Beatson J A
Aust N Z J Psychiatry. 1995 Dec;29(4):591-7. doi: 10.3109/00048679509064972.
This paper explores the barriers and impediments to psychological change in those patients with borderline and narcissistic character pathology requiring long-term psychotherapeutic treatment.
Examination of the relevant literature was made and the author's clinical experience included.
Those patients with borderline and narcissistic character pathology requiring long-term psychotherapeutic treatment to achieve lasting psychological change are characterised by their experience of severe early developmental trauma. This has resulted in the formation of entrenched adverse relational patterns which are unconscious, difficult to bring into consciousness and slow to change. These patients have failed to establish security of attachment patterns in the course of a depriving and/or traumatic childhood, often in the care of parents with similar character pathology. Such patients will often require a therapeutic relationship with an emotionally responsive therapist sustained over time within a secure therapy frame to achieve lasting psychological change.
Patients with borderline and narcissistic pathology who have sustained severe early developmental trauma will often require long-term psychotherapeutic treatment to achieve lasting psychological change. Such treatment is necessary for the relief of suffering in the patients, and may contribute to the alleviation or prevention of the intergenerational transmission of these disorders.
本文探讨了那些患有边缘型和自恋型人格障碍且需要长期心理治疗的患者在心理改变方面所面临的障碍和阻碍。
对相关文献进行了审查，并纳入了作者的临床经验。
那些患有边缘型和自恋型人格障碍且需要长期心理治疗以实现持久心理改变的患者，其特点是经历过严重的早期发育创伤。这导致形成了根深蒂固的不良关系模式，这些模式是无意识的，难以被意识到且改变缓慢。这些患者在被剥夺和/或遭受创伤的童年时期，通常在具有类似人格障碍的父母照料下，未能建立起依恋模式的安全感。这类患者通常需要与一位情感反应灵敏的治疗师在安全的治疗框架内维持长期的治疗关系，以实现持久的心理改变。
遭受过严重早期发育创伤的边缘型和自恋型人格障碍患者通常需要长期心理治疗以实现持久的心理改变。这种治疗对于缓解患者的痛苦是必要的，并且可能有助于减轻或预防这些障碍的代际传播。
