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31@22(1,5106312,510631@Email:lijiangxue1975@yahoo1com1cn):(borderlinepersonalitydisorder,BPD),:(DQ24+)DSM22R(SCID2II),BPD56,BPD30,:(1)BPDBPD,BPDBPD(3517%vs1010%,P0101),BPD(2618%vs16617%,P0101);(2),BPDBPD[(215111)vs1(113019),P0101],BPD[(019019)vs1(118110),P0101],BPDBPD(4011%vs12010%,2510%vs1617%,2816%vs11010%;Ps0105),BPDBPD(711%vs12617%,2312%vs13313%,1215%vs14010%;Ps0105);(3),BPDBPD(2510%vs1313%,1215%vs1010%;Ps0105):BPD,;BPD;;;doi:1013969/j1issn11000-6729120091041012:R749191:A:1000-6729(2009)004-0280-06CharacteristicsinInitialSandtrayofPatientswithBorderlinePersonalityDisorderLIJiang2Xue1@,IANGJin2Jing2,SHENHe2Yong21TheResearchCenterofPsychologicalCounseling,Guangzhou5106312TheDepartmentofPsychology,SouthChinaNormalUniversity,Guangzhou510631@Correspondingauthor,Email:lijiangxue1975@yahoo1com1cnAbstractObjective:Toexploretheparticularinnerworldofthepatientswithborderlinepersonalitydisorder(BPD)withthesandplaytherapy,andtosummarizethediagnosticcharacteristicsofthepatients’initialsandtray1Methods:Thedifferencesoftheinitialsandtraysbetween56BPDpatientsand30non2BPDstudentswerecompared1Results:(1)ThereweredifferencesintheglobalfeatureoftheinitialsandtraybetweentheBPDpatientsandthenon2BPDstudents,andtheproportionofsplittingitemintheBPDpatientswassignificantlyhigherthanthatinthenon2BPDstudents(3517%vs1010%),buttheproportionofintegrationitemintheBPDpatientswassignificantlylowerthanthatinthenon2BPDstudents(2618%vs16617%)1(2)Onthedetailthemeoftheinitialsandtray,thetotalscoreoftraumathemeintheBPDpatientswassignificantlyhigherthanthatinthenon2BPDstudents[(215111)vs1(113019),P0101],butthetotalscoreofhealingthemeintheBPDpatientswassignificantlylowerthanthatinthenon2BPDstudents[(019019)vs1(118110),P0101];Indetail,theitemproportionsofiso2lation,restrictionandthreatoftraumathemeintheBPDpatientsweresignificantlyhigherthanthoseinthenon2BPD082ChineseMentalHealthJournal,Vol23,No14,20093:(06JJD880021)students(4011%vs12010%,2510%vs1617%,2816%vs11010%;Ps0105),buttheitemproportionsofcou2pling,rebirthanddialogueofhealingthemeintheBPDpatientsweresignificantlylowerthanthoseinthenon2BPDstudents(711%vs12617%,2312%vs13313%,1215%vs14010%;Ps0105)1(3)Ontheuseorplacementinunconventionalityofsandtoys,theitemproportionsoffantasticpresentandborderlineproblemintheBPDpatientsweresignificantlyhigherthanthoseinthenon2BPDstudents(2510%vs1313%,1215%vs1010%;Ps0105)1Con2clusion:ThemosttypicalcharacteristicsintheBPDpatients’initialsandtrayaresplitting,fantasticpresentationandborderlineproblem,andthetraumathemesoftenoccurareisolation,restrictionandthreat1Thepathologiccharacteris2ticsandthedefensemechanismofBPDcanbeclearlypresentedintheinitialsandtray1Keywordsborderlinepersonalitydisorder;sandplaytherapy;initialsandtray;controlstudy(borderlinepersonalitydisorder,BPD),[1],BPD1%2%,[2],CCMD23(()),,,[3],,,,,,,,[4],,,BPD,BPD1111(PDQ24+)4000,3552,PDQ24+7(7)254,SCID2(W=01873),25462,56,(BPD,38,18)PDQ24+01,30(BPD,18,12)fisher,11211211(PersonalityDiagnosticQuestionnaire,PDQ24+)[5]PDQ24+DSM212()(1996),107,1,0,12,,11212DSM22R(StructuredClinicalInterviewForDSM22RPersonalityDisorders,SCID2)[6]SCID2,117,3,2,1,,89102,53BPD11213,(113)11214,2,4,1600,182200923411311311,:()()(,)(,)1,011312()()1,0,11313()1,0,,:(1);(2);(3):(1);(2);(3)7)114PDQ24+SCID2,BPDBPD,(50):,,(1),,,,,,,,,,,,,,115Fishert2211Fisher,BPDBPD(1),BPD3517%,BPD,,BPD,BPD,,,(1);,,,,,,1,n(%)BPD(N=56)BPD(N=30)P15(2618)20(6617)010018(1413)3(1010)0174021(3715)6(2010)0114320(3517)0(010)01001212t,BPDBPD[(215111)vs1(113019),P0101],BPD[(019019)vs1(118110),P0101]Fisher,,,BPDBPD;,BPDBPD,2282ChineseMentalHealthJournal,Vol23,No14,20092,n(%)BPD(N=56)BPD(N=30)P24(4219)6(2010)0104818(3211)3(1010)010451(118)0(010)0199614(2510)2(617)010445(819)1(313)016601(118)1(313)110001(118)0(010)019964(711)8(2617)010214(711)3(1010)016918(1413)5(1617)017615(819)2(617)1100013(2312)9(3313)010097(1215)12(4010)010062(316)4(1313)01177,BPD,,,(2);,(3);,,,(4)1213,,Fisher,BPDBPD;BPD1215%,BPD,234BPD,,,BPD,,,,;,BPD(5),,,,(6)3822009234563,n(%)BPD(N=56)BPD(N=30)P11(1916)3(1010)0136114(2510)1(313)0101526(4614)12(4010)016517(1215)0(010)010913311BPD,,[7],[8],[9],,,,,,[10212]:BPD,:,BPD,BPD,BPD,,BPD,BPD,,,,BPD312BPDBPD,/,,Kernberg,(splitting)[13],Linehan[14],:BPD,,KernbergLinehan,,,,:,,,SheffieldBPDparadox(),:,paradox[15],,,paradox,BPDLinehan,,,,[16],482ChineseMentalHealthJournal,Vol23,No14,2009,,,,,BPD,BPD,,,,[1],1[J]1,2003,30(4):228-2311[2]WidigerTA,FrancesAJ1Epidemiology,diagnosisandco2morbidityofborderlinepersonalitydisorder[M]1Wash2ington,DC:AmericanPsychiatricPress,1989:8-241[3]1[J]1,2001,13(4):232-2341[4]VitoLaSpina1SandplayTherapyinTreatmentofBorderlinePersonalityDisorder1SandplayTherapy:TreatmentofPsy2chopathologies[M]1DaimonVerlag,2004:31-581[5],,,1(PDQ24+)[J]1,2002,10(3):165-1681[6],,1SCID2(2)[J]1,2006,18(1):1-41[7],1:[M]1:,20041[8]MitchellRR,FriedmanHS1Sandplay:Past,presentandfuture[M]1London:Routledge,19941[9]BradwayK,CoardBM1Sandpalysilentworkshopofthepsy2che[M]1London:Routledge11Newferrerlane,1997:371[10]CockleS1Sandplay:acomparativest