绂诲锛浣娲讳浜锛 | 杈圭浜烘奸纰浜插

灏璇达杩扮杈圭浜烘尖锛涓绉瀹规绌鸿瀛ょ琚寮璁ょユ贩涔憋瀹规瀵艰翠汉崇郴绱у浜烘煎惧锛ㄤ复搴蹇棰锛娴浼涓涓挎不姝ｇ‘姝锛杈圭鹃锛寰杈圭濡

娉规涓汉姘卞界簿绁娉绗涔★绮剧纰纭搴褰辩簿绁绉т诲浣恒蹇〃/跺骞朵戒涓烘缁璇繁涓舵峰涔澶朵蹇澶锛瀹褰瑰板涔绉绫绘绛撅濡舵＄璐村浣韬竟浜虹跺碉浠缓璁讹榧变翰锛瀵绘涓涓甯┿

炬涓浣锛TA ㄤ瀛寸‘璇浜杈圭浜烘奸纰

ｆ缁缁寰涓浣楠浠崇郴杩娌″ㄥ寮涔锛灏卞凡缁婊′娴绱у浜茶锛涔板缓绔浜璧锋ュ浜插崇郴锛浣崇郴寮濮涔TA 诲浼绂诲锛瀵瑰崇郴板甯镐瀹跺浜虹姣浜插崇郴戒复杩风舵锛浣 TA瑷璇腑涓典弗寰澶锛甯告锛涓缁苟姣ョ憋缁村 TA璇讳蹇荤杈圭浜烘肩缁哥锛娓瑙ｈ绉点

picture from蹇宸ュ

杈圭浜烘奸纰锛Borderline Personality Disorder锛绠绉BPD锛ㄨタ规父瑙浜烘奸纰璇涓锛璧风浜骞存╂锛浠ヤ汉崇郴褰㈣薄缁搴涓绋冲锛浠ュ插ㄨ涓轰负涓昏涓村圭广

姣璧锋寮鸿揩绮剧瑁澶浜烘肩绛锛杈圭浜烘奸纰椴瑙浜ぇ浼瑙浣浜虹兢涓 BPD ｇ 1-2%锛ㄧ簿绁绉涓村ｈ涓害 10-44%锛惰姝讳骸涓 8%-10%锛瀹纭绉杈涓轰弗浜烘奸纰

