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1、DialecticalBehaviourTherapyandBorderlinePersonalityDisorder.PresentationOutlinePsychoanalysisandBPD.DialecticalBehaviorTherapyStudiesPositiveandNegativeaspectsofDBTEvaluationBorderlinePersonalityDisorderFiveormoreofthefollowingtobepresentforasignificantperiodof
2、time:Franticeffortstoavoidrealorimaginedabandonment.[Notincludingsuicidalorself-mutilatingbehaviorcoveredinCriterion5]Apatternofunstableandintenseinterpersonalrelationshipscharacterizedbyalternatingbetweenextremesofidealizationanddevaluation.Identitydisturbance
3、:markedlyandpersistentlyunstableself-imageorsenseofself.Impulsivityinatleasttwoareasthatarepotentiallyself-damaging(e.g.,spending,promiscuoussex,eatingdisorders,substanceabuse,recklessdriving,bingeeating).[Again,notincludingsuicidalorself-mutilatingbehaviorcove
4、redinCriterion5]Recurrentsuicidalbehavior,gestures,orthreats,orself-mutilatingbehavior.Affectiveinstabilityduetoamarkedreactivityofmood(e.g.,intenseepisodicdysphoria,irritability,oranxietyusuallylastingafewhoursandonlyrarelymorethanafewdays)Chronicfeelingsofemp
5、tiness.Inappropriate,intenseangerordifficultycontrollinganger(e.g.,frequentdisplaysoftemper,constantanger,recurrentphysicalfights).Transient,stress-relatedparanoidideationorseveredissociativesymptoms.PsychoanalysisandBPDTraditionalpsychoanalytictreatmentsofBPDr
6、equiredlongerhospitalizationperiods.Theyrelayedonpatientsbeinginacontrolledenvironment.Longhospitalizationperiodsarerarernowadays.Psychoanalysisrequireslongerperiodsofcommitmenttotreatment,whichisincompatiblewithBorderlinePersonalityDisorder.DialecticalBehaviou
7、rTherapyDialecticalBehaviourTherapy(DBT)isaformofcognitivebehaviouraltherapyforborderlinepersonalitydisorderpatientsdevelopedbyMarshaLinehan.Itwasdevelopedinthe1990´s.DBTwasfirstdevelopedfor“chronicallysuicidalindividuals”.Thisformoftherapyiscalled“Dialectical”
8、becauseitdealswithemotionalandrationalaspects,andwithacceptanceandchange.DBTmixescognitivebehaviortherapywithmindfulnesstechniques.IndividualTherapyandGroupTherapy.Reasoning
