表达性写作提升边缘型人格障碍患者的心理韧性——案例研究
Expressive Writing Enhances the Psychological Resilience of Patients with Borderline Personality DisorderCase Study
DOI: 10.12677/ap.2025.152087, PDF,   
作者: 杨 帆, 马娇雪:重庆师范大学教育科学学院/心理学系,重庆
关键词: 边缘型人格障碍表达性写作心理韧性Borderline Personality Disorder Expressive Writing Psychological Resilience
摘要: 边缘型人格障碍(BPD)是一种普通且发病率较高的精神疾病,它的核心症状是个体缺乏自我意识,且难以调控情绪,引发精神和行为上出现极端对立表现,这可能是由于患者心理韧性低下所导致,因此发展能够有效提升心理韧性的干预措施是非常重要的。从表达性写作的角度来看,表达性写作显现出减少病症和提高心理韧性的希望。患者通过写作有意义的积极情绪事件,能够帮助患者客观评估自身问题、增强自我意识、控制自身情绪,从而提高心理韧性和改善病症。评估的治疗效果包括参与写作的积极性,以及对心理韧性各方面指标的评估。本案例还提出了相关影响和建议,包括以循序渐进为中心的干预方式,识别情绪的变化,并以正确价值观为导向的干预过程。
Abstract: Borderline personality disorder (BPD) is a common mental disease with a high incidence rate. Its core symptom is that individuals lack self-awareness, and are difficult to regulate emotions, resulting in extreme opposition in spirit and behavior. This may be caused by patients’ low psychological resilience. Therefore, it is very important to develop interventions that can effectively improve psychological resilience. From the perspective of expressive writing, it shows hope in reducing symptoms and improving psychological resilience. By writing meaningful positive emotional events, patients can objectively evaluate their own problems, enhance self-awareness, control their emotions, thereby improving psychological resilience and alleviating symptoms. The evaluated therapeutic effects include the enthusiasm for participating in writing and the assessment of various indicators of psychological resilience. This case also proposes relevant impacts and suggestions, including a gradual intervention approach centered on identifying emotional changes, and an intervention process guided by correct values.
文章引用:杨帆, 马娇雪 (2025). 表达性写作提升边缘型人格障碍患者的心理韧性——案例研究. 心理学进展, 15(2), 294-305. https://doi.org/10.12677/ap.2025.152087

参考文献

[1] 董婧(2016). 边缘型人格障碍的研究进展. 继续医学教育, (8), 92-95.
[2] 方莉, 刘协和(2006). 分离体验量表II的信度与效度检测. 中国临床康复, 10(42), 1-4.
[3] 胡月琴, 甘怡群(2008). 青少年心理韧性量表的编制和效度验证. 理学报, 40(8), 902-912.
[4] 李宝珠(2014). 人格障碍的研究进展. 医学理论与实践, 27(4), 444-445.
[5] 肖聪阁(2024). 公安民警工作家庭冲突与心身健康的关系:心理韧性的中介作用. 心理月刊, (15), 31-33+37.
[6] 颜婷婷(2024). 高职护生心理韧性水平和应对方式的关系研究. 心理月刊, 19(17), 91-93.
[7] 杨蕴萍, 沈东郁, 王久英, 杨坚(2002). 人格障碍诊断问卷(PDQ-4+)在中国应用的信效度研究. 中国临床心理学杂志, 10(3), 165-168.
[8] Baikie, K. A. (2003). Rewriting Trauma: How and for Whom Does the Writing Paradigm Work? Doctoral Dissertation, Macquarie University.
[9] Baikie, K. A., & Wilhelm, K. (2005). Emotional and Physical Health Benefits of Expressive Writing. Advances in Psychiatric Treatment, 11, 338-346.[CrossRef
[10] Bateman, A., & Fonagy, P. (2016). Mentalization-Based Treatment for Personality Disorders. Oxford University Press.[CrossRef
[11] Beck, A. T., Freeman, A., Davis, D. D., & Freeman, A. (1990). Cognitive Therapy of Personality Disorders: A Practical Guide. Guilford Press.
