Dulz B
5.Abteilung für Psychiatrie, Allgemeines Krankenhaus Ochsenzoll, Hamburg.
Nervenarzt. 1997 May;68(5):395-400. doi: 10.1007/s001150050141.
In the literature about borderline patients, self-destructive dependency needs are described, as well as oral-aggressive root conflicts. Using case studies, the author points out that in persons with borderline personality organisation, self-destructive forms of delinquency are as likely to manifest themselves as aggressive forms are. The first form is connected with sexual abuse, the second with physical abuse. Therefore, delinquency should be differentiated according to the traumatic experiences. Finally, depending on the direction of delinquency-either directed against oneself or against others-various therapy requirements are outlined: delinquency in the sense of self-mutilation primarily requires the team to perform a holding function, while aggressive delinquency primarily demands a firm setting. The author concludes that the outcome of therapy for borderline personality disorders depends on the assessment of the direction of the delinquency.
在关于边缘型患者的文献中，描述了自我毁灭的依赖需求以及口欲攻击性的根源冲突。通过案例研究，作者指出，在具有边缘型人格结构的人中，自我毁灭形式的犯罪行为与攻击形式的犯罪行为一样容易表现出来。第一种形式与性虐待有关，第二种与身体虐待有关。因此，应根据创伤经历对犯罪行为进行区分。最后，根据犯罪行为的方向——要么针对自己，要么针对他人——概述了各种治疗要求：自残意义上的犯罪行为主要要求治疗团队发挥维持功能，而攻击性犯罪行为主要需要坚定的设定。作者得出结论，边缘型人格障碍的治疗结果取决于对犯罪行为方向的评估。