惰锛BPD 绉澶浜烘肩舵锛寰句瑷浠ヨ戒锛

涓板炬扮崇郴锛撮甯搁句互缁存锛浜洪崇郴绱у

绘扮┖瀛ょ瀹虫琚翰瀵浜烘寮

浼搴璧宕浣锛涔浼ㄦ涓诲濮诲诲

ㄤ翰瀵崇郴涓冲澶辨璐光寰

规DSM-IV锛绮剧剧璇锛锛杈圭浜烘肩炬ｇ璇璧蜂浜烘╂锛ㄥ绉澧琛ㄧ虹涓绉骞挎妯″浜洪崇郴褰㈣薄琛ㄧ涓轰绋冲锛涓甯稿插锛虹浠ヤ涔绉琛ㄧ涓5绉 5 绉浠ヤ崇璇锛

1.浠ラ垮瀹宠薄涓琚寮

姣瑙瑕琚寮锛借寰繁瑕姝绘浜

2.涓绋冲涓绱у浜洪妯″瑰涓哄㈠ㄨ搴冲浠ュ朵环间袱涓绔淬

浣藉涓昏ㄤ浠涓版璇锛涓涓绉灏卞伴甯告舵璐

photo by Corbisfrom VCG

3.缂轰扮ǔ瀹璁ゅ锛褰㈣薄缁句绋冲

涓拌繁娲荤瀹锛涓纭繁锛瀵硅繁璁稿涓寸璁ゅ娉

4.冲涓ゆ归㈡浼ゅ插ㄨ涓猴渚濡遍便с╄川婊ョㄣ撮锛

5.涓琛涓恒濮挎濞激琛涓恒

6.变杩搴浜搴琛ㄧ涓轰绋冲锛渚濡寮虹涓靛х蹇跺ｃ锛甯镐缁板讹灏浼瓒杩澶╋

7.挎扮┖锛Emptiness锛

8.涓跺涓寮虹ゆ锛瀵规ゆ句互锛渚濡甯稿炬绘ゆ涓讹

9.舵т婧稿宠濡虫康锛涓ラ瑙ｇ躲

photo byJames F. Dean from VCG

浠蹇瀛搴ョ锛璁ょュ娲剧瀛惧浜涓BPD稿璁ょュ樊鹃惧浜缁

稿淇″康涓澶т富棰锛

涓舵锛芥遍╃

灏卞涓瀛锛寮辩

浜洪蹇锛澶╃灏辨病浜鸿

杩绉娑璐㈣虫寰瀹规舵贩娣锛瀵艰村辩璇

辩璞涔竟缂浜烘奸纰涓涓剧瑰锛藉澶ч绌跺 锛BPD 涓酱I杞II剧瀛ㄥ箍娉辩ㄤ娴风簿绁涓藉 3402 灏辫缁璁＄琛ㄦBPD辩楂涓烘锛舵涓哄у垮浜烘奸纰

辩璞′娇杈圭浜烘奸纰璇伴撅ｈ琚创涓绉风绛撅ㄨ腑涓璇锛韬绮剧缁瀹跺涵归㈤芥垮稿澶х

涓讹涓藉藉绮剧纰绫讳绗锛CCMD-3锛璁や负锛杈圭т汉奸纰涓绗涓界碉娌℃姝ｅ杈圭т汉肩璇绉般

picture from 剧

杩 20 骞存ワ绌惰浠浼┿蹇绀句绛涓瑙搴绌 BPD 绱锛朵腑锛浜轰滑╁勾浼ょ灏ゅ跺伴瑙

BPD ｈ╁勾缁浼ょ寰楂锛ц寰绮剧韬寰涓拷瑙绂绘у浼ゃ涓уけ舵杩搴ゅ剁

浼ょ绫诲朵弗у BPD 涓村琛ㄧ涓瀹稿筹寰瓒涓ラ锛BPD 跺绀句藉涔灏辫涓ラ

