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1、BorderlinePersonalityDisorderMiltonBrown BehavioralResearch&TherapyClinics UniversityofWashingtonBorderlinePersonalityDisorderWhatisBPD?HowtoassessBPDHowdoesBPDdevelop?BPDinadolescenceInterventionoptionsHowtorespondtochallengingBPDclientsWhatisaPersonalityDisorder?DSM-IVdiagnostic
2、criteriaA.Anenduringpatternofinnerexperienceandbehaviorthatdeviatesmarkedlyfromtheexpectationsoftheindividual’sculture.Thispatternismanifestedintwo(ormore)ofthefollowingareas:(1)cognition(i.e.,waysofperceivingandinterpretingself,otherpeople,andevents)(2)affectivity(i.e.,therange,i
3、ntensity,lability,andappropriatenessofemotionalresponse)(3)interpersonalfunctioning(4)impulsecontrolB.TheenduringpatternisinflexibleandpervasiveacrossabroadrangeofpersonalandsocialsituationsC.Theenduringpatternleadstoclinicallysignificantdistressorimpairmentinsocial,occupational,o
4、rotherimportantareasoffunctioningD.Thepatternisstableandoflongduration,anditsonsetcanbetracedbackatleasttoadolescenceorearlyadulthoodE.TheenduringpatternisnotbetteraccountedforasamanifestationorconsequenceofanothermentaldisorderF.Theenduringpatternisnotduetothedirectphysiologicale
5、ffectsofasubstance(e.g.,adrugofabuse,amedication)orageneralmedicalcondition(e.g.,headtrauma).WhatisaPersonalityDisorder?DSM-IVdiagnosticcriteriaFranticeffortstoavoidrealorimaginedabandonment.Note:Donotincludesuicidalorself-mutilationbehaviorcoveredinCriterion5Apatternofunstableand
6、intenseinterpersonalrelationshipscharacterizedbyalternatingbetweenextremesofidealizationanddevaluationIdentitydisturbancemarkedlyandpersistentlyunstableself-imageorsenseofselfImpulsivityinatleasttwoareasthatarepotentiallyself-damaging(e.g.,spending,sex,substanceabuse,recklessdrivi
7、ng,bingeeating).Note:Donotincludesuicidalorself-mutilationbehaviorcoveredinCriterion5BorderlinePersonalityDisorderDSM-IVdiagnosticcriteriaRecurrentsuicidalbehavior,gestures,orthreats,orself-mutilationAffectiveinstabilityduetoamarkedreactivityofmood(e.g.,intenseepisodicdysphoria,ir
8、ritability,oranxietyusuallylastin
