边缘人格在沙盘中的表现及其病理模型和内心世界模型

A Research on the Characteristics in the Initial Sandtray and the Pathological Model and Inner World Model of Patients with Borderline Personality Disorder

摘要: 通过56例确诊的大学生边缘型人格障碍患者与30名正常大学生的初始沙盘内容分析，结果发现：1) BPD患者的沙盘中最典型的特征是分裂、奇异呈现和边界问题，最经常出现的创伤主题是隔离和分裂；2) BPD的病理特点和防御机制可以在沙盘中很清晰地呈现出来；3) 在本研究结果基础上结合国外最新文献，提出了BPD的个体–家庭–社会病理模型和内心世界模型。

Abstract: We used a case-control study design to explore the particular inner world of the borderline personality disorder with sandplay therapy and to summarize the characteristics in the initial sandtray of the borderline personality disorder. The research selected 56 university students with borderline personality disorder as the experimental group and 30 normal university students as the control group. All the 86 students applied the initial sandplay operation. We collected the initial sandtrays and analyzed them by t test, Chi-square test and regression analysis. The results showed: 1) the most typical characteristics in BPD patients’ initial sandtrays were splitting, fantastic presentation and borderline problem, and the most frequent wounded themes were isolation and splitting. 2) The pathological characteristics and the defense mechanisms of BPD could be clearly presented in the initial sandtray. 3) Based on the analysis of the initial sandtray and the new literatures, we proposed a creative opinion about the individual-family-society pathological model and the inner world model of BPD patients. The results show that patients with borderline personality disorder have significant characteristics in the sandplay, and the initial sandtray also has a clinical psychological assessment value.