Muller R J
Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
Compr Psychiatry. 1993 Jul-Aug;34(4):264-72. doi: 10.1016/0010-440x(93)90009-s.
It is shown here that what Karen Horney called the resignation solution to the problem of basic anxiety leads to psychopathology very similar to DSM-III-R's borderline personality disorder (BPD). Both the "resigned person" and the borderline personality show instability of self-image, social relationships, and mood, and live out the associated deficits with similar styles. While not specifically using the term "splitting", Horney showed how alternating expansive and self-effacing trends can coexist in the resigned person, and how these oscillations in self-other-world constitution influence the resigned person's behavior in a way similar to borderline splitting. Horney's descriptive and psychodynamic analysis of the resignation phenomenon elaborates and gives additional credibility to DSM-III-R's BPD as a diagnostic category.
本文表明,卡伦·霍妮所称的对基本焦虑问题的顺从解决方案会导致与《精神疾病诊断与统计手册》第三版修订版(DSM-III-R)中的边缘型人格障碍(BPD)非常相似的精神病理学。“顺从者”和边缘型人格都表现出自我形象、社会关系和情绪的不稳定,并以相似的方式表现出相关的缺陷。虽然没有具体使用“分裂”这个术语,但霍妮展示了交替出现的扩张和自我贬低趋势如何能在顺从者中共存,以及这些自我-他人-世界构成中的振荡如何以类似于边缘型分裂的方式影响顺从者的行为。霍妮对顺从现象的描述性和心理动力学分析详细阐述了DSM-III-R中的BPD作为一个诊断类别,并赋予其更多可信度。