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학습 자료 둘러보기 →When a client with borderline personality disorder exhibits splitting by idealizing one nurse and devaluing others, the priority is to avoid reinforcing this defense mechanism. Acknowledge the underlying feeling without agreeing with the distorted content.
The most therapeutic response is to set consistent limits while redirecting the focus to therapeutic goals. For example, state, "I hear that you are feeling frustrated, but all our team members are here to help you. Let's focus on your coping plan."
Never agree that other staff are "terrible," as this constitutes collusion with splitting and can cause iatrogenic harm by undermining the treatment team. Avoid punitive confrontation or withdrawing care, which reinforces abandonment fears.
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