心理动力学诊断与治疗：A类人格障碍.pptVIP

“ ” CLUSTER A PERSONALITY DISORDERSA类人格障碍 PARANOID THINKING 偏执思维 Paranoid thinking not necessarily pathological 偏执思维不一定是病理性的 Paranoid Schizoid position (Klein) 偏执-分裂位（克莱因） Small or large group regressions 小群体或大群体退行 PARANOID PERSONALITY DISORDER偏执型人格障碍 Distinctly pathological, independent of the cultural factors 确定的病理，独立于文化因素 Not transient state growing out of group dynamics 不是出于团体动力交错下的过渡状态 Pervasive and rigid style of thinking feeling, thinking and relating 普遍而僵化的感觉、思维和关联模式 DIAGNOSIS诊断 Others are exploiting, harming or deceiving self 他人都是剥削的、有害的或者欺骗自己的 Unjustified doubts about the loyalty of trustworthiness of close others 不公正地怀疑亲近的人对他的忠诚和信任 Reluctant to confide in 不情愿讲真话 Reads hidden demeaning or threating meanings into remarks of others 把他人的评论当成隐含贬低或威胁的意义 Grudges心怀怨恨 Attacks on reputation and character声誉和人格攻击 Recurrent suspicions, without justification fidelity尽管没有证据，反复地怀疑忠贞 PSYCHODYNAMIC UNDERSTANDING心理动力学理解 Paranoid-schizoid position 偏执-分裂位 Love and hate have to be split off 爱恨不得不分裂 Good split off from bad 好从坏中分裂出来 Constant fear of badness of the outside 对外界的坏持续的恐惧 Projection, projective identification 投射、投射性认同 Low self esteem 低自尊 TREATMENT 治疗 Very difficult, usually brought by others 很难，常常由他人带来 Alliance building central 建立联盟是核心 Accept blaming, guardedness 接受指责、保持警惕 Shift locus from outside to in 由外向内的转换 Paranoid schizoid to depressive position 偏执-分裂位到抑郁位 SCHIZOID AND SCHIZOTYPAL PERSONALITY DISORDERS分裂样和分裂型人格障碍 Schizotypal linked to schizophrenia 分裂型与精神分裂症密切相关 Attenuated form of schizophrenia 精神分裂症的减弱型 SCHIZOID PERSONALITY DISORDER分裂样人格障碍 No desire or enjoyment of close relationships, even in family 既不渴望也不享受亲近的人际关系，包括成为家庭中的一部分 Solitary activities 独自活动 Little interest in sexual activity 对性行为兴趣很少 Little pleasure in any activity 几乎没有活动能够令其感到有乐趣 Lack of close friends 没有亲密朋友 Indifferent to praise and criticism 对表扬和批评都无所谓 Emotionally cold, detached 情感冷淡、疏离 SCHIZOTYPAL PERSONALITY DISORDER分裂型人格障碍 Ideas of reference 牵连观念 Odd beliefs, magical