[12] Cameron, L. D., & Nicholls, G. (1998). Expression of Stressful Experiences through Writing: Effects of a Self-Regulation Manipulation for Pessimists and Optimists. Health Psychology, 17, 84-92.[CrossRef
[13] Colombetti, G. (2009). What Language Does to Feelings. Journal of Consciousness Studies, 16, 4-26.
[14] Davidson, K., Schwartz, A. R., Sheffield, D., McCord, R. S., Lepore, S. J., & Gerin, W. (2002). Expressive Writing and Blood Pressure.
[15] de Sousa, R. (1987). The Rationality of Emotion. The MIT Press.[CrossRef
[16] Diener, E. (1984). Subjective Well-Being. Psychological Bulletin, 95, 542-575.[CrossRef
[17] Fivush, R. (1994). Constructing Narrative, Emotion, and Self in Parent-Child Conversations about the Past. In The Remembering Self: Construction and Accuracy in the Self-Narrative (pp. 136-157). Cambridge University Press.[CrossRef
[18] Francis, M. E., & Pennebaker, J. W. (1992). Putting Stress into Words: The Impact of Writing on Physiological, Absentee, and Self-Reported Emotional Well-Being Measures. American Journal of Health Promotion, 6, 280-287.[CrossRef] [PubMed]
[19] Guillén, V., Tormo, M. E., Fonseca-Baeza, S., Botella, C., Baños, R., García-Palacios, A. et al. (2021). Resilience as a Predictor of Quality of Life in Participants with Borderline Personality Disorder before and after Treatment. BMC Psychiatry, 21, Article No. 305.[CrossRef] [PubMed]
[20] Gunderson, J. G. (2009). Borderline Personality Disorder: Ontogeny of a Diagnosis. American Journal of Psychiatry, 166, 530-539.[CrossRef] [PubMed]
[21] Hockemeyer, J. R., Smyth, J. M., Anderson, C. F., & Stone, A. A. (1999). Is It Safe to Write? Evaluating the Short-Term Distress Produced by Writing about Emotionally Traumatic Experiences. Psychosomatic Medicine, 61, Article No. 99.[CrossRef
[22] Kernberg, O. F., Yeomans, F. E., Clarkin, J. F., & Levy, K. N. (2008). Transference Focused Psychotherapy: Overview and Update. The International Journal of Psychoanalysis, 89, 601-620.[CrossRef] [PubMed]
[23] King, L. A., & Miner, K. N. (2000). Writing about the Perceived Benefits of Traumatic Events: Implications for Physical Health. Personality and Social Psychology Bulletin, 26, 220-230.[CrossRef
[24] Klein, K., & Boals, A. (2001). Expressive Writing Can Increase Working Memory Capacity. Journal of Experimental Psychology: General, 130, 520-533.[CrossRef
[25] Klonsky, E. D. (2009). The Functions of Self-Injury in Young Adults Who Cut Themselves: Clarifying the Evidence for Affect-Regulation. Psychiatry Research, 166, 260-268.[CrossRef] [PubMed]
[26] Lepore, S. J., Greenberg, M. A., Bruno, M., & Smyth, J. M. (2002). Expressive Writing and Health: Self-Regulation of Emotion-Related Experience, Physiology, and Behavior. In S. J. Lepore, & J. M. Smyth (Eds.), The Writing Cure: How Expressive Writing Promotes Health and Emotional Well-Being (pp. 99-117). American Psychological Association.[CrossRef
[27] Lepore, S. J., Silver, R. C., Wortman, C. B., & Wayment, H. A. (1996). Social Constraints, Intrusive Thoughts, and Depressive Symptoms among Bereaved Mothers. Journal of Personality and Social Psychology, 70, 271-282.[CrossRef
[28] Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline Personality Disorder. The Lancet, 364, 453-461.[CrossRef] [PubMed]
[29] Linehan, M. (1993). Dialectical Behavior Therapy for Borderline Personality Disorder. Guilford Press.
