頁籤選單縮合
題名 | Dissociative Self-mutilation: A Case Report of Dissociative Amnesia=解離狀態下的自傷行為:一位解離性失憶的案例報告 |
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作 者 | 張立人; 劉智民; 王浩威; | 書刊名 | Taiwanese Journal of Psychiatry |
卷期 | 24:1 2010.03[民99.03] |
頁次 | 頁74-77 |
分類號 | 415.996 |
關鍵詞 | 解離性失憶; 自傷; 高度情緒表露; 邊緣性人格疾患; Dissociative amnesia; Self-mutilation; High expressed emotion; Borderline personality disorder; |
語文 | 英文(English) |
中文摘要 | 目的 : 報告在解離性失憶狀態下自傷的案例。 病例報告 : 一位22 歲女性邊緣性人格疾患患者,與男友分手後,開始在解離性失憶狀態下割腕自傷。之後反覆受到父親批評,症狀持續出現。在接受lorazepam 會談、心理與藥物治療後,症狀改善。 結論 : 本篇報告指出,解離性的自傷行為,可能與兒童虐待、父母高度情緒表露、共病之精神疾病、以及人際背叛有關。 |
英文摘要 | Objective: To report a case of a patient with self-mutilation during episodes of dissociative amnesia. Case Report: A 22-year-old woman patient with borderline personality disorder started to have episodes of dissociative self-mutilation by cutting her wrist after being rejected by her boyfriend and best friend. She had similar episodes recurred after her father’s criticism. After treatment with a lorazepam-assisted interview, psychotherapy and pharmacotherapy, her symptoms improved. Conclusion: This case study suggests that dissociative self-mutilation may be related to child abuse, parents with high expressed emotion, psychiatric comorbidity and interpersonal conflicts perceived as betrayal. |
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