Horowitz M J
Am J Psychiatry. 1977 May;134(5):549-53. doi: 10.1176/ajp.134.5.549.
The author discusses splitting, the segregation of multiple inner schemata of self and others, from the points of view of cognitive structure, cognitive process, anad interpersonal transaction. A case example illustrates how one borderline patient shifted fluidly during therapy among four isolated and sometimes incompatible representations of the doctor-patient relationship. The author concludes that therapists working with borderline patients must be aware of atypical transference patterns and may have to introduce, as a special nuance of therapy, work to stabilize patients' realistic self- and therapist images before offering interpretations.
作者从认知结构、认知过程和人际互动的角度探讨了分裂，即自我和他人的多种内在图式的分离。一个案例说明了一位边缘型患者在治疗过程中如何在医患关系的四种孤立且有时相互矛盾的表征之间灵活转换。作者得出结论，治疗边缘型患者的治疗师必须意识到非典型的移情模式，并且可能必须在进行解释之前，作为治疗的一个特殊细微差别，开展工作以稳定患者现实的自我形象和治疗师形象。
