Borderline personality as a self-other representational disturbance

被引:161
作者
Bender, Donna S. [1 ,2 ]
Skodol, Andrew E. [1 ,2 ]
机构
[1] Columbia Univ, Coll Phys & Surg, New York State Psychiat Inst, New York, NY 10027 USA
[2] Mental Hlth Res Inst, Parkville, Vic, Australia
关键词
D O I
10.1521/pedi.2007.21.5.500
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
A great deal has been written about the nature of borderline personality. We maintain that borderline psychopathology emanates from particular disturbances in mental representations-impairment in the ability to maintain and use benign and integrated internal images of self and others-and that these troubled ways of thinking drive the troubled interpersonal relations, affective instability, and impulsivity associated with borderline. Aspects of borderline self-other representational disturbances are present across a wide theoretical spectrum, and a number of research methodologies already exist to assess the phenomena. We conclude that borderline attributes exist on continua, and summarize important features as: (1) unstable mental images of self and others, often marked by self-loathing and attributions of malevolence to others; (2) interactions with others organized around a fundamental need for care that is felt to be necessary for basic functioning; (3) fear of others based on expectations of being mistreated and disappointed and/or terror of having one's identity subsumed by another person; (4) difficulty considering multiple and/or conflicting perspectives, with a tendency toward concrete, all-or-none, or black-and-white, thinking and distortion of reality; and (5) sadomasochistic interpersonal interactions in which a person alternatively inflicts suffering on others and suffers at the hands of others.
引用
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页码:500 / 517
页数:18
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