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\u3000\u30002\u3001\u4eba\u9645\u5173\u7cfb\u4e0d\u7a33\u5b9a\u6216\u8fc7\u4e8e\u7d27\u5f20\uff0c\u8d2c\u4f4e\u522b\u4eba\uff0c\u4e3a\u4e00\u5df1\u4e4b\u79c1\u7ecf\u5e38\u5229\u7528\u522b\u4eba\uff1b
\u3000\u30003\u3001\u4e0d\u9002\u5f53\u7684\u66b4\u6012\u6216\u7f3a\u4e4f\u5bf9\u6124\u6012\u7684\u63a7\u5236\uff1b
\u3000\u30004\u3001\u8eab\u4efd\u8bc6\u522b\u969c\u788d\uff0c\u8868\u73b0\u4e3a\u5bf9\u6027\u522b\u8ba4\u540c\uff0c\u81ea\u6211\u8ba4\u540c\uff0c\u9009\u62e9\u804c\u4e1a\u7b49\u53d8\u5316\u65e0\u5e38\uff1b
\u3000\u30005\u3001\u60c5\u611f\u4e0d\u7a33\u5b9a\uff0c\u5982\u7a81\u7136\u6291\u90c1\u7126\u8651\uff0c\u6fc0\u60f9\u6570\u5c0f\u65f6\u6216\u6570\u65e5\uff0c\u968f\u540e\u53c8\u8f6c\u4e3a\u6b63\u5e38\uff1b
\u3000\u30006\u3001\u4e0d\u80fd\u5fcd\u53d7\u5b64\u72ec\uff0c\u5b64\u72ec\u65f6\u5373\u611f\u5230\u6291\u90c1\uff1b
\u3000\u30007\u3001\u81ea\u4f24\u8eab\u4f53\u884c\u4e3a\uff0c\u5982\u81ea\u6211\u6bc1\u5f62\uff0c\u5c61\u6b21\u53d1\u751f\u4e8b\u6545\u6216\u6bb4\u6597\uff1b
\u3000\u30008\u3001\u957f\u671f\u611f\u5230\u7a7a\u865a\u548c\u538c\u5026\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n


\u3000\u3000\u6d4b\u8bd5\u662f\u5426\u6362\u4e0aBPD<\/strong>
\u3000\u3000\u4e0b\u9762\u7684\u5fc3\u7406\u6d4b\u8bd5\u53ef\u4ee5\u5e2e\u52a9\u8bc4\u6d4b\u4f60\u662f\u5426\u6709\u67d0\u4e9b\u53ef\u80fd\u5bfc\u81f4BPD\u7684\u56e0\u7d20\u3002\u8bda\u5b9e\u5730\u56de\u7b54\u4ee5\u4e0b\u95ee\u9898\uff0c\u5c31\u80fd\u5e2e\u4f60\u5224\u65ad\u662f\u5426\u9700\u8981\u54a8\u8be2\u5fc3\u7406\u4e13\u5bb6\u3002
\u3000\u30001\u3001\u6211\u7ecf\u5e38\u56e0\u4e3a\u7236\u6bcd(\u7231\u4eba\u3001\u513f\u5973\u3001\u670b\u53cb)\u7684\u8a00\u884c\uff0c\u89c9\u5f97\u81ea\u5df1\u88ab\u629b\u5f03\u4e86\uff1b
\u3000\u30002\u3001\u52aa\u529b\u4e0d\u88ab\u5176\u4ed6\u4eba\u629b\u5f03\uff0c\u751a\u81f3\u4e0d\u60dc\u75af\u72c2(\u5982\u54ed\u95f9\u3001\u81ea\u8650\u7b49)\uff1b
\u3000\u30003\u3001\u521a\u5f00\u59cb\u8ba4\u8bc6\u7684\u670b\u53cb\u90fd\u5f88\u5355\u7eaf\uff0c\u65e5\u5b50\u4e45\u4e86\u5374\u89c9\u5f97\u4ed6\u4eec\u65e0\u6cd5\u63a5\u53d7\u6211\uff1b
\u3000\u30004\u3001\u7ecf\u5e38\u611f\u5230\u65e0\u6cd5\u5fcd\u53d7\u7684\u5b64\u72ec\uff1b
\u3000\u30005\u3001\u60c5\u7eea\u6781\u6613\u6ce2\u52a8\uff0c\u7a33\u5b9a\u7684\u60c5\u7eea\u4e0d\u4f1a\u6301\u7eed\u51e0\u5c0f\u65f6\uff1b
