{"id":34544,"date":"2019-10-31T00:49:35","date_gmt":"2019-10-30T16:49:35","guid":{"rendered":"https:\/\/case.ntu.edu.tw\/blog\/?p=34544"},"modified":"2019-12-19T12:11:20","modified_gmt":"2019-12-19T04:11:20","slug":"%e6%b1%82%e6%b1%82%e4%bd%a0%e4%b8%8d%e8%a6%81%e4%b8%9f%e6%8e%89%e6%88%91%ef%bc%9a%e9%82%8a%e7%b7%a3%e6%80%a7%e4%ba%ba%e6%a0%bc%e8%a6%aa%e5%af%86%e5%8f%88%e7%bc%ba%e4%b9%8f%e7%95%8c%e7%b7%9a%e7%9a%84","status":"publish","type":"post","link":"https:\/\/case.ntu.edu.tw\/blog\/?p=34544","title":{"rendered":"\u6c42\u6c42\u4f60\u4e0d\u8981\u4e1f\u6389\u6211\uff1a\u908a\u7de3\u6027\u4eba\u683c\u89aa\u5bc6\u53c8\u7f3a\u4e4f\u754c\u7dda\u7684\u4eba\u969b\u6a21\u5f0f"},"content":{"rendered":"
\"\"
\u5716\u7247\u51fa\u8655 @unsplash.com<\/figcaption><\/figure>\n

\u64b0\u6587\uff5c\u5468\u739f\u8431<\/strong><\/p>\n

\u300c\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7(Borderline Personality Disorder)\u300d\uff0c\u9867\u540d\u601d\u7fa9\u662f\u4e00\u7a2e\u4ecb\u65bc\u300c\u6b63\u5e38\u300d\u8207\u300c\u60a3\u75c5\u300d\u3001\u300c\u7cbe\u795e\u75c5(psychosis)\u300d\u8207\u300c\u6182\u9b31(depression)\u300d\u4e4b\u9593\u7684\u5fc3\u7406\u969c\u7919\u75c7\uff0c\u60a3\u8005\u4e5f\u8a31\u5728\u5927\u90e8\u5206\u7684\u6642\u5019\u770b\u4e0a\u53bb\u8207\u5e38\u4eba\u7121\u7570\uff0c\u751a\u81f3\u56e0\u70ba\u5728\u793e\u4ea4\u5708\u7684\u8868\u73fe\u7576\u4e2d\u76f8\u7576\u6d3b\u8e8d\uff0c\u4f7f\u5f97\u8a31\u591a\u4eba\u5728\u525b\u958b\u59cb\u8207\u60a3\u8005\u76f8\u8655\u6642\uff0c\u4e26\u4e0d\u6703\u99ac\u4e0a\u5c31\u5bdf\u89ba\u4ed6\u5011\u662f\u5fc3\u7406\u969c\u7919\u75c7\u60a3\u8005\uff0c\u53ea\u6703\u611f\u89ba\u4ed6\u5011\u6bd4\u8f03\u300c\u71b1\u60c5\u300d\u8ddf\u300c\u5e73\u6613\u8fd1\u4eba\u300d\uff0c\u6240\u4ee5\u624d\u6709\u80fd\u529b\u5feb\u901f\u5730\u8207\u65c1\u4eba\u5efa\u7acb\u89aa\u5bc6\u7684\u95dc\u4fc2\u3002<\/p>\n

