— 心理社會完整性 · MEDIUM · MCQ —
護理師照顧一位被診斷為邊緣性人格疾患的病人，最可能觀察到哪種行為？
A nurse is caring for a client who has been diagnosed with borderline personality disorder. Which behavior is the nurse most likely to encounter?
- AExcessive need for admiration過度尋求讚美
- BSplitting, or viewing people as all good or all bad✓ 正解分裂行為，即將他人視為全好或全壞
- CGrandiose behavior and lack of empathy自大行為且缺乏同理心
- DPreoccupation with details and organization對細節和組織的過度關注
— Explanation · 中文詳解 —
邊緣性人格疾患的核心特徵是人際關係不穩定、自我形象不穩定及衝動行為，其中「分裂（Splitting）」是常見的防衛機制，病人會將人或事物分為絕對的「好」或「壞」。C 與 A 為自戀型人格；D 為強迫型人格特質。
The core features of borderline personality disorder are unstable interpersonal relationships, an unstable self-image, and impulsive behavior. Splitting is a common defense mechanism, in which the client views people or things as absolutely good or absolutely bad. Options C and A describe narcissistic personality, and option D describes obsessive-compulsive personality traits.
✦ 台美臨床差異
美國臨床對於邊緣性人格常使用 DBT（辯證行為治療），台灣則依資源多採認知行為治療或藥物支持。