边缘性人格障碍心理6023维基的家ppt课件.pptVIP

Borderline Personality DisorderMilton BrownBehavioral Research Therapy ClinicsUniversity of Washington;Borderline Personality Disorder;What is a Personality Disorder? DSM-IV diagnostic criteria ;B. The enduring pattern is inflexible and pervasive across a broad range of personal and social situations C. The enduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning D. The pattern is stable and of long duration, and its onset can be traced back at least to adolescence or early adulthood E. The enduring pattern is not better accounted for as a manifestation or consequence of another mental disorder F. The enduring pattern is not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., head trauma).;Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilation behavior covered in Criterion 5 A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation Identity disturbance markedly and persistently unstable self-image or sense of self Impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating). Note: Do not include suicidal or self-mutilation behavior covered in Criterion 5;Recurrent suicidal behavior, gestures, or threats, or self-mutilation Affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) Chronic feelings of emptiness Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights) Transient, stress-related paranoid ideation or severe dissociative symptoms;BPD is Prevalent and Chronic;What is BPD;Parasuicidal Be