\u4f46\u662f\u68d8\u624b\u7684\u5730\u65b9\u5728\u65bc\uff0c\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7\u60a3\u8005\u7684\u300c\u81ea\u6211\u5f62\u8c61(self-image)\u300d\u975e\u5e38\u4e0d\u7a69\uff0c\u4ed6\u5011\u975e\u5e38\u6c92\u6709\u5b89\u5168\u611f\uff0c\u6b63\u662f\u56e0\u70ba\u592a\u5bb3\u6015\u81ea\u5df1\u6703\u88ab\u62cb\u68c4\uff0c\u6240\u4ee5\u624d\u8981\u9019\u9ebc\u7a4d\u6975\u7684\u300c\u6293\u7dca\u300d\u5225\u4eba\uff0c\u53ef\u662f\u5982\u679c\u9019\u500b\u4eba\u7684\u884c\u70ba\u6216\u60f3\u6cd5\u300c\u4e0d\u9806\u300d\u60a3\u8005\u7684\u5fc3\u610f\uff0c\u4ed6\u5011\u53c8\u6703\u5f88\u5feb\u7684\u611f\u5230\u5931\u671b\uff0c\u76f4\u5230\u96e3\u4ee5\u81ea\u5236\u7684\u5730\u6b65\uff0c\u4f8b\u5982\uff1a\u99ac\u4e0a\u300c\u7ffb\u81c9\u300d\u3001\u5c07\u5c0d\u65b9\u8cb6\u7684\u4e00\u6587\u4e0d\u503c\u3001\u900f\u904e\u50b7\u5bb3\u81ea\u5df1\u3001\u7269\u8cea\u6feb\u7528\u3001\u885d\u52d5\u884c\u70ba\u7b49\uff0c\u4f86\u5e6b\u81ea\u5df1\u6062\u5fa9\u5e73\u975c\uff0c\u4f46\u904e\u6c92\u591a\u4e45\u53c8\u6703\u8907\u88fd\u540c\u6a23\u7684\u6a21\u5f0f\u7e7c\u7e8c\u751f\u6d3b\uff0c\u5c31\u9023\u9032\u5165\u5fc3\u7406\u6cbb\u7642\u95dc\u4fc2\u4e5f\u6703\u8a66\u8457\u50cf\u9019\u6a23\uff0c\u6709\u610f\u7121\u610f\u7684\u64cd\u63a7\u6cbb\u7642\u5e2b\uff0c\u56e0\u6b64\u53ef\u8aaa\u662f\u76f8\u7576\u68d8\u624b\u7684\u500b\u6848\u3002<\/p>\n

\u60a3\u8005\u5efa\u7acb\u7684\u4e0d\u7a69\u5b9a\u4eba\u969b\u95dc\u4fc2\uff0c\u53ef\u4e0d\u53ea\u300c\u5feb\u901f\u7d50\u4ea4\u65b0\u670b\u53cb\u300d\u800c\u5df2\uff0c\u67d0\u4e00\u4e9b\u60a3\u8005\u6703\u56e0\u70ba\u7121\u6cd5\u5fcd\u53d7\u7368\u8655\u3001\u6025\u8457\u627e\u5230\u6292\u767c\u60c5\u7dd2\u7684\u51fa\u53e3\u7b49\u56e0\u7d20\uff0c\u5feb\u901f\u5730\u8ddf\u525b\u8a8d\u8b58\u6c92\u591a\u4e45\u7684\u4eba\u767c\u751f\u300c\u6027\u884c\u70ba\u300d\uff0c\u4f46\u662f\u904e\u6c92\u591a\u4e45\u53c8\u66f4\u63db\u6027\u4f34\u4fb6\uff0c\u56e0\u6b64\u6709\u5b78\u8005\u61f7\u7591\uff0c\u9019\u7a2e\u885d\u52d5\u800c\u4e0d\u9867\u5f8c\u679c\u7684\u884c\u70ba\uff0c\u6703\u4e0d\u6703\u8b93\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7\u60a3\u8005\u67d3\u4e0a\u6027\u50b3\u67d3\u75c5(Sexually transmitted infections, STI)\u7684\u98a8\u96aa\u8207\u666e\u901a\u6c11\u773e\u4e0d\u540c\uff1f<\/p>\n

\u25cf\u9ad8\u5ea6\u885d\u52d5\u884c\u70ba\u6240\u9020\u6210\u7684\u5371\u5bb3<\/strong><\/span><\/p>\n

