一位患有邊緣型人格障礙的病人即將出院。病人說出哪句話代表治療計畫有效？
A client with borderline personality disorder is being discharged. Which of the following statements by the client indicates that the treatment plan has been effective?
- AI promise I will never get angry at anyone again.我承諾我永遠不會對任何人生氣。
- BI know that my friends will never leave me as long as I am good.我知道只要我表現良好，我的朋友永遠不會離開我。
- CI will avoid meeting new people to prevent getting hurt.我會避免認識新朋友，以免受傷。
- DI will make sure to call my therapist whenever I feel like cutting myself.✓ 正解當我想割傷自己時，我會確保打電話給我的治療師。
邊緣型人格障礙（Borderline Personality Disorder, BPD）的特徵包括情緒不穩定、衝動行為（如自我傷害）及對被遺棄的恐懼。治療成功的指標在於病人展現了自我監控能力與正向的應對機制。當病人能在感受到衝動時主動尋求專業協助，顯示其已學會運用安全機制取代衝動行為，這是治療計畫有效的關鍵指標。
Effective treatment for borderline personality disorder is indicated when the client demonstrates adaptive coping mechanisms rather than emotional suppression or avoidance. Stating an intention to contact a therapist before engaging in self-harm shows progress in managing impulses and seeking professional support. This behavior reflects improved self-monitoring and the use of safety strategies instead of resorting to destructive actions.