[30] Lynch, T. R., Chapman, A. L., Rosenthal, M. Z., Kuo, J. R., & Linehan, M. M. (2006). Mechanisms of Change in Dialectical Behavior Therapy: Theoretical and Empirical Observations. Journal of Clinical Psychology, 62, 459-480.[CrossRef] [PubMed]
[31] Masten, A. S., & Obradović, J. (2006). Competence and Resilience in Development. Annals of the New York Academy of Sciences, 1094, 13-27.[CrossRef] [PubMed]
[32] Páez, D., Velasco, C., & González, J. L. (1999). Expressive Writing and the Role of Alexythimia as a Dispositional Deficit in Self-Disclosure and Psychological Health. Journal of Personality and Social Psychology, 77, 630-641.[CrossRef
[33] Pennebaker, J. W. (2002). What Our Words Can Say about Us. Toward a Broader Language Psychology. Psychological Science Agenda, 15, 8-9.
[34] Pennebaker, J. W., & Beall, S. K. (1986). Confronting a Traumatic Event: Toward an Understanding of Inhibition and Disease. Journal of Abnormal Psychology, 95, 274-281.[CrossRef
[35] Pennebaker, J. W., & Francis, M. E. (1996). Cognitive, Emotional, and Language Processes in Disclosure. Cognition and Emotion, 10, 601-626.[CrossRef
[36] Pennebaker, J. W., & Graybeal, A. (2001). Patterns of Natural Language Use: Disclosure, Personality, and Social Integration. Current Directions in Psychological Science, 10, 90-93.[CrossRef
[37] Pennebaker, J. W., Kiecolt-Glaser, J. K., & Glaser, R. (1988). Disclosure of Traumas and Immune Function: Health Implications for Psychotherapy. Journal of Consulting and Clinical Psychology, 56, 239-245.[CrossRef
[38] Presniak, M. D., Olson, T. R., & MacGregor, M. W. (2010). The Role of Defense Mechanisms in Borderline and Antisocial Personalities. Journal of Personality Assessment, 92, 137-145.[CrossRef] [PubMed]
[39] Scheier, M. F., & Carver, C. S. (1985). Optimism, Coping, and Health: Assessment and Implications of Generalized Outcome Expectancies. Health Psychology, 4, 219-247.[CrossRef
[40] Scott, V. B., Robare, R. D., Raines, D. B. et al. (2003). Emotive Writing Moderates the Relationship between Mood Awareness and Athletic Performance in Collegiate Tennis Players. North American Journal of Psychology, 5, 311-324.
[41] Smyth, J. M., & Pennebaker, J. W. (1999). Sharing One’s Story: Translating Emotional Experiences into Words as a Coping Tool. In C. R. Snyder (Ed.), Coping: The Psychology of What Works (pp. 70-89). Oxford University Press.
[42] Smyth, J. M., Stone, A. A., Hurewitz, A., & Kaell, A. (1999). Effects of Writing about Stressful Experiences on Symptom Reduction in Patients with Asthma or Rheumatoid Arthritis: A Randomized Trial. JAMA, 281, 1304-1309.[CrossRef] [PubMed]
[43] Stake, R. (1995). Case Study Research. Sage.
[44] Tusaie, K., & Dyer, J. (2004). Resilience: A Historical Review of the Construct. Holistic Nursing Practice, 18, 3-10.[CrossRef] [PubMed]
[45] Van der Kolk, B. A., McFarlane, A. C., & Weisaeth, L. (1996). Traumatic Stress: The Effects of Overwhelming Experience on Mind, Body, and Society. Guilford Press.
[46] Wang, K. T., Yuen, M., & Slaney, R. B. (2009). Perfectionism, Depression, Loneliness, and Life Satisfaction: A Study of High School Students in Hong Kong. The Counseling Psychologist, 37, 249-274.[CrossRef
[47] Yin, R. K. (2009). Case Study Research: Design and Methods (Vol. 5). Sage.
[48] Young, J. E., Klosko, J. S., & Weishaar, M. E. (2006). Schema Therapy: A Practitioner’s Guide. Guilford Press.