杩浜浼ゆх寰寰涓绔褰跨撮蹭绉褰㈠寰讹浼村跺褰㈠寰濡ц寰甯稿父涓函浣寰寰跺锛浜舵ㄥ搴藉け璋锛瀹浠卞涓 BPD 蹇绱

picture from 剧

褰讹涓杩版绱骞朵 BPD 瀛绱ㄩ涓绉澶绱妯″涓猴BPD 绯诲澶娣峰绱缁浜у锛や╁勾浼ゆх锛杩澶╃璐ㄣ绁缁瀛藉甯锛袱藉版╁勾缁澶╂ｇ璐ㄧ褰卞锛锛

Teicher 绛杩瀵 BPD 澶 fMRI 绌讹 璁や负╂涓ラ搴婵寰浜х鹃炬т浠舵瑰澶ц茬芥э杩浜瑰杩ユ渚浜涓绉绁缁╂锛绫姝ゆ╂寰澧浜 BPD 绛剧椋┿

Figueroa 绛璁や负澶ц寰绛浼ゆх浠ラ杩╁哄(茶句虹)瀵艰村骞宠　瑰锛ㄦ浣璐浜缇叉皑戒锛虹涓锛娓寮浜 BPD 涓村涓绉躲

杩绌跺锛涓缇茶烘哄剁稿崇插ㄦ BPD 涓昏绱璐ㄧ圭癸涓璁烘╁勾浼ゆх

瀵逛 BPD 瑙ｆ寮濮锛姝ｅ澶у扮绮剧纰锛娌℃涓绱浠ヨВ瀹锛澶绉绱锛╃蹇绀句锛卞涓朵腑杩绋

璇轰1 锛

BPD绫荤扁浣扁垛浜

界朵浠缁插ㄦ诲绘с璁╀汉瑙挎跺绾垫锛浣浣ｄ跺锛浠浠跺姝ｇ蜂虫寸煎蹇琚缁娌＄浠浠浼杩涔

瀵瑰澶瑰缁父涔浠寰繁瑰浠浠浣锛涔涓ㄨ璧锋敞浜绉炬ｄ腑

璇轰锛

BPD 浠ラ璋搴瀵

姝ｇ杈圭浜烘奸纰ｈ锛浠浠娉繁璧锋ワ瀵逛浠炬锛浠ュ楠姹瑰姹浠浠瑰锛芥病ㄧ浠浠瑕寰涓ㄧ蹇╂不

浣浠浠搴璇ヤ负繁琛涓鸿璐ｃ杩浜璐ｄ换戒浠浠ㄤ互瑙ｉや浜涓ラ讹村ㄤ胯瑰瑕锛姝ｈ瑰伴撅杩璁よ繁硅川锛涓涔褰㈡扮琛涓烘ā寮璁烘缁存瑰缁锛杩浼间釜浜虹浜虹蹇淇

璇轰锛

BPD ｈ娉娌绘锛涓浼杩寰寰绯

BPD 纭绉㈡ф涔讹涓浠ｈ〃娉搴峰锛ㄧ浜瓒虫堕翠娌荤′欢涓锛浠浠浠ュ峰瓒冲绀句搴藉

濡扮寮虹缁缁宸ヤ锛浠浠藉濂藉拌〃繁锛骞跺拌ヤ寰澶绛涓婚借锛繁璁よ BPD 藉ぉ璧эㄦ灏辨楂锛杩涔纭瀹锛浠浠藉ㄨ繁跨宸ヤ棰板濂姐

濡娌℃瀵 BPD 浜瑙ｏ戒浼瑙ｏ涓轰涔涓浠跺浠ヨ瀵规归ｄゆ插缁锛褰瀵规瑰穿婧涔讹戒澶涓褰锛姣濡绠绮村板涔剁舵缁寤鸿绛绛跺浠涓鸿韩杈逛汉锛撮瑕府浠浠瑙ｈ繁浠浜虹崇郴澧崇郴

濡浣瀹朵汉板ソ甯杩风讹杩涓绉ｇ害缈版╀腑蹇讳荤灏锛Comprehensive Treatment Unit of Saint John's Mercy Medical Center锛灞烘ョSET娌娉

