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Monday, February 07, 2005
  Still BPS.

More details straight from the DSM-IV criteria.

"(...) Individuals with Borderline Personality Disorder have a pattern of unstable and intense relationships (Criterion 2). They may idealize potential caregivers or lovers at the first or second meeting, demand to spend a lot of time together, and share the most intimate details early in a relationship. However, they may switch quickly from idealizing other people to devaluing them, feeling that the other person does not care enough, does not give enough, is not "there" enough. These individuals can empathize with and nurture other people, but only with the expectation that the other person will "be there" in return to meet their own needs on demand. These individuals are prone to sudden and dramatic shifts in their view of others, who may alternately be seen as beneficent supports or as cruelly punitive. Such shifts often reflect disillusionment with a caregiver who nurturing qualities had been idealized or whose rejection or abandonment is expected. (...)"
  17:23


Sunday, February 06, 2005
  Diagnosis at first sight.

Since I have lately been continuously confronted with a rather obvious case of Borderline personality disorder, I thought it might be a good idea to publish a few words on the illness. The article merely states the obvious. It is nevertheless insightful.

Speaking of insightful, I remember what my resident doc at the psychosis unit told me: "What separates the sane from the insane is the definite lack of self-reflection." Neurotic behaviour can be obvious to everyone around except the patient herself.

And specifically for Borderline, he told me to remember this sentence: "I hate you, don't leave me."

I may quote...

"(...) The one word that best characterizes borderline personality is "instability." Their emotions are unstable, fluctuating wildly for no discernible reason. Their thinking is unstable--rational and clear at times, quite psychotic at other times. Their behavior is unstable--often with periods of excellent conduct, high efficiency and trustworthiness alternating with outbreaks of babyishness, suddenly quitting a job, withdrawing into isolation, failing.

Their self control is unstable--ranging from the extreme self denial of anorexia to being at the mercy of impulses. And their relationships are unstable. They may sacrifice themselves for others, only to reach their limit suddenly and fly into rageful reproaches, or they may curry favor with obedient submission only to rebel, out of the blue, in a tantrum.

Associated with this instability is terrible anxiety, guilt and self-loathing for which relief is sought at any cost--medicine, drugs, alcohol, overeating, suicide. Sadly, oddly, self-injury is discovered by many borderline people to provide faster relief than anything else--cutting or burning themselves stops the anxiety temporarily.(...)"

Sounds familiar?
  20:25