McGovern M P, Kilgore K M, Melon W H, Golden D L
Northwestern University Medical School.
J Clin Psychol. 1993 May;49(3):319-26. doi: 10.1002/1097-4679(199305)49:3<319::aid-jclp2270490303>3.0.co;2-0.
Using a cross-sectional design, this study compared patients with schizophrenic and borderline personality disorders on measures of object relations and social functioning. Although we found that on measures of object relations the borderline group remained less impaired than the schizophrenics, during the course of the lifespan the schizophrenic patients appeared to surpass the borderlines on social functioning. These results are integrated with the literature that compares the long-term course and outcomes for these disorders and are discussed within the context of differential adaptive capacities, change mechanisms, and treatment interventions.
本研究采用横断面设计,比较了精神分裂症患者和边缘型人格障碍患者在客体关系和社会功能方面的指标。尽管我们发现,在客体关系指标上,边缘型人格障碍组的受损程度仍低于精神分裂症患者,但在整个生命周期中,精神分裂症患者在社会功能方面似乎超过了边缘型人格障碍患者。这些结果与比较这两种障碍的长期病程和结局的文献相结合,并在不同的适应能力、变化机制和治疗干预措施的背景下进行了讨论。