锛S=Support锛E=Empathy锛T=Truth锛瀹琚灞烘ョㄤ竟缂浜烘艰ュ父浜浠ュ府╄竟缂浜烘肩浜插娓妤艰拌〃杈惧瀹璐绔恒

绗姝ワ瑙ｅ辨烘跺

ㄥ辨烘跺伙杈圭浜烘艰戒琛ㄧ虹惰寮虹ゆ锛涓惧ㄥ濞杩朵琚у瑙汉璇В娌╂涓绉缁缂锛浠浼蹇缁贩涔憋瑙澶澹伴筹娌伴俱

姣娆″辨洪芥涓琛ㄧ褰㈠浜插戒浼杩浜辨轰存涓浜镐技版癸浠ユ缁绉疮璧锋ヤ互渚挎村ソ搴瀵广瑙ｅ圭舵甯搁瑕涓癸涔甯稿伴剧锛涓哄寰浠涓浣郊姝ょ缁

灏璇虫斥濡姝ゆ舵锛浼崇锛灏璇句浠姝ｆ宠〃杈剧淇℃

picturefrom VCG

绗姝ワ琛ㄨ揪

琛ㄨ揪讹蹇椤婚杩颁釜浜哄杈圭浜烘艰冲渚濡寰蹇浣ㄧ澶澶缁浜х杩帮淇璇繁灏灏藉╂ｈ

绗姝ワュ蹇

ュ蹇讹瑕琛ㄦ繁宸茬敞拌竟缂浜烘艰娣蜂贡缁渚濡浣ㄤ瀹瑙寰寰绯р

娉ㄦ涓藉蹇蹇娣蜂负涓璋锛涓轰伴甯搁捐灏辨蹇戒琚涓烘浣濮挎锛浼婵瀵规广宠薄ㄤ澶澧涓锛辨宠薄ㄤ澶澧涓浣

蹇椤讳互涓х搴〃杈惧蹇锛灏介娑璇磋韩瑙

寮鸿杈圭浜烘艰缁锛涓璇繁缁濡瀵规ｈ璇粹ラ浣澶惧藉ュ茶锛璁╁茬村跺锛涓轰瀹涓锛浣ュ氨涓芥韬锛璇ф锛跺锛甯浣涓

绗姝ワ规瀹

ㄧ规瀹舵锛瑕寮鸿杈圭浜烘艰娲诲缁繁璐ｄ换锛璁哄汉濡浣灏璇渚甯╋浠ф娉夸挎繁璐ｄ换

璇磋瑕琛ㄨ揪鸿繁宸茬伴瀛骞舵哄″瑙ｅ虫规锛规瀹跺浠ヤ娇ㄤ寰瑕璇锛ｄ涓ヨ锛杩版跺椤讳甯矗撅涔涓搴璁や负ｈ缃搴寰

荤涓涓灏辨ㄢ缁浜ュ蹇跺瑙杩板瑰浜浜虹锛规瀹舵洪锛骞舵鸿В虫规锛甯ｈ瀵硅繁璐璐ｃ

褰杈圭浜烘艰虹浼ゅ琛涓猴浣瑕╂ｈ澶х冲锛浠ュㄥ朵辨烘跺伙涓竟缂浜烘艰浜ㄥ椤诲跺璺垫锛support锛ュ蹇锛empathy锛浠ュ规瀹锛truth锛涓涓楠わ缂轰涓

濡缂轰琛ㄨ揪

杈圭浜烘艰浼璁や负璇磋婕涓冲锛瀵规规规充宠锛琛村瑙濡ｈ璇浣姣ㄤ甯歌〃绀烘病板规淇℃缂轰锛杈圭浜烘艰寰寰涔娉繁璧锋ャ

濡娌℃ュ蹇

ｈ浼瑙寰瀵规规规浜瑙ｈ繁缁锛瑙寰繁涓挎锛澹扮О汉借瑙ｄ濡ｈ涓瀵规圭蹇锛澶娌涔杩

濡涓‘规瀹

杈圭浜烘艰娉拌繁瑕涓鸿繁琛涓鸿璐ｏ榛璁ゅ圭浠ユ夸璐璐ｏ浠ヤ负繁瑙瑰版浜虹涓锛澶у浣浣杩风虫寮憋涓鸿竟缂浜烘艰涓崇郴寰骞朵锛褰杩娈靛崇郴娉胯浇讹崇郴蹇灏В

浜辨锛浼虹椋钩娴锛缂轰规瀹涓姝ワョ灏浼けゆ婕╂丁瀹璺典澶ф楠わ灏卞ㄥ井缁涓璧伴锛涓归㈣涓瀵规圭涓汉浠峰硷涓归㈣涓冲瀵规圭蹇瑕璁搞搴跺椤昏〃杈炬锛浣涓借搴濡冲浜杩搴淇わ瀵规瑰氨涓浼璁や负搴璇ヤ负繁琛涓鸿璐ｃ

瑕璇瀵绘涓涓甯╁涓浜杩借釜绌跺锛瀵硅竟缂浜烘肩娌荤纭捐锛姣濡 DBTEMDR 绛绛ㄩㄨ涓㈡不涓褰╂不借芥交璁稿涓ラ讹蹇娌荤涔浠ユ炬瑰跺点界跺ぇㄥ搴峰杈圭浜烘艰ㄦュ父娲讳腑渚朵颁浜伴撅琛ㄧ烘浜娈瀛规繁虹硅川锛浣宸茬绗杈圭浜烘肩炬ｇ璇

杩涓浜╃簿绁绉诲/蹇ㄨ甯灏tips锛浠ュㄥ瑙腑ゆ

ta蹇瀹瑰害澶э

ta藉╄繁灞绋冲蹇锛

ta涓у椋艰繁瑙寰锛

ta娌荤繁虫稿锛

ta寤鸿娌荤瑰浠ユ锛

璇诲姝ゆ锛濡浣蹇繁韬竟浜哄芥 BPD 璇锛杩涓浠戒涓辨凤浣姝ｇ璇瑕绮剧绉荤藉猴

https://www.counseling-office.com/surveys/test_borderline.phtml

杈圭浜烘间归㈡垮绫讳技ㄨ甯姹″锛涓归㈠寰寰瑕挎堕寸芥㈡㈠ソ璧疯捣ャ涓杩锛锛浜烘汉锛汉跺浜锛浜轰浠ヨ褰浣涓琚锛浜轰瑕挎濂姐淇杈圭稿磋璐ｄ换

澶у涓璧峰э濡浣浠涔充 BPD 娌绘涓稿濂界锛涔娆㈣浜

灏AI锛浣锛灏变瑕璇磋繁BPD浜姣濡

浣锛绠锛卞瀛

Diagnostic criteria for Borderline Personality Disorder. Diagnostic and Statistical Manual of Mental Disorders. Washing DC: American Psychiatric Association, 1994. 650-654

Nickell AD, Waudby CJ, Trull TJ. Attachment, parental bonding and borderline personality disorder features in young adults. Personality Disorder, 2002, 16(2): 148-59.

James锛F.Masterson,The Narcissistic and Borderline Disorders: an Integrated Developmental Approach.New York: Brummer/Mazel,1981,131-133.

Jerold J.Kreisman,M.D.&Hal Straus.(2005).I hate you,dont leave me understanding the Borderline Personality.(辩害, Trans.).婀撅蹇靛伐涓涓′唤. (Original work published 1989).

板, 寮澶╁, 娉借. (2007). 绮剧绉ㄨ杈圭浜烘奸纰辩佃. 涓娴风簿绁诲, 3.

榛寤哄, ㄨ磋, 姝. (2010). 杈圭浜烘奸纰涓╁勾浼ゆх崇郴绌惰灞. 涓戒复搴蹇瀛蹇, 769-771.

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