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A new book: The power of validation

I haven’t read this book yet, but I plan to. Validation is very important, which is why I talk about it so much.

 




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A comment on change vs acceptance

An ATSTP list member responds to a question of whether another’s borderline wife will ever change because of emotional validation:

I found validation isn’t as effective until the underlying agenda tilts more towards acceptance rather than change.  This may sound strange, but after we accept that the situation may not change (and behave accordingly), it then grows room to change.

Ask Bon: Why do you emphasize emotional validation so much?

Emotional Validation and why it is vital for an effective relationship with a borderline.

Q:  Why do you emphasize emotional validation so much?

A: Emotional Validation is a very powerful skill, or set of skills, for any relationship with an emotionally sensitive person (ESP), including those with BPD traits. There are a number of reasons that emotional validation is important for a family member of someone with Borderline Personality Disorder. Emotional Dysregulation is a core feature of BPD. Another core feature is shame. If you invalidate a BP’s feelings, you are likely to fuel more shame, because they actually feel those emotions, whether or not they seem right or appropriate to you.

Validation is a tool that verifies that the other person’s feelings are valid, but doesn’t necessarily condone or agree with their behavior. Remember, the behaviors come from feelings, beliefs and “action impulses” so they can be separated from behaviors. You are not “giving into” the BP if you learn to validate their feelings.

With validation, you are basically saying, “Your feelings matter. It is OK to feel that way. It is normal to feel that way.” The way in which you validate someone else’s feelings is important. Many people believe that saying “It’s OK. I love you” or “You are safe with me” is a form of validation, but it is not. Those statements are about your attitudes toward the other person, not about his/her feelings. Validation is always about the OTHER person’s feelings, not about our own feelings.

Validation is not giving advice. In fact, if you do give advice when the other person is emotional, they are likely to get angry with you. People don’t like to feel that they are being told what to do about an emotional situation – that is quite invalidating. It feels like you are telling them how they should feel and they can’t control the emotions.

The process of Emotional Validation can be summarized as follows:

I-AM-MAD

1. Identify the emotions.

It’s best to do this with “feeling” words, like “look”, “see”, or “sound”, rather than “know” or “understand”.

Examples:

  • “I see that you are frustrated.”
  • “You sound aggravated.”
  • “You look really upset.”

2. Ask a validating question.

This encourages them to share their feelings about whatever triggered them.  Do not use “what’s wrong?”  If you use “what’s wrong?” they will hear “what’s wrong with YOU?”  Also, don’t assume you did anything wrong.  Remember, IAAHF (It’s All About His/Her Feelings).

Examples:

  • “What happened?” (most effective because it is open-ended, requires more than yes/no answer)
  • “Did something go wrong at work [school] today?”
  • “Want to talk about it?”

3. Make a validating statement about their emotion.

Validate the feelings expressed in step 2.  This helps reinforce that it is natural and valid to feel what they are feeling in the situation.  Again, remember IAAHF.  Don’t defend against blaming or projecting.  And don’t apologize at this point, even if you are guilty.  (Apologies for things you are actually guilty of can come later… after they have returned to their emotional baseline.)

Examples:

  • “Wow, it must have made you feel awful to have done poorly on that test.”
  • “Yes, it is frustrating when it seems that someone is taking advantage of you.”
  • “Yeah, that’s really disappointing.”

4. Make a normalizing statement about their emotion.

By relating the situation as common to all people or “normal” for them, this helps alleviate their stress about feeling judged or unaccepted.

Examples:

  • “I think anyone would feel angry if they had to do that”
  • “I would feel the same way if that happened to me.”
  • “I can see why you feel that way.”

5. Analyze the consequences of their behavior.

By examining the consequences of both negative and positive behavior with the person, you help them to separate their emotional reaction from their behavior. The behavior may need to be changed, but the emotions are natural and should not be punished for.

Examples:

  • “When you don’t ask questions about something that confuses you, I don’t realize that you are struggling, so I can’t help you. When you do ask questions though, I can either give you the information you need to solve the problem yourself or we can work together to figure out the best solution to the problem.
  • “When you yell at me, I feel disrespected and become upset too.  However, when you speak calmly to me, I know you have respect for me, so I am able to listen to you better.”
  • “When you refuse to talk to me, I don’t know what else to do except give you space.  When something is bothering you, it’s best to be open and honest with me so I know what’s going on and don’t make the wrong assumptions about what you need.

6. Don’t solve the problem for them.

Solving one’s own problems helps to build self-confidence.  Empower the person by getting them to come up with a solution themselves.  When given the opportunity in a non-judgmental setting, most people will find that they can come up with solutions to their problems.  You can guide them through this process by asking helpful questions to ascertain what they need or want.