\u4f86\u81ea\u6148\u6fdf\u5927\u5b78\u7684\u9673\u4e16\u82ac\u535a\u58eb\u7b49\u4eba\uff0c\u5206\u6790\u4e86669\u540d\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7\u60a3\u8005\u8fd1\u5e74\u4f86\u7684\u7684\u5c31\u91ab\u72c0\u6cc1(2000\u5e74\u52302012\u5e74)\u3002\u7814\u7a76\u7d50\u679c\u767c\u73fe\uff0c\u7121\u8ad6\u75c5\u60a3\u7684\u6027\u5225\u662f\u7537\u6027\u9084\u662f\u5973\u6027\u3001\u5e74\u9f61\u66fe\u4f4d\u5728\u54ea\u500b\u968e\u6bb5\uff0c\u4ed6\u5011\u67d3\u4e0a\u6027\u50b3\u67d3\u75c5\u7684\u98a8\u96aa\u90fd\u986f\u8457\u6bd4\u4e00\u822c\u7cbe\u795e\u72c0\u6cc1\u6b63\u5e38\u7684\u6c11\u773e\u9ad8\uff0c\u9019\u500b\u5206\u6790\u7684\u7d50\u679c\u8207\u5148\u524dEllis D\u7b49\u4eba\u65bc1994\u5e74\u7684\u7814\u7a76\u7d50\u679c\u985e\u4f3c\uff1a\u7576\u5e74\u5b78\u8005\u8abf\u67e5\u4e86\u4e00\u6279\u9732\u5bbf\u8857\u982d\u7684\u5973\u6027\uff0c\u767c\u73fe\u5728\u5979\u5011\u4e4b\u4e2d\u7684\u67d0\u4e9b\u4eba\u5177\u5099\u300c\u908a\u7de3\u578b\u4eba\u683c\u300d\u7684\u7279\u8cea\uff0c\u5979\u5011\u67d3\u4e0a\u6027\u50b3\u67d3\u75c5\u7684\u98a8\u96aa\u4e5f\u6bd4\u5176\u4ed6\u53d7\u8a66\u8005\u9084\u8981\u4f86\u5f97\u9ad8\u51fa\u8a31\u591a\u3002\u9019\u4e5f\u8a31\u662f\u56e0\u70ba\uff0c\u5728\u9ad8\u5ea6\u7684\u885d\u52d5\u4e4b\u4e0b\uff0c\u60a3\u8005\u5f88\u5bb9\u6613\u5c31\u8ddf\u525b\u8a8d\u8b58\u6c92\u591a\u4e45\u7684\u4eba\u767c\u751f\u4e0d\u5b89\u5168\u6027\u884c\u70ba\uff0c\u7136\u800c\u6211\u5011\u9084\u662f\u5fc5\u9700\u6ce8\u610f\uff0c\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7\u5f88\u53ef\u80fd\u8207\u5176\u4ed6\u7cbe\u795e\u75be\u75c5\u5171\u75c5\uff0c\u800c\u5171\u75c5\u5c0d\u60a3\u8005\u9020\u6210\u7684\u4e0d\u826f\u5f71\u97ff\uff0c\u76ee\u524d\u4f86\u8aaa\u662f\u96e3\u4ee5\u9810\u4f30\u7684\u3002<\/p>\n

\u25cf\u60b2\u6158\u7684\u7ae5\u5e74\u7d93\u6b77\u3001\u4e0d\u6210\u719f\u7684\u5fc3\u7406\u9632\u885b\u6a5f\u8f49\u662f\u4e3b\u56e0<\/strong><\/span><\/p>\n

