The borderline patient then develops inaccurate and distorted schematic impressions of feelings and thoughts .

然后，边缘患者会对感受和想法产生不准确和扭曲的示意性印象。

From this perspective, the symptoms of borderline patients emerge when stabilizing relationships with other people are lost.

从这个角度来看， 当与他人的稳定关系丧失时， 边缘患者的症状就会出现。

The disruption of these stabilizing bonds leads to the rage and chaotic behavior so often described in borderline patients.

这些稳定纽带的破坏会导致边缘患者经常出现的愤怒和混乱行为。

Borderline patients are inevitably very dependent, although their powerful defenses often mask this trait.

边缘型患者不可避免地具有很强的依赖性，尽管他们强大的防御能力常常掩盖了这一特征。

Narcissistic patients, however, tend to have more stable personal histories, especially work histories, than borderline patients.

然而，自恋患者往往比边缘患者有更稳定的个人经历，尤其是工作经历。

A narcissistic patient's personal history, however, like the borderline patient's, will show a characteristic lack of trusting intimacy.

然而，自恋患者的个人经历，就像边缘患者一样，会表现出缺乏信任的亲密关系的特征。

Ultimately, the goal with borderline patients is to achieve a greater sense of safety and greater trust and openness with the therapist.

最终，边缘患者的目标是获得更大的安全感以及对治疗师更大的信任和开放。

Therapy with a narcissistic patient tends to focus on a narrower range of issues than does therapy with a borderline patient.

对自恋患者的治疗往往比对边缘患者的治疗关注的问题范围更窄。

In addition to clarifying and interpreting the defensive use of splitting, the therapist confronts and interprets the other typical defenses of the borderline patient (Table 14–1).

除了澄清和解释分裂的防御性用途外，治疗师还面对并解释边缘患者的其他典型防御（表14-1）。

With an acceptance and softening of their dependency left over from early childhood, borderline patients experience an increase in self-reliance and self-esteem.

随着对童年时期遗留下来的依赖性的接受和软化，边缘患者的自力更生和自尊心有所增强。

Thus, when sexual conflicts are mobilized in the transference during therapy of a borderline patient, the clinician is inevitably looking at a layering of important anxieties.

因此，当在边缘患者的治疗过程中性冲突被调动到移情中时，临床医生不可避免地会看到一层重要的焦虑。

In borderline patients, as opposed to psychotic patients, a transference psychosis is generally confined to the therapy sessions and is not accompanied by a disorganization outside the therapeutic hours.

与精神病患者相反， 在边缘患者中，移情精神病通常仅限于治疗期间， 并且在治疗时间之外不会伴随混乱。

Both narcissistic and schizoid patients are in many ways similar to borderline patients in the nature of their underlying anxieties and in the defense mechanisms they employ.

自恋型和精神分裂型患者在潜在焦虑的本质和所采用的防御机制方面， 在很多方面都与边缘型患者相似。

Because of the intensity of their conflicts and the fragility of their egos, many borderline patients are action oriented and can quickly become negative and resistant, turning a deafear to the therapist.

由于冲突的激烈性和自我的脆弱性，许多边缘患者都是以行动为导向的， 很快就会变得消极和抗拒，对治疗师充耳不闻。

Thus, a future borderline patient, feeling unsure of mother's predominantly positive investment and feeling fundamentally unsafe in the world, will precociously approach father and experience an intense and premature oedipal conflict.

因此，未来的边缘患者， 对母亲主要的积极投资感到不确定， 并在世界上感到根本上不安全，将过早地接近父亲并经历强烈和过早的俄狄浦斯冲突。

In contrast to working with better-integrated patients, the therapist treating a borderline patient must do most of the work of assembling, organizing, and remembering the disparate images and affective states of the patient in order to integrate them.

与治疗更好地整合的患者相比，治疗边缘患者的治疗师必须完成大部分工作，组装、组织和记住患者的不同图像和情感状态， 以便将它们整合起来。

And from the perspective of attachment theorists (whose infant observational research continues the work done in John Bowlby's study of attachment patterns formed in infancy), a borderline patient's psychopathology is shaped in part by unresolved early childhood trauma.

从依恋理论家的角度来看（他们的婴儿观察研究延续了约翰·鲍尔比对婴儿期形成的依恋模式的研究），边缘患者的精神病理学部分是由未解决的童年创伤造成的。