Role of Sexual Abuse in the Etiology of Borderline Personality Disorder
Role of Sexual Abuse in the Etiology of Borderline Personality Disorder
复制标题
性虐待在边缘性人格障碍病因学中的作用
DOI：
10.1176/ajp.155.2.302
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发表时间：
1998
影响因子：
17.7
通讯作者：
T. Travis
中科院分区：
文献类型：
--
作者：
T. Travis
这是一本写作和编辑精湛的书，快速而清晰地回答了标题所暗示的问题，然后深入探讨了最近研究的问题和关于边缘性人格障碍病因的问题。第一章由编者撰写，简明扼要地回顾了边缘性人格障碍的概念化。扎纳里尼总结了她所说的关于边缘性人格障碍发病机制的第一代和第二代研究。然后，她描述了第三代临界性人格障碍病因学研究的开始，这些研究在本书中收集在一起。她简要地描述了这些研究及其发现，我发现这激起了我阅读各自章节的兴趣，以了解更多细节。她指出，这些研究有许多共同的概念和方法论特征，使它们有别于该领域以前的研究。这些研究评估了一系列病理性的童年经历，而不是几乎只着眼于性虐待；检验性虐待的各个方面，而不是简单地假设性虐待对边缘性人格障碍的发展具有相同的影响；应用多变量分析，从研究中测量和记录的各种因素中确定重要的发现。这一章的作者展示了一系列名副其实的关于边缘性人格障碍病因的研究。这些因素包括儿童期性虐待、其他童年因素、母亲依恋、分裂和自残的发展、自毁倾向、家庭环境以及身体创伤和神经脆弱。此外，两章还讨论了病因学理论及其在治疗边缘型人格障碍患者中的应用。我发现所有的章节都非常易读，逻辑上也很连贯，同时也为我提供了关于这种疾病复杂性的新知识和新视角。我将在我的历史记录中更加微妙和详细，并对病人与生活压力源的斗争和成功有一种新的尊重。
This is a superbly written and edited book that quickly and clearly answers the question implied by the title and then goes into rich detail on recent research examining issues and questions about the etiology of borderline personality disorder. The first chapter, written by the editor, gives a succinct but pithy review of the conceptualization of borderline personality disorder. Zanarini summarizes what she refers to as the first and second generations of studies of the pathogenesis of borderline personality disorder. She then describes “the start of a third generation of studies of the etiology” of borderline personality disorder, which are collected together in this book. She briefly describes the studies and their findings, which I found piqued my interest in reading the respective chapters for more detail. She points out that the studies share a number of conceptual and methodologic features setting them apart from previous research in this field. These studies assess a range of pathological childhood experiences rather than looking almost exclusively at sexual abuse; examine the facets of sexual abuse rather than simplistically assuming that all sexual abuse has the same effect on the development of borderline personality disorder; and apply multivariate analyses to determine significant findings from the wide variety of factors measured and recorded in the studies.The chapter authors present a veritable panoply of research examining the etiology of borderline personality disorder. These include factors such as childhood sexual abuse, other childhood factors, maternal attachment, development of dissociation and self-mutilation, self-destructiveness, familial environment, and physical trauma and neurological vulnerability. Additionally, two chapters discuss theories of etiology and their application to the treatment of patients with borderline personality disorder. I found all the chapters to be eminently readable and logically coherent while also providing me with new knowledge and a new perspective about the complexity of this disorder. I will be more subtle and detailed in my history taking and have a new respect for patients' struggles dealing and succeeding with the stressors of living.