Die repetitive thermische Selbstverletzung im Rahmen der Borderline-Persönlichkeitsstörung

Zusammenfassung

Selbstverletzungen stellen eines der Hauptkriterien der Borderline-Persönlichkeitsstörung dar. Dabei bedürfen thermische Verletzungen von Borderline-Patienten der Behandlung des plastischen Chirurgen, der sich aufgrund der komplexen psychiatrischen Störung der Patienten insbesondere bei repetitiven Verletzungen einer sein Fachgebiet überschreitenden Herausforderung gegenüber sieht. Diese ist nur durch eine multidisziplinäre Behandlungsstrategie zu bewältigen. Anhand von 3 Fallbeispielen soll die Problematik der Behandlung im Spannungsfeld zwischen dem Bestreben nach einer optimalen plastisch-chirurgischen Behandlung der thermischen Verletzung einerseits und der Limitierung dieser Behandlung aufgrund der akuten psychischen Situation der Patienten andererseits dargestellt werden.

Abstract

Self-mutilations are one of the major characteristics of patients with borderline personality disorder (BPD). Thermal injuries of BPD should be treated by a plastic surgeon who is faced to a challenge in the plastic-reconstructive strategy because of the most complex psychiatric disease. This means the need of a multidisciplinary strategy. Based on 3 case reports such conflict between best plastic reconstructive treatment of the burns wound and the psychiatric limit with the appropriate therapy options are presented.

Schlüsselwörter

Borderline-Persönlichkeitsstörung - Selbstverletzung - Wundmanipulation

Key words

borderline personality disorder - self-mutilation - wound manipulation

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