Integrated Psycho-social Treatment for a Male Patient with Borderline Personality Disorder and Gender Identity Disorder

合併邊緣型人格疾患與性別認同障礙男性之心理社會整合治療

陳頌威(Sung-Wei Chen) ； 徐淑婷(Su-Ting Hsu) ； 文榮光(Jung-Kwang Wen)

《台灣精神醫學》 20卷2期 (2006/06) Pp. 155-162

https://doi.org/10.29478/TJP.200606.0008

摘要

目的：邊緣型人格之病理受社會、心理、與生物因子交互影響，西化的社會文化改變可能導致案例增加。我們報告此個案並顯示其在社會文化因子、精神病理、及治療的相關性。個案報告：18歲男同性戀者合併邊緣型人格與性別認同障礙，與傳統父母衝突後反覆自殺。此整合治療使用西方精神動力心理治療、華人本土心理學於衛教家族治療、及藥物治療。經25次心理治療與4次家族治療，家人衝突程度減少且個案自殺行為消失。結論：此整合治療應用兩種心理學理論於文化歧異之兩世代，對劇變社會文化脈絡中病人具療效性與文化敏感性。

關鍵字

邊緣型人格疾患 ； 性別認同障礙 ； 精神動力心理治療 ； 華人本土心理學

並列摘要

Objective: Borderline personality disorder (BPD) is a biopsychological entity influenced by the complex interactions of social, psychological, and biological factors. The contemporary epidemic of BPD in Asian countries can be attributed to sociocultural changes associated with Westernization in last two decades. Here we report a case of BPD which illustrates the interactions among sociocultural factors, psychopathology, and treatment. Case Report: An 18-year-old homosexual male with BPD and gender identity disorder (GID) made repeated suicide attempts which were related to conflicts with his parents with traditional values. An integrated treatment was adopted which combined Western psychodynamic psychotherapy, educational family therapy with Chinese indigenous psychologies, and pharmacotherapy. After 25 sessions of psychotherapy and 4 sessions of family therapy, the severity of the family conflicts decreased and the suicide attempts disappeared. Conclusion: Successfully integrated treatment, applying the two psychological theories in differently cultural generations, could be an effective and culturally sensitive method for treating patients in changing sociocultural contexts.

並列關鍵字

borderline personality disorder ； gender identity disorder ； psychodynamic psychotherapy ； Chinese indigenous psychology

參考文獻

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