Examples:

  • “How would you like to handle this?”
  • “What would help you make a better choice next time?”
  • “Is there anything I can do to help?”

(Note:  Sometimes you have to go back and forth to help them find the most effective solution. They may say, “I don’t know” or “I don’t care.” This can be tough.  Go back to step one to deal with any additional emotions that become apparent.)

 

Ask Bon: How do I balance validating somebody’s feelings with protecting myself or my children from emotional abuse?

Q: How do I balance validating somebody’s feelings with protecting myself or my children from emotional abuse?

A: This is an excellent question and one that I have grappled with for years. My wife’s behavior before I started down the path to effectiveness was off-the-charts and was affecting my children’s feelings of safety in our household. Numerous times I felt the only solution to protecting my children was to leave my wife and apply for full custody of our children. When my wife was “acting out” and/or in a rage around the children, I would take the kids to the library or to events around town. I worried that they would associate going to the library (a nice quiet place) with my wife’s raging. However, once I understood the reason for her raging, I also understood that there was a more effective solution to my wife’s behavior. The reason my wife was raging was because she had dysregulated emotional states that were painful for her, yet out-of-line with the evidence of the world around her. Still, these emotional states seemed quite real and justified to her. All of her life she has felt that her very being is under threat from those around her. This situation causes fear in her, but the fear quickly turns to rage and no-holds-barred behavior toward others, even those she supposedly loved. In fact, this dangerous and confusing behavior was worse with the immediate family. The reason is that she felt that her emotional states were not understood, not accepted and judged by those with whom she had the most at stake. If your immediate family doesn’t accept you, who will? This judgment and rejection was seen as a prelude to abandonment, rejection and confirmation of her shame. This situation made her frightened, desperate and angry. The anger then translated into rage from which much of the emotional abuse arises.

Behavior is most often conditioned and based on previous beliefs, reactions and conditions. I found that if you, as a loved one of someone with BPD, change the conditions, the behavior will change. If the emotions are accepted and validated, they don’t typically spiral out of control and trigger dangerous abusive behavior. It is not a question of right and wrong, like many people believe it is. It is a question of effective reactions and behavior on your part versus continuing to react ineffectively and, essentially, throwing gasoline on a raging fire. Better to put out the fire with water, which is a soothing elixir. Punishing a person for their feelings becomes translated into more shame since “all feelings all the time” is how they “are”. Rejection confirms that to the borderline that he/she is a bad person, which, in turn, causes more and more rage. Remember, however, that emotions and behavior are not synonymous. You can validate emotions without condoning the resultant behavior.

What about past abusive behavior? When will my borderline take responsibility for that? Should I let that go?

If I’ve learned anything about borderlines in the past five years, it’s that they generally know what they’ve done “wrong” in life, whether or not they will admit it to you. The shame component causes a “deepest, darkest” reflection about who they really are. When a borderline identifies with a particular role in life – such as being a mother – anything that threatens that identity is usually met with fire. Yet, on the flip-side of the defense of their very being, there’s shame, unworthiness and self-flagellation. It is most likely that your borderline will punish herself for the discretions she has committed. Of course, sometimes, the emotion-fueled behavior is not even remembered. It’s sometimes an emotional vomit session to get all the bad feelings out, to purge the nasty sickness of the painful emotions – of course,  those around them can get spewed on. When I said that it might not be remembered some time ago on the ATSTP list, I got a response from a recovered borderline that went “oh, we remember it. We just can’t run to the toilet when it is occurring. And we almost always see the mess that has been made and feel bad about it afterwards.”

My suggestion about “balance” between validation and protecting the children from emotional abuse boils down to the belief that, if the borderline doesn’t let the emotions run away with them, the abusive behavior will (almost) cease entirely. I still get raging from my wife every once in a while – maybe once every 4-6 months. It used to be once every 2-3 days, then it was 2-3 weeks, then once a month and so on. What I changed was the environment for my wife’s emotional expression. I stopped judging her. I validated her when she felt bad. I built a safe, accepting environment for her emotional life. One that she has never experienced before. It was not my “fault” that she felt that way – it was merely how is actually was in her life. I had to accept the reality of the situation and do what I could do to change it.

Several members of the ATSTP list have reported that once they “turned their mind” (and behavior/reactions) toward what I purpose in WHINE, the raging in their borderlines ceased. The Buddha said of dependent origination: “When this exists, that comes to be. With the arising of this, that arises. When this does not exist, that does not come to be. With the cessation of this, that ceases.” My suggestion to each of you is to cause the “ceasing of this” (the non-accepting, judgmental, invalidating environment) to insure that “that ceases” (the abusive, dysregulated behavior).

