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边缘性人格障碍治疗脱落引发的思考
引用本文:李幼东,王学义,余明,辛博,梁雪梅. 边缘性人格障碍治疗脱落引发的思考[J]. 中国健康心理学杂志, 2012, 20(6): 821-823
作者姓名:李幼东  王学义  余明  辛博  梁雪梅
作者单位:中国 河北医科大学精神卫生研究所 石家庄 050031
摘    要:目的验证心理动力学为背景的辩证行为心理治疗技术(Dialectical behavior therapy,DBT)对边缘性人格障碍患者的疗效。方法药物治疗和门诊心理治疗相结合。结果治理过程中出现移情与反移情,最终导致治疗关系恶化,在第8次治疗后患者攻击治疗师。结论边缘性人格障碍患者将不稳定的人际关系投射到治疗关系中,医生往往会替代现实中的客体被攻击和指责,现阶段的心理治疗还处于艰难状态。

关 键 词:精神病学  边缘人格障碍  DBT治疗  治疗脱落

Off Treatment of Borderline Personality Disorders
Affiliation:Li Youdong,Wang Xueyi,Yu Ming,et al.Hebei Medical University Institute of Mental Health,Shijiazhuang 050031,P.R.China
Abstract:Objective To attest the effect of dialectical behavior therapy on borderline personality disorder.Methods Drug treatment and outpatient psychotherapy were combined.Results Because of appear transference and counter-transference,therapeutic relationship eventually deteriorated.Psychotherapist were attacked after the eighth.Conclusion Psychological treatment of borderline personality disorders is in a critical state because patients with the unstable relationships project onto the therapeutic relationship and the doctor is accused as a real object.
Keywords:Psychiatry  Borderline personality disorder,DBT treatment  Off treatment
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