Dawson D F
Department of Psychiatry, McMaster University, Ontario.
Can Fam Physician. 1993 Apr;39:833-9.
Treating a patient with borderline personality disorder is fraught with peril. Some psychotherapies and medications seem to make matters worse, yet these very patients are some of the most persistent in demanding help. This happens because the context of treatment, the traditional physician-patient social contract, and the personal and professional impulses of the physician can actually feed and reinforce the patient's pathological behaviour. Relationship management offers a way to understand the problem and to handle it.
治疗边缘型人格障碍患者充满了风险。一些心理疗法和药物似乎会使情况变得更糟，但恰恰是这些患者中有些人在寻求帮助时最为执着。出现这种情况的原因在于治疗背景、传统的医患社会契约以及医生的个人和职业冲动实际上可能助长并强化患者的病理行为。关系管理提供了一种理解和处理该问题的方法。
