查詢結果分析
來源資料
頁籤選單縮合
題 名 | B羣人格特質患者之自殺行為:三例報告=Suicide Attempt in Patients with Cluster B Personality Traits: Report of Three Cases |
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作 者 | 吳臺齡; 吳光顯; 劉珣瑛; 蔡世仁; 張凱理; | 書刊名 | 臺灣精神醫學 |
卷 期 | 12:2 1998.06[民87.06] |
頁 次 | 頁80-85 |
分類號 | 415.952 |
關鍵詞 | B羣人格異常特質; 自殺企圖; Cluster B personality traits; Suicidal attempt; |
語 文 | 中文(Chinese) |
中文摘要 | 目的︰自殺問題近年來已逐漸受到社會大眾的注意,精神科醫師常會被急診室醫師要求照會自殺企圖患者,協助評估自殺危險性及精神狀態。除了嚴重精神病患外,常會遇見B群人格異常特質女性的重複自殺行為。病例報告︰本文所報告的三位個案,均為年輕女性、婚姻、感情、情緒、人際關係上較不穩定、挫折忍受度低、自我控制力差,他們原生家庭支持系統不夠,並有安眠藥濫用現象,所從事之職業大多與特種行業有關,有多次的自殺企圖病史,自殺方式大多為安眠藥過量或割腕·結論︰作者試圖以客體關係理論(object relations theory)、依附關係理論(attachment theory)及自體心理學(self psychology)來看這群患者的內心世界(inner world)及人格特質(personality trait),還有精神科醫師在急診室面對這類自殺患者所扮演的角色及反思(reflection),並嘗試找出可行的介入方式來避免不斷地出現生命中重複的自殺行為。 |
英文摘要 | Objective: Suicide attempts are common among patients with cluster B personality traits. Emergency psychiatric consultation to determine suicide risk and mental status after a suicidal attempt is usually performed at the request of the emergency department physician. Young women with cluster B personality traits appear to be particularly vulnerable to repeated suicidal attempts by cutting wrist or drugs overdose due to labile mood and low frustration tolerance. Case Reports: The three young female patients of this report all came from broken families and were suffering from the marital, emotional, interpersonal relationship and impulsive control problems. In addition, they had a history of prostitution-related job and substance abuse. Conclusion: The psychiatric symptoms of these patients were assessed via object relations theory, attachment theory and self psychology. Brief psychotherapy and crisis intervention were arranged during the consultation in emergency room. We had done our best to help these patients from the "fragmenting self" to the "cohesive self". In addition, the therapeutic process has made us more skillful via the therapist's reflection. Our results indicate that treatment of these patients is often complicated by the chaotic emergency room environment. |
本系統中英文摘要資訊取自各篇刊載內容。