Bleiberg E
Menninger Clinic, Topeka, KS 66601-0829.
Bull Menninger Clin. 1994 Spring;58(2):169-96.
The concept of borderline disorders in children and adolescents remains controversial. After reviewing the development of the "borderline" diagnosis, the author discusses the concept of personality disorders in children and clinical features of borderline personality disorder. He also highlights current ideas on the etiology of the disorder, including psychodynamic, developmental, and biological theories, family factors such as the effects of early loss or separation from parents, and physical and sexual abuse. The author concludes by discussing the differences and similarities between posttraumatic stress disorder as a result of sexual abuse and borderline personality disorder in children and adolescents.
儿童和青少年边缘性障碍的概念仍存在争议。在回顾了“边缘性”诊断的发展历程后，作者探讨了儿童人格障碍的概念以及边缘型人格障碍的临床特征。他还强调了关于该障碍病因的当前观点，包括心理动力学、发展和生物学理论、诸如早期丧失或与父母分离的影响等家庭因素，以及身体虐待和性虐待。作者最后讨论了性虐待导致的创伤后应激障碍与儿童和青少年边缘型人格障碍之间的异同。