Jenny\u7b49\u4eba\u8a8d\u70ba\uff0c\u7ae5\u5e74\u53d7\u8650\u662f\u9020\u6210\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7\u7684\u4e3b\u56e0\u4e4b\u4e00\uff0c\u800c\u4e14\u9019\u6a23\u7684\u4eba\u683c\u7279\u8cea\u4f3c\u4e4e\u6703\u5f9e\u6bcd\u89aa\u8eab\u4e0a\u300c\u907a\u50b3\u300d\u7d66\u5b69\u5b50\uff0c\u5979\u7684\u5718\u968a\u8a2a\u67e5\u4e8670\u540d\u5152\u7ae5\u7684\u5bb6\u5ead\uff0c\u5176\u4e2d\u670936\u540d\u5152\u7ae5\u7684\u6bcd\u89aa\u662f\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7\u60a3\u8005\uff0c\u5979\u5011\u591a\u534a\u5152\u6642\u7d93\u6b77\u904e\u6027\u8650\u5f85\u3001\u80a2\u9ad4\u66b4\u529b\u4ee5\u53ca\u5ffd\u8996\uff0c\u5118\u7ba1\u5979\u5011\u73fe\u5728\u90fd\u5df2\u7d93\u9577\u5927\u6210\u5e74\uff0c\u4e5f\u6709\u81ea\u5df1\u7684\u5c0f\u5b69\uff0c\u5979\u5011\u7684\u5b69\u5b50\u53d7\u5230\u4e0d\u7576\u5c0d\u5f85\u7684\u6bd4\u4f8b\u4e5f\u6bd4\u6b63\u5e38\u6bcd\u89aa\u7684\u5b69\u5b50\u9084\u8981\u9ad8\u3002<\/p>\n

\u800c\u5f9e\u5fc3\u7406\u52d5\u529b\u5b78\u6d3e\u7684\u89d2\u5ea6\u4f86\u8aaa\uff0c\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7\u60a3\u8005\u7d93\u5e38\u4f7f\u7528\u4e0d\u6210\u719f\u7684\u5fc3\u7406\u9632\u885b\u6a5f\u8f49\uff0c\u4f8b\u5982\uff1a\u5229\u7528\u300c\u5206\u88c2(splitting)\u300d\u9019\u7a2e\u6a5f\u8f49\uff0c\u5c07\u4e16\u754c\u89c0\u5206\u6210\u300c\u597d\u8207\u58de\u300d\u3001\u300c\u5c0d\u8207\u932f\u300d\u7b49\uff0c\u7136\u800c\u5728\u6b63\u5e38\u7684\u60c5\u6cc1\u5e95\u4e0b\uff0c\u96a8\u8457\u6211\u5011\u9577\u5927\uff0c\u591a\u6578\u4eba\u61c9\u8a72\u90fd\u80fd\u767c\u73fe\uff0c\u4e8b\u60c5\u6c38\u9060\u90fd\u6709\u7070\u8272\u5730\u5e36\uff0c\u5c31\u50cf\u662f\u9762\u5c0d\u6211\u5011\u81ea\u5df1\u6b23\u8cde\u7684\u4eba\u4e00\u6a23\uff0c\u4ed6\u5011\u5076\u723e\u7576\u7136\u4e5f\u6703\u51fa\u73fe\u4e0d\u597d\u7684\u884c\u70ba\u8207\u7279\u8cea\uff0c\u4f46\u662f\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7\u60a3\u8005\u7684\u9019\u7a2e\u4e8c\u5143\u601d\u8003\u6a21\u5f0f(binary thinking)\uff0c\u6703\u8b93\u4ed6\u5011\u96e3\u4ee5\u9ad4\u8ad2\u9019\u7a2e\u5c0d\u6b63\u5e38\u4eba\u4f86\u8aaa\u662f\u76f8\u7576\u53f8\u7a7a\u898b\u6163\u7684\u4e8b\u5be6(defensive mechanism)\u3002 \u9664\u6b64\u4e4b\u5916\uff0c\u4ed6\u5011\u4e5f\u7d93\u5e38\u4f7f\u7528\u300c\u6295\u5c04\u6027\u8a8d\u540c(projective identification)\u300d\u9019\u7a2e\u6a5f\u5236\uff0c\u5c07\u81ea\u5df1\u4e0d\u60f3\u8981\u7684\u8ca0\u9762\u8a8d\u77e5\u3001\u60c5\u7dd2\u7b49\uff0c\u5168\u90e8\u6295\u5c04\u5230\u53e6\u5916\u4e00\u500b\u5ba2\u9ad4\u8eab\u4e0a\uff0c\u8a98\u5c0e\u5c0d\u65b9\u6309\u7167\u81ea\u5df1\u5fc3\u4e2d\u6240\u9810\u671f\u7684\u4f86\u8868\u73fe\uff0c\u7136\u5f8c\u5370\u8b49\u81ea\u5df1\u662f\u5c0d\u7684\u3002<\/p>\n

