挑战性的患者。早期诊断对于在与这些最初看起来正常的患者打交道时避免人际纠葛和个人化很重要。首字母缩略词PISIA有助于记住该障碍的主要特征：精神病发作、冲动性、表面上正常的社会适应、人际关系问题和情感障碍。特定技术（例如，设定界限、区分医疗和心理问题、咨询精神科医生以确定精神药物治疗方案）有助于有效治疗这些棘手的患者。
