什么是边缘性人格障碍

 xiangxinhenduorendoutingshuoguorengezhangai，zheishijingshenjibingdeyizhong，keshibianyuanxingrengezhangaiyoushishenmeyisini?qishizheizhongrengezairichangshenghuozhongyehenchangjian，jintiangenzhehuazhenxiaobianyiqilailejieyixia bianyuanxingrengezhangai shenmeyisi。

边缘性人格障碍的定义：

 bianyuanxingrengezhangai (borderline personality disorder，jianchengbpd)。 bianyuanxingrengezhangaishijingshenkechangjianrengezhangai，zhuyaoyiqingxu、renjiguanxi、ziwoxingxiang、xingweidebuwending，bingqiebansuiduozhongchongdongxingweiweitezheng，shiyizhongfuzayouyanzhongdejingshenzhangai。bianyuanxingrengezhangaidedianxingtezhengyouxuezhemiaoshubianshi“wendingdebuwending”，wangwangbiaoxianweizhiliaoshangdebuyicong，zhiliaonanduhenda。

 zaizuijinshinianzhong，yuelaiyueduoderenshiheyanjiuzhengbangzhutigaoduibianyuanxingrengezhangaidezhiliaohelejie。tongshi，tarengranchuzaiyigebeishouzhengyideqingkuangxia，youqidangnvxingbinghuanyuanyuanduoyunanxingbinghuanshi，zhiyilexingbiepianjian。jinguanquefaqueqiedeshuju，danshizaimeiguoyou1~2%dechengrenshibianyuanxingrengezhangaibinghuan(bpd)。cixiangshujulaiziyuyixiangtongji：mei33gefunvzhongyouyigeshibianyuanxingrengezhangaibinghuan，ernanxingshimei100gezhongyouyigecizhongbinghuan，bingqietongchangshizaigangchengnianjieduan。

 cileirengezhangaihuanzhezaiziwoxingxiang，xinjing，xingweiherenjijiaowangzhongbiaoxianbuwending。bingzhengzaichengnianzaoqijiyixianlu，dansuinianlingzengzhangquyuhuanhehuowending。huanzhexiangxinzijiyouyuzaitongnianbeiboduolechongfendeguanaiergandaokongxu，fennu，youquanyaoqiufuai。yincitamenwuxiuzhidixunqiuguanai。zaijingshenkeheqitageleiweishengbaojianjigouzhong，cileirengezhangaizuiweiduojian。

 dangbianyuanxingrengezhangaihuanzhegandaotarendeguanxinshi，tamenbiaoxiandeyourugududeqier，weitongku，wuzhilanyong，yinshizhangaiheguoquzaoshoudenvedaixunqiubangzhu。dandangtamenhaipashiqubierendeguanxinshi，qixinjinghuifashengxijuxinggaibian，wangwangbiaoxianchubushidangde，qiangliedefennu。yucitongshihaibanyouduishijie，duizishenyijiduitarenkanfadechedizhuanbian——congheidaobai，conghendaoai。fanzhiyiran。tamendeguannianyongwuzhezhongzhishi。dangtamenganjuebeipaoqishi(yijichedigudu)，tamenhuiziwogelihuojiduchongdong。youshiyinweiduixianshiguanniandepinfa，tamenhuibiaoxianchujingshenbingyangsiweideduanzanpianduan，lirupianzhixingxiangfahehuanjue。

 bianyuanxingrengezhangaizhebifanshehuixingrengezhangaihuanzhegengduosiweiguochengzhangai，erqiegengduodibagongjixingzhuanxiangzishen。tamenyubiaoyanxingrengezhangaihuanzhexiangbigengfennu，gengchongdong，duishenfenrenshixianruhunluan，bingqiejuyouchijiudekongxugan、rentongzhangaijiyudaoyingjishifashengduanzandejingshenbingfazuo。tamenshituhuanqibaohurenqiangliede，fazineixindefuai。danhuanzhebingqingdefanfu，xugoudebumanyijiweifanzhiliaojihua，changshibaohuren——baokuoyisheng——duiqijusangshiwang，shiqiweijujuebangzhu。changyongdeyingduijizhishifenlie，xianlu，yibingyutoushe。

 xiangfanduiyuhuizhibuqudeyinxiang，xindezhengjubiaomingyibufenhuanyoubianyuanxingrengezhangaiderenmenzaijieshouzhiliaoyijizhouweirendebangzhuzhixia，guoyiduanshijianwangwangkeyihaozhuanbingqieguozhexingfu、pingjingdeshenghuo。

边缘性人格障碍的成因：

bianyuanxingrengezhangaidechanshengyuanyinrengranzaidiaochazhong，bingqiehaimeiyouzhidaozuzhidefangfa。chanshengdekenengyuanyinbaokuo：

·yichuanxue。yixieyanjiushuangbaotaihejiatingdexuezherenweirengezhangaihuiyichuan。

 ·huanjingyinsu。henduohuanyoubianyuanxingrengezhangaiderendouyouyigetongnianbeinvedaidejingli，beihulvehuozheqiangxinglikaizhaoliaohuozheaihuzijideqinren。tongnianzaoshoudaoqingxujibuwendingdefumudeyingxiang，daozhirengedebufenfenlie，wufajianghaoyuhuailiangjironghe，wufaduishijiechanshengtongyihezonghedeguannian。conger，duiyushijiequeshaoanquangan，xingchengjueduihaohejueduihuaideqidai，erzheiliangzhedoubushixianshide，zhihaozaizheiliangjizhendang——xingchengyizhongjiqibuwendingderenge。

心态社会因素：

1、tongniannvedai。henduohuanyouzheizhongzhangaiderendoubiaomingzaitongnianshiqishoudaoguoxinghuoshentinvedai。

2、hushi。yixiebianyuanxingrengezhangaidebinghuanzaitongnianshiqiyanzhongquefaguanai，beihulveshenzhibeiyiqi。

3、duoshubingrendetongnianyujiarenfenli，beihushi，shuangqinyouchongdongheyouyudetezhi

4、younianshijiubeipodanqichengrendejiaosehuojiaosetihuan

5、rengechengshudeguochengshoudaozunao，yufumufenlibingxingchengdulirengedeguochengshoudaopohuai

zhongguotaiwanzishangxintaishigaoyurenrenwei,bianyuanxingrengedewudalihuankenengyinsuwei:

1、0zhi3 suideyingyouerdezhaogupinzhi

2、3zhi12 gudandetongnianjingyan

3、tongniandefenlichuangshangjingyan

4、家庭的不良气氛

 5、fuhuomuweibianyuanrengezhe;ruguoyigezhixidejiatingchengyuan-muqin，fuqinhuoxiongdijiemei-youzheizhongjibingdehua，neimenichuyugenggaodefengxianzhong。

脑病理学：

 bianyuanxingrengezhangaihuanzheshenjingyingxiangxueyanjiujieguoxianshi：(nao)jiegougongnengbuliang。mriyanjiufaxianbianyuanxingrengezhangaihuanzhehaimatihexingrenherongjijiandi，huozhejinxingrenherongjijiandi。