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Yıl:1997; Cilt: 34; Sayı: 3>> Özet
Nöropsikiyatri Arşivi; 1997;34(3):113-122
Topluma Karşı ve Sınır Kişilik Bozukluğu Olgularının Kendine Zarar Verici Davranış Açısından Kıyaslanması
N Tarlacı, S Türkcan, D Yeşilbursa, Ö Saatçioğlu, M Yaman
Bakırköy Ruh ve Sinir Hastalıkları Hastanesi
Gerekçe: Kendine zarar verici davranış bir­çok psikiyatrik bozukluğa eşlik etmektedir. Kendine zarar verici davranışın hafif şekilleri­nin sınır kişilik bozukluğu ön planda olmak üzere, topluma karşı ve histrionik kişilik bo­zukluklarında da sık görüldüğü bildirilmiştir. Sınır, topluma karşı ve histrionik kişilik bo­zuklukları, DSM-III-R ve DSM IV'de kişilik bo­zuklukları sınıflamasının B kümesinde yer al­makta olup, bu grupta dürtüsel ve saldırgan özellikte davranışların yaygın olduğu belirtil­miştir.
Yöntem: B kümesi kişilik bozukluklarında kendine zarar verici davranışın özelliklerini belirlemeye yönelik olarak, Bakırköy Ruh ve Sinir Hastalıkları Hastanesi'nin psikoz birim­leri dışındaki birimlerine dört aylık bir sürede yatırılan tüm hastalarla (n=1328) görüşül­müş, SCID-II ve anket formu uygulanmıştır. B kümesi kişilik bozukluğu saptanan 108 hasta araştırma kapsamına alınmıştır. Bu ol­gulardan kendine zarar verme davranışında bulunan 26 topluma karşı kişilik bozukluğu ve 23 sınır kişilik bozukluğu olgusuna ilişkin veriler kıyaslanmışür.
Sonuçlar: Sınır ve topluma karşı kişilik bo­zukluğu grupları arasında kendine zarar ver­me davranışının özellikleri açısından çeşitli farklılıklar saptanmıştır. Topluma karşı kişilik bozukluğu olguları sıklıkla koşulları değiştir­meyi ve diğer kişileri yönlendirmeyi amaçlar­ken, sınır kişilik bozukluğu olguları ise kendi­ni cezalandırma amacıyla davranmakta ve
Comparison of Characteristics of Self-Mutilative Behaviors in Antisocial and Borderline Personality Disorders
Objectives: It is known that self-mutilative behaviors are common in psychiatric disor­ders. Mild forms of self-mutilative behaviors are widely reported in personality disorders, especially in borderline personality disorder, antisocial personality disorder and histrionic personality disorder consequently. Impulsive and aggressive behaviors are frequent in B cluster personality disorders, which were classified in DSM-III-R and in DSM-IV. Method: In order to find out the characteris­tics of self-mutilative behaviors in B cluster personality disorders, all non-psychotic pati­ents (n=1328) whom were admitted to the psychiatry services of Bakirköy State Hospital for Psychiatric and Neurological Diseases du­ring a 4- [month] period were interviewed, SCID-II and a questionnaire were given to subjects. 108 patients with cluster B perso­nality disorder were identified. In this group 26 of the antisocial and 23 of the borderline personality disorder subjects had self-mutila­tive behaviors. Characteristics of self-mutilati­ve behaviors of antisocial and borderline per­sonality disorders were compared. Results: Various differences are found in the characteristics of self-mutilative behaviour between the groups of antisocial and border-

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