\u3000\u30006\u3001\u65e0\u6cd5\u63a7\u5236\u66b4\u6012\u60c5\u7eea\uff0c\u5bb9\u6613\u4e0e\u4eba\u4ea7\u751f\u53e3\u89d2\u6216\u80a2\u4f53\u51b2\u7a81\uff1b
\u3000\u30007\u3001\u4e00\u518d\u7528\u81ea\u6b8b\u884c\u4e3a\u6765\u83b7\u53d6\u89e3\u8131\u6216\u5feb\u611f\uff1b
\u3000\u30008\u3001\u7ecf\u5e38\u4ee5\u81ea\u6740\u7684\u59ff\u6001\u5a01\u80c1\u6216\u8981\u6c42\u5e2e\u52a9\uff1b
\u3000\u30009\u3001\u81ea\u6211\u5f62\u8c61\u3001\u6027\u522b\u53d6\u5411\u3001\u957f\u671f\u76ee\u6807\u6216\u804c\u4e1a\u9009\u62e9\u3001\u559c\u597d\u4ea4\u5f80\u7684\u670b\u53cb\u7c7b\u578b\u3001\u4ef7\u503c\u504f\u597d\u4e2d\u81f3\u5c11\u6709\u4e24\u9879\u5b9a\u4e49\u4e0d\u660e\u786e\uff1b
\u3000\u300010\u3001\u957f\u671f\u611f\u5230\u7a7a\u865a\u548c\u65e0\u804a\uff1b
\u3000\u300011\u3001\u81ea\u5351\uff0c\u7ecf\u5e38\u611f\u5230\u5931\u671b\u3001\u65e0\u52a9\u548c\u65e0\u529b\uff1b
\u3000\u300012\u3001\u5bf9\u65b0\u4e8b\u7269\u5f80\u5f80\u662f\u6297\u62d2\u7684\uff0c\u60b2\u89c2\u7684\uff1b
\u3000\u300013\u3001\u56fa\u6267\uff1b
\u3000\u300014\u3001\u76ee\u4e2d\u65e0\u4eba\uff1b
\u3000\u300015\u3001\u4e0e\u6743\u5a01\u4eba\u7269\u4ea4\u5f80\u56f0\u96be\uff1b
\u3000\u300016\u3001\u5bf9\u6279\u8bc4\u8fc7\u5ea6\u654f\u611f\uff0c\u5bb9\u6613\u611f\u5230\u88ab\u8f7b\u89c6\u548c\u5ffd\u7565\uff1b
\u3000\u300017\u3001\u6709\u8ba8\u597d\u522b\u4eba\u7684\u5386\u53f2\uff1b
\u3000\u300018\u3001\u81ea\u8d23\uff1b
\u3000\u300019\u3001\u8fc7\u5ea6\u8b66\u60d5\uff0c\u5bf9\u5468\u8fb9\u4e0d\u5b89\u5168\u56e0\u7d20\u8fc7\u5ea6\u654f\u611f\uff1b
\u3000\u300020\u3001\u6613\u53d1\u751f\u65e0\u7406\u7531\u7684\u6050\u60e7\u548c\u8ff7\u60d1\u3002
\u3000\u3000\u8bc4\u6d4b\u6807\u51c6\uff1a<\/strong>
\u3000\u3000\u4ee5\u4e0a20\u4e2a\u9898\u76ee\uff0c1\uff5e10\u9898\u4e3a\u8fb9\u7f18\u578b\u4eba\u683c\u969c\u788d\u7684\u603b\u4f53\u7279\u5f81\uff1b
\u3000\u300011\uff5e15\u9898\u4e3a\u4efb\u6027\u578b\u8fb9\u7f18\u578b\u4eba\u683c\u969c\u788d\u7684\u4e9a\u578b\u7279\u5f81\uff1b
\u3000\u300016\uff5e20\u9898\u4e3a\u81ea\u6211\u6bc1\u706d\u578b\u8fb9\u7f18\u578b\u4eba\u683c\u969c\u788d\u7684\u4e9a\u578b\u7279\u5f81\u3002
\u3000\u3000\u5982\u679c\u4f60\u5bf9\u67d0\u4e00\u9879\u56de\u7b54\u201c\u662f\u201d\uff0c\u4f60\u5e94\u8be5\u4e3a\u81ea\u5df1\u62c5\u5fc3\u4e86\u3002\u5982\u679c\u56de\u7b54\u4e2d\u6709\u4e24\u4e2a\u201c\u662f\u201d\uff0c\u5efa\u8bae\u7acb\u5373\u54a8\u8be2\u5fc3\u7406\u4e13\u5bb6\u3002
\u3000\u3000\u8868\u73b0<\/strong>