 <\/p>\n

\u53c3\u8003\u8cc7\u6599\uff1a<\/strong><\/p>\n

    \n
  1. Shih-Fen Chen., Cheng-Li Lin.,  Ling-Yi Wang., Jen-Hung Wang., Chung-Y Hsu., & Yu-Chih Shen., Borderline personality disorder is associated with an increased risk of sexually transmitted infections: A nationwide population-based cohort study in Taiwan., Sex Transm Infect 2019<\/strong><\/a><\/li>\n
  2. Ellis D., Collis I., & King M..,  A controlled comparison of HIV and general medical referrals to A liaison psychiatry service., AIDS Care 1994<\/strong><\/a><\/li>\n
  3. Jenny Macfie., & Gretchen Kurdziel., The experience of maltreatment in young children whose mothers have borderline personality disorder<\/strong>\uff1a<\/strong>reflections in their narrative representations., Journal of Personality Disorders., 2019<\/strong><\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    \u300c\u908a\u7de3\u6027\u4eba\u683c\u969c\u7919\u75c7(Borderline Personality Disorder)\u300d\uff0c\u9867\u540d\u601d\u7fa9\u662f\u4e00\u7a2e\u4ecb\u65bc\u300c\u6b63\u5e38\u300d\u8207\u300c\u60a3\u75c5\u300d\u3001\u300c\u7cbe\u795e\u75c5(psychosis)\u300d\u8207\u300c\u6182\u9b31(depression)\u300d\u4e4b\u9593\u7684\u5fc3\u7406\u969c\u7919\u75c7\uff0c\u60a3\u8005\u4e5f\u8a31\u5728\u5927\u90e8\u5206\u7684\u6642\u5019\u770b\u4e0a\u53bb\u8207\u5e38\u4eba\u7121\u7570\uff0c\u751a\u81f3\u56e0\u70ba\u5728\u793e\u4ea4\u5708\u7684\u8868\u73fe\u7576\u4e2d\u76f8\u7576\u6d3b\u8e8d\uff0c\u4f7f\u5f97\u8a31\u591a\u4eba\u5728\u525b\u958b\u59cb\u8207\u60a3\u8005\u76f8\u8655\u6642\uff0c\u4e26\u4e0d\u6703\u99ac\u4e0a\u5c31\u5bdf\u89ba\u4ed6\u5011\u662f\u5fc3\u7406\u969c\u7919\u75c7\u60a3\u8005\uff0c\u53ea\u6703\u611f\u89ba\u4ed6\u5011\u6bd4\u8f03\u300c\u71b1\u60c5\u300d\u8ddf\u300c\u5e73\u6613\u8fd1\u4eba\u300d\uff0c\u6240\u4ee5\u624d\u6709\u80fd\u529b\u5feb\u901f\u5730\u8207\u65c1\u4eba\u5efa\u7acb\u89aa\u5bc6\u7684\u95dc\u4fc2\u3002<\/p>\n","protected":false},"author":20,"featured_media":34547,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[257,3293],"tags":[4404,4403,4402,4401,4406,4405,4400],"aioseo_notices":[],"jetpack_featured_media_url":"https:\/\/case.ntu.edu.tw\/blog\/wp-content\/uploads\/2019\/10\/photo-1516585142943-4341daf22d5f.jpg","_links":{"self":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/34544"}],"collection":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=34544"}],"version-history":[{"count":2,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/34544\/revisions"}],"predecessor-version":[{"id":34552,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/posts\/34544\/revisions\/34552"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=\/wp\/v2\/media\/34547"}],"wp:attachment":[{"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=34544"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=34544"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/case.ntu.edu.tw\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=34544"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}