CHANGE IN ATTACHMENT AND REFLECTIVE FUNCTION IN BORDERLINE PATIENTS WITH AND WITHOUT COMORBID NARCISSISTIC PERSONALITY DISORDER IN TRANSFERENCE FOCUSED PSYCHOTHERAPY
CHANGE IN ATTACHMENT AND REFLECTIVE FUNCTION IN BORDERLINE PATIENTS WITH AND WITHOUT COMORBID NARCISSISTIC PERSONALITY DISORDER IN TRANSFERENCE FOCUSED PSYCHOTHERAPY
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DOI：
10.1080/00107530.2014.880316
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发表时间：
2014-01-01
影响因子：
0.5
通讯作者：
Kernberg, Otto F.
中科院分区：
文献类型：
--
作者：
Diamond, Diana;Clarkin, John F.;Kernberg, Otto F.
研究一致发现自恋型人格障碍（NPD）和边缘型人格障碍（BPD）之间的共病率很高。具有这种复杂临床表现的患者常常给临床医生带来巨大的挑战，例如强烈的贬低、权利和剥削。然而，文献中在确定这些 NPD/BPD 患者的临床特征方面存在显着差距。在本文中，我们介绍了最近的研究，该研究描述了患有 NPD/BPD 共病的患者，与没有 NPD (BPD) 的 BPD 患者进行了比较，这些研究来自两项治疗边缘性人格障碍的随机临床试验，特别强调依恋状态和心智化。我们以客体关系和依恋理论为基础对这些患者进行讨论，并描述我们的治疗方法，即以移情为中心的心理治疗（TFP）。最后，我们使用案例材料来说明我们的研究结果，强调 NPD/BPD 和 BPD/非 NPD 患者在依恋分类方面的显着差异。
Research has consistently found high rates of comorbidity between narcissistic personality disorder (NPD) and borderline personality disorder (BPD). Patients with this complex clinical presentation often present formidable challenges for clinicians, such as intense devaluation, entitlement, and exploitation. However, there is a significant gap in the literature in identifying the clinical characteristics of these NPD/BPD patients. In this article, we present recent research describing patients with comorbid NPD/BPD, as compared with patients with BPD without NPD (BPD), from two randomized clinical trials for the treatment of borderline personality disorder, with a particular emphasis on attachment status and mentalization. We anchor our discussion of these patients in object relations and attachment theory, and we describe our treatment approach, transference focused psychotherapy (TFP). We conclude by using case material to illustrate our research findings, highlighting the significant differences between patients with NPD/BPD and BPD/non-NPD in terms of their attachment classification.