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\u3000\u3000\u8fb9\u7f18\u4eba\u683c\u969c\u788d\u7684\u5b9e\u4f53\u5f00\u59cb\u8fdb\u5165\u7cbe\u795e\u79d1\uff0c\u662f1948\u5e74\u7684DSM-I\uff0c\u5f53\u65f6\u7684\u540d\u79f0\u53eb\u505a\u201c\u60c5\u7eea\u4e0d\u7a33\u5b9a\u578b\u4eba\u683c\u969c\u788d\u201d\uff08Emotionally Unstable personality disorder\uff09,\u57281968\u5e74\u7684DSM-II\u4e2d\u53d6\u6d88\uff0c\u56e0\u4e3a\u5b83\u4e0e\u5f53\u65f6\u7684\u53e6\u5916\u4e00\u4e2a\u8bca\u65ad\uff0c\u5faa\u73af\u578b\u4eba\u683c\u969c\u788d\u6709\u5f88\u5927\u91cd\u53e0\u30021980\u5e74DSM-III\u51fa\u53f0\uff0c\u4e00\u76f4\u5230\u73b0\u5728\u7684DSM-IV-TR\u8fb9\u7f18\u4eba\u683c\u969c\u788d\u7684\u8bca\u65ad\u4e00\u76f4\u4fdd\u7559\uff0c\u53d6\u4ee3\u4e86\u5faa\u73af\u578b\u4eba\u683c\u969c\u788d\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n


\u3000\u3000\u8fb9\u7f18\u4eba\u683c\u969c\u788d\u8005\u7684\u8868\u73b0<\/strong>
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\u3000\u3000\u9488\u5bf9\u8fb9\u7f18\u4eba\u683c\u969c\u788d\u7684\u6700\u5177\u6709\u6743\u5a01\u6027\u7684\u8bca\u65ad\u6807\u51c6\u662fDSM-IV\uff08\u7f8e\u56fd\u7cbe\u795e\u969c\u788d\u8bca\u65ad\u548c\u7edf\u8ba1\u624b\u518c\u7b2c\u56db\u7248\uff09\u3002\u8fd9\u4e2a\u8bca\u65ad\u6807\u51c6\u9996\u5148\u662f\u8d77\u6e90\u4e8e1967\u5e74\u65f6\uff0c\u5728\u7cbe\u795e\u5206\u6790\u5e08Stern \u548cKnight \u7684\u5de5\u4f5c\u57fa\u7840\u4e0a, Kernberg \u63d0\u51fa\u4e86\u8fb9\u7f18\u4eba\u683c\u7ed3\u6784\uff08borderline personality organization \uff0cBPO) \u7684\u6982\u5ff5\u3002
\u3000\u3000\u8fb9\u7f18\u4eba\u683c\u7ed3\u6784\u5171\u6709\u7279\u70b9\uff1a<\/strong>
\u3000\u30001\u3001\u8eab\u4efd\u8ba4\u540c\u5f25\u6563 \uff08identity diffusion\uff09;
\u3000\u30002\u3001\u539f\u59cb\u9632\u5fa1\u673a\u5236\uff0c\u5982\u5206\u88c2\u3001\u7406\u60f3\u5316\u3001\u5426\u8ba4\u3001\u6295\u5c04\u3001\u4ed8\u8bf8\u884c\u52a8\u548c\u6295\u5c04\u8ba4\u540c\uff1b
\u3000\u30003\u3001\u73b0\u5b9e\u68c0\u9a8c\u80fd\u529b\u4e00\u822c\u6765\u8bf4\u662f\u597d\u7684\uff0c\u4f46\u662f\u5f88\u96be\u627f\u53d7\u53d8\u52a8\u548c\u5931\u8d25\u3002
