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[边缘性人格障碍患者在致命性自我毁灭行为末期的自杀]

[Suicide by a borderline patient at the end of fatal self-destructive behavior].

作者信息

Heide S, Schmidt V

机构信息

Institut für Rechtsmedizin der Martin-Luther-Universität Halle-Wittenberg.

出版信息

Arch Kriminol. 1998 Jul-Aug;202(1-2):50-8.

PMID:9757355
Abstract

The presence of a borderline personality disorder must also be considered in forensic medicine appraisements, beside the various motivations for a self injurious behaviour and apart from other psychiatric illnesses. This personality disorder is frequently characterized by cuts and scratches made by the patients using sharp objects to inflict themselves when in situations causing great psychological distress. A case of a young female student is presented who exhibited a clear auto-destructive behaviour. Due to a tragic psychodynamic development, she committed suicide by means of carbamazepine intoxikation. In addition to the impressive morphological and traumatological injury pattern, the psychiatric case history of the female patient also showed that she had suffered from a typical borderline personality disorder.

摘要

在法医学评估中,除了自伤行为的各种动机以及其他精神疾病外,还必须考虑边缘性人格障碍的存在。这种人格障碍的特征通常是患者在遭受巨大心理压力时,使用尖锐物体划伤自己。本文介绍了一名年轻女学生的案例,她表现出明显的自我毁灭行为。由于悲剧性的心理动力学发展,她服用卡马西平自杀。除了令人印象深刻的形态学和创伤学损伤模式外,该女性患者的精神病史还表明她患有典型的边缘性人格障碍。

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