Flury H P
Psychiatrische Klinik Hohenegg, Meilen.
Praxis (Bern 1994). 1995 May 23;84(21):633-9.
In this article it is shown that, in spite of the diagnostic heterogeneity and in spite of differing concepts for treatment, basic principles for treatment may be assessed that have proven effective in daily therapeutic routine. It is decisive to consider typical difficulties in which therapists of borderline patients may get involved. Treatment is primarily based on psychotherapy. After a short review of different therapeutic concepts for borderline derangements, fundamental psychotherapeutic principles are illustrated. According to target symptoms, psychotropic drugs may be indicated as an adjunct. The use of various drugs is discussed. Ambulatory and clinical options for treatment and their indications are summarized, and treatment of borderline patients by their family doctor is stressed in particular.
本文表明，尽管存在诊断异质性且治疗理念不同，但仍可评估出在日常治疗实践中已被证明有效的基本治疗原则。关键在于考虑边缘型患者治疗师可能遇到的典型困难。治疗主要基于心理治疗。在简要回顾边缘型障碍的不同治疗理念后，阐述了基本的心理治疗原则。根据目标症状，可酌情使用精神药物作为辅助治疗。文中讨论了各类药物的使用情况。总结了门诊和临床治疗方案及其适应症，尤其强调了家庭医生对边缘型患者的治疗。
