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borderline personality disorder 的成因

borderline personality disorder 的成因

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  • 1 decade ago
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    English verson

    Borderline personality disorder (DSM-IV Personality Disorders 301.83[1]) (BPD) is a psychiatric diagnosis that describes a long-term disturbance of personality function. It is one of four related diagnoses classified as cluster B personality disorders typified by disturbance in impulse control and emotional dysregulation, the others being narcissistic-, histrionic- and antisocial personality disorders.

    The general profile of the disorder also typically includes a pervasive instability in mood, Extreme "black and white" thinking, or "splitting", chaotic and unstable interpersonal relationships, self-image, identity, and behavior, as well as a disturbance in the individual's sense of self. In extreme cases, this disturbance in the sense of self can lead to periods of dissociation.[2] The name Borderline derives from Adolph Stern who in 1938 described the condition as being on the borderline between neurosis and psychosis.

    The most consistent finding in the search for causation in the disorder is a history of childhood trauma, although some researchers have suggested a genetic predisposition. Neurobiological research has highlighted some abnormalities in serotonin metabolism. The incidence has been calculated as between 1 and 2% of the population, with women three times more likely to suffer the disorder. Prognosis is generally fairly good over time, with the majority of sufferers in early adulthood improving over time. In general, medication is used for symptomatic relief. The mainstay of treatment are various forms of psychotherapy.

    Disturbances suffered by those with borderline personality disorder are wide-ranging. These disturbances have a pervasive negative impact on many or all of the psychosocial facets of life. This includes the ability to maintain relationships in work, home, and social settings. Comorbidity is common; borderline personality disorder frequently occurring with substance use disorders and mood disorders. Attempted suicide and completed suicide are possible outcomes without proper care and effective therapy.[citation needed

    Can't post all the things here, you can go to http://en.wikipedia.org/wiki/Borderline_personalit...

    Source(s): wikipedia
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  • 1 decade ago

    ICD 10=International Statistical Classification of Diseases and Related Health Problems 10th Revision

    DSM IV TR=The Diagnostic and Statistical Manual of Mental Disorders, forth edition, Text Revision

    I have very little to say since the above copy a lot...

    成因

    雖然有些心理及生物性的因素可能影響,但目前未定,原先被認為是在精神分裂症邊緣,但目前較被認為和重鬱疾患有較多關連,可能以下因素構成:

    生物因素可能和聶葉的不正常有關,研究顯示此疾患可能和腦中serotonin活動減低有關在心理因素上:

    1 .童年時高度的創傷經驗如:身體或性方面的虐待

    2. 嚴重的情感忽略,很多病人的雙親有衝動和憂鬱的特質

    在社會因素上:

    因為社會變遷,社會及家庭不再像從前提供那麼多支持,孩子在得到依附及認同上有更多困難,對環境提供持續情感上的安全有十分強的需要的病人而言是雪上加霜

    Source(s): Learned it long ago
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