心理動力學(xué)診斷與治療：A類人格障礙

CLUSTERAPERSONALITYDISORDERS

A類人格障礙PARANOIDTHINKING偏執(zhí)思維Paranoidthinkingnotnecessarilypathological偏執(zhí)思維不一定是病理性的ParanoidSchizoidposition(Klein)偏執(zhí)-分裂位（克萊因）Smallorlargegroupregressions小群體或大群體退行PARANOIDPERSONALITYDISORDER

偏執(zhí)型人格障礙Distinctlypathological,independentoftheculturalfactors確定的病理，獨立于文化因素Nottransientstategrowingoutofgroupdynamics不是出于團體動力交錯下的過渡狀態(tài)Pervasiveandrigidstyleofthinkingfeeling,thinkingandrelating普遍而僵化的感覺、思維和關(guān)聯(lián)模式DIAGNOSIS診斷Othersareexploiting,harmingordeceivingself他人都是剝削的、有害的或者欺騙自己的Unjustifieddoubtsabouttheloyaltyoftrustworthinessofcloseothers不公正地懷疑親近的人對他的忠誠和信任Reluctanttoconfidein不情愿講真話Readshiddendemeaningorthreatingmeaningsintoremarksofothers把他人的評論當(dāng)成隱含貶低或威脅的意義Grudges心懷怨恨Attacksonreputationandcharacter聲譽和人格攻擊Recurrentsuspicions,withoutjustificationfidelity盡管沒有證據(jù)，反復(fù)地懷疑忠貞PSYCHODYNAMICUNDERSTANDING

心理動力學(xué)理解Paranoid-schizoidposition偏執(zhí)-分裂位Loveandhatehavetobesplitoff愛恨不得不分裂Goodsplitofffrombad好從壞中分裂出來Constantfearofbadnessoftheoutside對外界的壞持續(xù)的恐懼Projection,projectiveidentification投射、投射性認(rèn)同Lowselfesteem低自尊TREATMENT治療Verydifficult,usuallybroughtbyothers很難，常常由他人帶來Alliancebuildingcentral建立聯(lián)盟是核心Acceptblaming,guardedness接受指責(zé)、保持警惕Shiftlocusfromoutsidetoin由外向內(nèi)的轉(zhuǎn)換Paranoidschizoidtodepressiveposition偏執(zhí)-分裂位到抑郁位SCHIZOIDANDSCHIZOTYPALPERSONALITYDISORDERS

分裂樣和分裂型人格障礙Schizotypallinkedtoschizophrenia分裂型與精神分裂癥密切相關(guān)Attenuatedformofschizophrenia精神分裂癥的減弱型SCHIZOIDPERSONALITYDISORDER

分裂樣人格障礙Nodesireorenjoymentofcloserelationships,eveninfamily既不渴望也不享受親近的人際關(guān)系，包括成為家庭中的一部分Solitaryactivities獨自活動Littleinterestinsexualactivity對性行為興趣很少Littlepleasureinanyactivity幾乎沒有活動能夠令其感到有樂趣Lackofclosefriends沒有親密朋友Indifferenttopraiseandcriticism對表揚和批評都無所謂Emotionallycold,detached情感冷淡、疏離SCHIZOTYPALPERSONALITYDISORDER

分裂型人格障礙Ideasofreference牽連觀念Oddbeliefs,magicalthinking古怪的信念、魔幻思維Unusualperceptualexperiences不尋常的知覺體驗Oddthinking/speech古怪的思維和言語Suspiciousness猜疑Inappropriateorconstrictedaffect不恰當(dāng)或受限制的情感Odd,eccentric,lackoffriends古怪的、反常的、沒有朋友Excessivesocialanxiety過度的社交焦慮PSYCHODYNAMICSOFSCHIZOID/SCHIZOTYPALPATIENTS

分裂樣和分裂型病人的心理動力學(xué)Innerworldofschizoidsarequitecomplicatedanddifferentfromappearance分裂的人內(nèi)在世界非常復(fù)雜，和外在的表現(xiàn)很不同Overtlydetached,callous，covertlyverysensitiveandneedy