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Archive for April, 2006

Six Feet Under

Last night I watched a “”Six Feet Under”" re-run on HBO. I noticed that when Brenda is in the bookstore before she has reckless sex with the author of (I think the book was called) “”The Myth of Romance”" her eyes drift over the shelves past “”I Hate You, Don’t Leave Me”". I believe the episode was “”Someone Else’s Eyes”" from season two of the show.

Adopted Children and BPD

This is a link to site positing that adopted children are often mis-diagnosed with Borderline Personality Disorder (BPD). Sometimes, BPD is characterized by an “”inability to connect”" with parents. In the case of adopted persons, the initial invalidation of being “”rejected”" by one’s birth parents can be a life-long struggle. I have found that in Family Support groups close to 40% of the children diagnosed with BPD were adopted. However, there is another theory that has been overlooked by this author. That is that the birth parents of these children may have exposed them to biological impulsivity. If the mothers of the adopted children are impulsive - having sex and getting pregnant when it is not possible to keep a child - is it likely that the impulsivity has been passed down to the child? Meaning, the parents (who may have BPD tendencies, since they are often young and impulsive and engaging in unsafe behaviors themselves) may biologically pre-dispose those children to emotional dysregulation and BPD. It is impossible to know whether these children would develop BPD if they had stayed with their birth parents, but, going back to the biosocial model, they may have biological factors from their parents that are furthered by the initial rejection. This is just a theory and not based on scientific evidence at all. I would agree that, given my experience with families of diagnosed borderlines, a large portion of the children are adopted. Certainly, more study is needed. I would just suggest that perhaps the unsafe and impulsive behaviors of their birth parents might also play a role in their development of emotional dysregulation. It is not necessarily all the “”inability to connect”" with the adopted parents.http://borderlinebyproxy.blogspot.com/2006/04/bpd-adopted-important.html

BPD and Purge Schemas

In a recent review of blogs about Borderlines - to see what else is out there and to review myths that are being put forth on the Internet - I found this comment about BPD:
Beck and Freeman (1990) describe three core cognitive schema present in BPD as “The world is dangerous and malevolent”, “I am powerless and vulnerable” and “I am inherently unacceptable.”

Beck is a CBT theorist who sets forth the “schema” approach to fixing the self. DBT uses the “emotional dysregulation” approach. What I found interesting about the above quote is that borderlines themselves identify with it as if it completely describes them. Clearly, the shame aspect is there (I am inherently unacceptable) as well as the fear aspects.

As for the “powerless and unacceptable” I find it interesting that borderlines also play the other side of the argument - that is, I am tough, I am powerful, etc. This aspect, I suppose, is why the whole “trip to Oz” myth came about - that they are the allpowerful wizard, but, as I have said in other posts, they are really Dorothy (small and meek).

BF Skinner meets Buddha with DBT

An article about DBT:

Underlying this skills-based approach is Dr. Linehan’s belief that borderline individuals are deficient in emotion management skills. According to her bio-social theory, borderline personality disorder results from a biologically based emotional vulnerability (high sensitivity, high reactivity, and a slow return to baseline) in combination with environmental factors that invalidate emotions over time and thwart the use of skills. This is a controversial departure from the psychoanalytic community’s view of borderlines as deficient in personality structure and personality functioning. In fact, Dr. Linehan advocates a name change for the much maligned borderline diagnosis, proposing instead the label of “”emotion dysregulation disorder”" and a reorganization of diagnostic criteria.

http://www.groupsinc.org/pubs/GC_0402_skinner.html

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