Steinert T, Schmidt-Michel P O
Psychiatrisches Landeskrankenhaus Weissenau, Abteilung Psychiatrie I, Universität Ulm.
Nervenarzt. 1995 Nov;66(11):858-63.
Two case-reports highlight the problems of co-morbidity of schizophrenia and borderline disorder. On the other hand, borderline disorder in schizophrenia can represent a pre-existent, lasting personality disorder, on the other hand it can be temporary syndrome in the course of illness. The assumption that a borderline syndrome can be a recompensation stage in the course of schizophrenia seems evident by clinical and psychodynamic points of view (concerning a coping strategy). The present categories of DSM III-R and ICD-10, however, do not allow an adequate diagnostic classification of this syndrome.
两份病例报告凸显了精神分裂症与边缘性障碍共病的问题。一方面,精神分裂症中的边缘性障碍可能代表一种预先存在的、持久性人格障碍,另一方面,它也可能是疾病过程中的一种临时综合征。从临床和心理动力学角度(涉及应对策略)来看,边缘性综合征可能是精神分裂症病程中的一个补偿阶段这一假设似乎是成立的。然而,目前的《精神疾病诊断与统计手册》第三版修订本(DSM III-R)和《国际疾病分类》第十版(ICD-10)并不允许对该综合征进行充分的诊断分类。