大專校園中的邊緣型人格個案研究

The Case Study of Borderline Personality Disorder in College

邊緣型人格違常，是近年受國內精神醫學及臨床心理重視的一項議題，也是許多心理衛生實務工作 者感到最難以處理的類型之ㄧ。因其不穩定的情緒與人際關係，使得治療師經常需要花上許多的精 力與時間來陪伴個案成長。本研究的主要目的在於探討，大專校園中的邊緣型人格個案之成長背景、 情緒適應、人際適應、自殺議題與心理治療經驗等，以增進對於邊緣型人格個案的了解。本研究採 用質性研究之個案研究取向，以立意取樣選取研究對象，進行資料收集與分析。而個案研究的工具 繁多，本研究主要以深度訪談進行之，以半結構之訪談指南，收集所需資料，並以質性方法分析所 得資料。研究結果歸納為：受創的成長經驗，紛擾不安的自我，不穩定的人際關係、課業與工作， 長期的空虛感，黑白分明的世界觀到逐漸產生的灰階，自殺議題，多元資源的受助經驗，BPD 從 DSM-IV-TR 到DSM-5。根據研究結果，並提出有關早期家庭教養處遇、校園中青少年BPD 個案的 專業協助與自殺防治、團隊合作的治療關係與治療者之賦權、與未來研究之建議。

Borderline personality disorder (addressed as BPD below)， is one of the most important issues in the fields of psychopathology and clinical psychology. Dealing with BPD clients is commonly considered a challenging and energy-consuming experience for most professional practitioners or psychotherapists because BPD patients have unstable emotions and interpersonal relationships. The purposes of this study are to discuss the BPD patients’ upbringing and background， emotional adjustment， interpersonal relationship adjustment， suicidal issues， and psychotherapy experiences. A qualitative case study with qualitative approach through semi-structured interview was used for data collection and analysis. The findings were organized in the following categories: Traumatic growth experiences， unstable self-image， unstable interpersonal relationship， academic work and job， long-term emptiness， all-or-nothing to spectrum， suicidal issues， receiving help from multiple resources， and BPD from DSM-IV-TR to DSM-5. Based on these findings， several suggestions were proposed on early family nurturance treatment， professional intervention and suicide prevention for BPD clients， team-approached therapy， the empowerment of the therapist， and future research directions.