Lecompte D
Acta Psychiatr Belg. 1977 Jul-Aug;77(4):503-15.
The author summarises the evolution of the borderline concept in the literature. He emphasizes the specificity of the pathological objectal relation and the lack of development of the ego in the separation-individualisation phase. The clinical approach of the borderline patient shows the lability of interpersonal relations of the borderline patient and the presence of a variable and polymorphic symptomatology. The author gives some considerations which are essential in undertaking a treatment with the borderline patient during a brief hospitalisation in a psychiatric service. This type of treatment is based on an early clinical diagnosis, a homogenous, logical and adequate attitude of the therapeutic team, the organisation of an adequate therapeutic team where the patient can learn to accept his own pathological findings and the initiation of an individual psychotherapy.
作者总结了文献中边缘性概念的演变。他强调了病理性客体关系的特殊性以及在分离个体化阶段自我发展的缺失。边缘性患者的临床特征表现为其人际关系的易变性以及存在多样且多形的症状。作者给出了一些在精神科短暂住院期间对边缘性患者进行治疗时至关重要的考量因素。这类治疗基于早期临床诊断、治疗团队统一、合理且恰当的态度、组建一个能让患者学会接受自身病理结果的合适治疗团队以及开展个体心理治疗。
