Attachment and borderline personality disorder - A theory and some evidence
Attachment and borderline personality disorder - A theory and some evidence
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DOI：
10.1016/s0193-953x(05)70146-5
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发表时间：
2000-03-01
影响因子：
1.7
通讯作者：
Gergely, G
中科院分区：
文献类型：
--
作者：
Fonagy, P;Target, M;Gergely, G
依恋理论的严重人格障碍的方法进行了说明。证据表明，这种诊断的患者的依恋关系和依恋行为的表征通常是混乱的性格。有人认为，在依恋关系的背景下，发展自我和他人的心理状态的心理表征（反射功能）的能力发展，而依恋的解体破坏了这一过程。这种混乱可能与创伤有关，但也可能与其他生物和心理社会缺陷有关。边缘型人格障碍患者的许多临床特征可能被视为自我组织障碍和从精神状态角度思考行为的基本能力有限的结果。这组患者的心理治疗实践的相关性进行了讨论。
An attachment theory approach to severe personality disorder is described. Evidence is presented that suggests that representations of attachment relationships and attachment behaviors of patients with this diagnosis are commonly disorganized in character. It is argued that the capacity to develop mental representations of mental states in self and other (reflective function) develops in the context of attachment relationships and that disorganization of attachment undermines this process. Such disorganization can be associated with trauma but may also be Linked to other biological and psychosocial deficits. Many of the clinical characteristics of patients with borderline personality disorder may be seen as consequences of disordered selforganization and a limited rudimentary capacity to think about behavior in mental state terms. The relevance of this model for the practice of psychotherapy with this group of patients is discussed.