\u3000\u3000\u5728\u8fd9\u4e2a\u57fa\u7840\u4e0a\uff0c1975\u5e74\uff0cGunderson & Singer \u56de\u987e\u4e86\u4ee5\u5f80\u6709\u5173\u8fb9\u7f18\u4eba\u683c\u7684\u4e34\u5e8a\u89c2\u5bdf\u7684\u7814\u7a76\uff0c\u5e76\u63d0\u51fa\u4e86\u51e0\u4e2a\u63cf\u8ff0\u6027\u7684\u6807\u51c6\uff0c\u5305\u62ec\u60c5\u7eea\u70e6\u8e81\uff0c\u51b2\u52a8\u884c\u4e3a\uff0c\u4eba\u9645\u5173\u7cfb\u4e0d\u4f73\uff0c\u7cbe\u795e\u75c5\u6837\u7684\u8ba4\u77e5\uff0c\u793e\u4f1a\u4e0d\u9002\u5e94\u3002\u5e76\u53d1\u5c55\u4e86\u4e00\u4e2a\u534a\u7ed3\u6784\u6027\u7684\u7814\u7a76\u5de5\u5177 DIB\uff08the Diagnostic Interview for Borderlines \uff09\u3002
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\u3000\u30001\u3001\u4eba\u9645\u5173\u7cfb\u7d27\u5f20\u548c\u4e0d\u7a33\u5b9a\uff0c\u8981\u4e48\u5f88\u597d\uff0c\u8981\u4e48\u5c31\u5f88\u5dee\uff1b
\u3000\u30002\u3001\u8eab\u4efd\u969c\u788d\uff0c\u81ea\u6211\u8ba4\u8bc6\u548c\u81ea\u6211\u5f62\u8c61\uff0c\u81ea\u5df1\u662f\u8c01\uff1f\u4eba\u751f\u6709\u4ec0\u4e48\u610f\u4e49\uff1f\u7f3a\u4e4f\u7a33\u5b9a\u7684\u5185\u5728\u4ef7\u503c\u6807\u51c6\uff0c\u6709\u65f6\u611f\u89c9\u81ea\u5df1\u5341\u5168\u5341\u7f8e\uff0c\u6709\u65f6\u53c8\u89c9\u5f97\u81ea\u5df1\u4e00\u65e0\u662f\u5904\uff0c\u96be\u4ee5\u5f62\u6210\u7a33\u5b9a\u7684\u81ea\u5c0a\u3002\u4ed6\u4eec\u4e5f\u4e3a\u6b64\u6781\u5ea6\u75db\u82e6\uff0c\u6709\u65f6\u4f1a\u91c7\u53d6\u4e0d\u987e\u4e00\u5207\u7684\u624b\u6bb5\u4ee5\u91cd\u5efa\u5185\u5fc3\u7684\u5e73\u8861\uff1b
\u3000\u30003\u3001\u5176\u884c\u4e3a\u4f3c\u5728\u52aa\u529b\u9003\u907f\u67d0\u79cd\u771f\u6b63\u7684\u6216\u60f3\u8c61\u7684\u88ab\u629b\u5f03\uff1b
\u3000\u30004\u3001\u660e\u663e\u7684\u81ea\u635f\u7684\u51b2\u52a8\u6027\uff08\u5982\u8fc7\u5ea6\u6d88\u8d39\u3001\u6027\u6b32\u3001\u6210\u763e\u884c\u4e3a\u3001\u66b4\u98df\u3001\u9c81\u83bd\u5f00\u8f66\u7b49\uff09\uff0c\u53ef\u7ed9\u81ea\u5df1\u5e26\u6765\u4e0d\u826f\u540e\u679c\uff1b
\u3000\u30005\u3001\u6709\u81ea\u6740\u6216\u81ea\u4f24\u884c\u4e3a\uff0c\u4f5c\u51fa\u81ea\u6740\u59ff\u6001\uff0c\u6216\u4ee5\u81ea\u6740\u76f8\u5a01\u80c1\uff1b
\u3000\u30006\u3001\u7531\u4e8e\u5fc3\u5883\u7684\u53cd\u5e94\u6027\u8fc7\u5f3a\u800c\u81f4\u60c5\u611f\u4e0d\u7a33\u5b9a\uff08\u4f8b\u5982\u77ed\u671f\u7684\u82e6\u95f7\u3001\u6291\u90c1\u3001\u7126\u8651\u6216\u6fc0\u60f9\u7b49\uff09\uff1b
\u3000\u30007\u3001\u6162\u6027\u7684\u7a7a\u865a\u611f\uff1b
\u3000\u30008\u3001\u4e0d\u9002\u5f53\u7684\u5f3a\u70c8\u6124\u6012\u6216\u5bf9\u6124\u6012\u96be\u4ee5\u63a7\u5236\uff08\u4f8b\u5982\uff0c\u7ecf\u5e38\u53d1\u813e\u6c14\u3001\u53d1\u6012\uff0c\u5c61\u6b21\u6253\u67b6\uff09\uff1b
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