Friday, December 31, 2021

STIPO~R (July, 2021) (2022 秋)

https://www.borderlinedisorders.com/assets/STIPORmanual.July2021.pdf

https://www.borderlinedisorders.com/structured-interview-of-personality-organization.php


NORMAL


Identity:

Object Relations:

Defenses:

Aggression: 

Moral values:


Consolidated

Stable, complex, and enduring; able to integrate tender and erotic feelings

Healthy defenses predominate; No evidence of primitive defenses

No primitive aggression; control and modulation of aggression 

Consistent and flexible; no antisocial behavior


我非常確定,我不正常,


Neurotic I


Consolidated

Stable, complex, and enduring; difficulty integrating tender and erotic feelings

No evidence of primitive defenses, Repression-based and mature defenses predominate; some rigidity.

No primitive aggression; some evidence faulty modulation of aggression (e.g., minor self-neglect or occasional verbal outbursts)

Overly harsh and/or inflexible but fully organized and internalized; no antisocial behavior


Neurotic II


Consolidated; somewhat superficial sense of self and/or others 

Somewhat superficial, but enduring; some limitation in capacity for empathy; difficulty integrating tender and erotic feelings

Endorsement of primitive defenses is rare; Repression-based defenses predominate; some rigidity.

No primitive aggression; evidence of faulty modulation of aggression (e.g., minor self-destructive behaviors or controlling interpersonal style)

Organized and internalized but variable; self-critical attitudes and demanding standards may co-exist with disavowal of exploitative or minor self-destructive behaviors


Borderline I


Identity diffusion, mild

Split and/or superficial but with some degree of stability and integration, especially in non-conflictual domains

Combined use of splitting-based and repression-based defenses, significant rigidity and compromised adaptation.

Primitive aggression; aggressive behaviors largely self-directed 

Variable


Borderline II


Identity diffusion, moderate

Superficial and based on need-fulfillment; empathy impaired; little ability to sustain interest over time; widely split and unstable 

Predominance of primitive defenses with significant impairment; severe rigidity and grossly maladaptive defensive strategies

Primitive aggression; aggressive behaviors directed against other +/- against self 

Variable, generally poorly integrated and poorly internalized


Borderline III


Identity diffusion, severe

Based entirely on need-fulfillment, no empathy and no capacity to sustain interest in others

Constant use of primitive defenses; extreme rigidity and failure of adaptation

Primitive aggression with dangerous, aggressive behaviors directed towards self and/or others

No organized moral value system; antisocial behavior