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Abstract：
The insanity defense has been criticized with consequences for individuals with real mental illness. In the United States, several states have redefined the insanity defense by excluding antisocial personality disorder from consideration for the not guilty by reason of insanity plea. Four states have eliminated the insanity defense completely. The purpose of this article is to analyze the diagnosis of borderline personality disorder, its relevance in the courtroom setting, and how this speaks to the approach of the insanity defense in general. The history of the insanity defense, impulsive nature of borderline personality disorder, and the reasons that make personality disorders controversial are reviewed. The impulsive nature, and the association to childhood trauma, dissociation, and frontolimbic abnormalities support the continued protection of borderline personality disorder under the insanity defense. Knowledge of these facts will assist the forensic psychiatrist in effectively educating the courtroom about borderline personality disorder.
摘要：
精神错乱辩护受到批评，对患有真正精神疾病的人产生了后果。在美国,几个州重新定义了精神错乱的辩护，将反社会人格障碍排除在因精神错乱而无罪的考虑之外。四个州已经完全消除了精神错乱的防御。本文的目的是分析边缘型人格障碍的诊断，它在法庭设置中的相关性，以及这如何说明精神错乱防御的方法。疯狂辩护的历史，边缘性人格障碍的冲动性，并对人格障碍引起争议的原因进行了综述。冲动的性质，以及与童年创伤的联系，解离,和额边缘异常支持在精神错乱防御下继续保护边缘性人格障碍。了解这些事实将有助于法医精神病医生有效地对法庭进行边缘性人格障碍的教育。
