Re: 快爆炸了 ~~~>.<~~~ - 精神疾病
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By Kama
at 2007-11-09T03:16
at 2007-11-09T03:16
Table of Contents
邊緣性人格的核心要素,在於個案對於「存有感」的不確定。其它症狀
都是從這個部份演繹出來的。
邊緣性人格的問題通常發生於客體分化出來以前,個案仍舊存在於「好的
感覺」與「壞的感覺」彼此重疊之間,但是因為環境線索的紊亂(例如:
母親壓力過大、過早結婚等等),個案在這個時期中,發現自己有時候做
出同一個動作,卻有不同的反應(Eg, 媽媽在缺錢與不缺錢時,反應可能
兩極化)。這會造成個案在嬰兒時期無法歸納出「自我」出來,換言之,
「客體」無法被分化出來。個案只能停留在「全好」跟「全壞」兩個階段。
個案長大之後,未必能夠覺察自己的這個特點,但是會深深受到這個特點
所影響。個案會意識到有些時候,某些人事物是完美的,但轉眼間,又是
萬惡淵藪。很多工作人員對此現象感到迷惘,但是,有沒有人想過:最迷
惘的是個案自己?
對於任何事情,個案不明白自己到底是喜歡還是討厭,在空間上如此,在
時間上也是如此。由於客體未形成,所以所有情緒缺乏一個主體,這時,
即便一個很簡單的情緒「我討厭XX」,都會變成「XX很討厭」後者裡面是
沒有「我」的,個案的經驗世界中,只是充滿了「討厭感」,但不能肯定
誰在討厭誰。
可想而知,「存有」的恆常性在這種狀況下沒有辦法被確立。所以,個案
的經驗世界中,一切都是如夢似真的。虛幻與真實之間的界線非常薄弱,
個案可以為一個明知為虛假的恐怖故事而當真的來害怕,也可以把自己的
自殘事件以轉述小說情節般的娓娓道來。
「存有」不穩定,導致個案主體的不穩定,導致個案客體的不穩定,也導
致兩者關係的不穩定。個案經常需要強烈的刺激,諸如:割腕、性愛等等
動作,才能稍稍確立自己的存在。異性的接近,往往有助於穩定個案的不
安全感,但是愛與恨很快就會轉移上去,隨後就是分離性焦慮與表現型焦
慮。
其實,即便在Class B personality當中的四種人格,每一種都有它獨特
的地方。就像邊緣性人格的憂鬱,就跟自戀型人格的憂鬱,兩個明顯可分。
邊緣性人格的attention calling,跟戲劇性人格的attention calling,
兩者也是截然不同。
實務的治療上,其實沒有文獻中寫的成功率那麼低,不過,我認為我的經
驗是有bios的,畢竟我遇到的個案社會資源普遍較多。
沒了。久久寫這一篇,但願這個版不會個人化,也不會透露我的EQ很低。
--
Tags:
精神疾病
All Comments
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By Daph Bay
at 2007-11-13T00:04
at 2007-11-13T00:04
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By Barb Cronin
at 2007-11-15T22:16
at 2007-11-15T22:16
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By Quintina
at 2007-11-17T12:07
at 2007-11-17T12:07
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By Valerie
at 2007-11-17T23:02
at 2007-11-17T23:02
你寫的和書裡都不太一樣,希望能看你多寫一點,謝謝你
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By Blanche
at 2007-11-18T00:58
at 2007-11-18T00:58
作的影響…我覺得這個人格違常影響我的設計工作很大= =
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By Frederic
at 2007-11-18T15:33
at 2007-11-18T15:33
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By Aaliyah
at 2007-11-21T19:49
at 2007-11-21T19:49
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By Harry
at 2007-11-25T07:27
at 2007-11-25T07:27
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By Quanna
at 2007-11-27T07:50
at 2007-11-27T07:50
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By Sandy
at 2007-11-30T01:20
at 2007-11-30T01:20
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By Kristin
at 2007-12-01T18:57
at 2007-12-01T18:57
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By Jake
at 2007-12-02T09:44
at 2007-12-02T09:44
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By Linda
at 2007-12-06T00:27
at 2007-12-06T00:27
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By Hedda
at 2007-12-10T20:01
at 2007-12-10T20:01
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By Joe
at 2007-12-13T04:51
at 2007-12-13T04:51
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By Zanna
at 2007-12-15T21:31
at 2007-12-15T21:31
我都沒有,我也不知道該怎麼去生出這些T_T
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By Lauren
at 2007-12-20T04:12
at 2007-12-20T04:12
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By Catherine
at 2007-12-20T18:15
at 2007-12-20T18:15
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By Cara
at 2007-12-21T04:09
at 2007-12-21T04:09
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By Noah
at 2007-12-22T16:04
at 2007-12-22T16:04
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By Ula
at 2007-12-26T22:16
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By Puput
at 2007-12-28T14:01
at 2007-12-28T14:01
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我累了。
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By Hedwig
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吃藥不一定睡得好 睡不著一定要吃藥
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By Iris
at 2007-11-08T06:11
at 2007-11-08T06:11
這樣應該看醫生嗎?
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By Kama
at 2007-11-07T20:52
at 2007-11-07T20:52
睡眠障礙?
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By Valerie
at 2007-11-07T04:31
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??
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By Olive
at 2007-11-05T19:24
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