边缘型人格障碍:家庭系统的症状

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Martina Palombi
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引用次数: 0

摘要

本文探讨了鲍温家庭系统理论(BFST)的观点,即边缘型人格障碍(BPD)等精神障碍不是发生在个人身上的功能障碍,而是家庭情感系统的不适应。通过一个案例研究,说明了在一个家庭系统中,情感过程是如何在个体之间流动的,因此当关系过程受到严重破坏时,其中一个成员会吸收更多的压力,从而容易出现急性症状。研究提出,对一名出现恐慌焦虑和情绪低落的客户使用 BFST 方法,可能有助于降低该客户兄弟姐妹的症状强度。该求助者在解决她、母亲、父亲和姐姐之间的关系障碍方面所做的工作,似乎有助于减少其姐姐的 BPD 症状,并改善整体家庭功能。因此,一个家庭成员的分化努力似乎对整个家庭系统产生了连锁反应。将理论视角从个人医学诊断转向 BFST,让我们了解到所有家庭成员都是一个家庭有机体的表现形式,也是一个家庭出现症状的参与者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Borderline personality disorder: a symptom of the family system

The present article explores the Bowen family systems theory (BFST) view that a mental disorder such as borderline personality disorder (BPD) is not a dysfunction occurring within an individual but a maladjustment of the family emotional system. A case study is presented illustrating how the emotional process moves between individuals within a family system so that when relationship processes become severely compromised, one member absorbs more of the stress, becoming vulnerable to acute symptoms. It is proposed that the use of a BFST approach with a client presenting with panic anxiety and low mood may have contributed to the lowering of symptom intensity for a sibling of the client. It appears that the client's work on her part in the relationship disturbances between her, her mother, father, and sister contributed to decreasing BPD symptoms in her sister and an improvement in overall family functioning. Therefore, the differentiating effort of one family member seemed to have a ripple effect on the whole family system. Shifting the theoretical lens from an individual-medico-diagnostic one to a BFST one sheds light on how all family members are expressions of a family organism and players in the symptoms emerging in one.

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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
40
期刊介绍: The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.
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