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边缘型人格障碍(BPD)患者通常有显著的功能行使能力损害。其特征是冲动、情绪不稳、人际困难和身份认同问题,常常导致自杀行为和自杀姿态。虽然传统上认为BPD是一种慢性持久的障碍,但近期的研究却提示它可能会随着时间流逝而有所缓解,而且心理治疗可以促进缓解。BPD的病因与童年期虐待和不恰当的依恋关系有关。由于童年期虐待和创伤的重要意义,被公认有效的创伤治疗方法——眼动脱敏与再加工(EMDR)可能作为BPD的合理备选治疗方案之一。本文中的个案所获得的良好疗效阐明了EMDR在BPD治疗中的运用,提示有理由进行深入的对照研究。
Patients with borderline personality disorder (BPD) usually have significant functional impairment of ability to exercise. It is characterized by impulsiveness, emotional instability, interpersonal difficulties and identity problems that often lead to suicide and suicidal gestures. Although BPD is traditionally considered a chronic and persistent disorder, recent studies have suggested that it may ease over time and that psychotherapy can promote relief. The etiology of BPD is associated with childhood abuse and inappropriate attachment. Due to the importance of childhood abuse and trauma, it has been recognized that EMDR, one of the most effective trauma treatments available, may serve as a reasonable alternative to BPD. The good results achieved in the cases presented here illustrate the use of EMDR in the treatment of BPD, suggesting that there are good reasons for conducting an in-depth, controlled study.