NOTE “Ask Bon” is a new category within this blog in which Bon answers burning questions about being a non-BPD from his perspective and with the skills an attitudes with which he was able to rebuild his relationship with his borderline wife. The opinions are Bon’s alone.

A Review of WHINE by someone with BPD

The other day I received a review on Amazon about my book When Hope is Not Enough from an individual who identified himself as a person with Borderline Personality Disorder (BPD). Here’s the text of the review:

Got BPD? Get This! Great for Everyone Who Needs Validation!, June 16, 2011

I have BPD and I love this book! I no longer walk around feeling like BPD is stamped on my forehead and everything I say or do is a result of my lousy emotional filtering. I can constructively offer suggestions to myself (or others) on how I would rather be treated or spoken to. I can laugh with myself and my partner when something my partner says today about 1 cup of noodles sets off a cascade leading back huge resentment about to 2 tons of dirt and threats of leaving —10 years ago. I am proud of myself as a unique person. I can notice feelings of shame without going down the tubes. My partner bought this book for herself and I love it FOR ME! I don’t feel criticized or judged. I feel validated. I am happy and proud. I’ve been dealing with BPD diagnosis for over 35 years and this book is so fantastic! Give it to your DBT therapist, family members, yourself. This is the only book I have ever written a review for. HIGHLY RECOMMEND.

I’m posting it here for more than just shameless promotion of my book (click here for the post on “Why I Bothered to Write a Book”). I’m posting it to point out that people with BPD generally like my work and approach to BPD. That’s more than can be said of Stop Walking on Eggshells which I know from the borderlines who I know despise SWOE. The reason seems to be that in WHINE, I promote something that one of my list members calls the “Platinum Rule” of interpersonal behavior. The platinum rule states “treat others like they wish to be treated” (as opposed, of course, to the Golden Rule “treat others as you wish to be treated”). People with BPD and other emotionally sensitive people wish to be treated in a particular way. They respond positively to a certain way of treatment. Sometimes I get people comment on my methods as being too “easy” on the borderline, “letting the borderline win”, “giving into the borderline” or “not holding the borderline responsible for their actions”. The reality is that when a person is being treated like they wish to be treated, most of the poor behavior will fall away. When someone feels heard and accepted, there’s no need to scream and yell to be heard and accepted. I heard a borderline daughter once tell her mother “you only listen to me when I’m screaming at you”. That sort of thing goes away when you actually listen and accept the person and understand what they are really saying. I believe that much of the trouble between borderlines and their loved ones is due to a communication problem. Borderlines speak one language, their families speak a completely different language. WHINE really seeks to give you the tools to be fluent in the borderline’s (or any  emotionally sensitive person’s) language. Several people on my list have reported that when they started speaking the borderline’s language, the raging, yelling and abusive behavior ceased – in some cases almost immediately.

I like to sell books as much as any other author. Yet, sales is not the reason I write or continue to write, here and on the ATSTP list. In reality, I continue because I discovered something that worked really well for me and wanted to share it with other people who were in the same predicament I was in a few years ago. And, of course, this review also demonstrates that even borderlines like WHINE, so the dread that you may have experienced when your BPD partner finds SWOE might be mitigated if your BPD partner finds WHINE (and actually reads it).




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Release date June 15, 2008.

I-AM-MAD Skill makes it to Partners in Wellness Blog

In the post “When Your Partner Says They Are In Pain, Validate” Kate Theda of the “Partners in Wellness” blog specifically used my I-AM-MAD communication skill to teach her readers about validation. Here is the intro for the log post:

After a period of dealing with a partner’s mental illness, compassion fatigue can set in. Yes, you still love your partner. Yes, you still care that they are not feeling well. But it can become difficult to empathize after a while, and you begin to wonder, “When is this going to end?”

While I can’t give you an answer on when–or if–the illness will abate, what I can tell you is that it is essential that if your partner says they are in pain, believe them. The pain could be emotional or physical, and either way, it is valid.

I could not agree more with that statement. Pain hurts even if he seems to you (the partner) as if it shouldn’t.

I wanted to thank Ms. Theda for sharing my tool with her readers. I’d encourage my readers to read her post. I’d also encourage you to check out the Emotional Validation Spotlight.

5th Anniversary of ATSTP List and Some Support for Non-BPDs

Today is the 5th anniversary of the Anything to Stop the Pain support list. After over 50,000 messages and 600+ members, it is still going strong. The ATSTP list is offered for free to non-BPDs. In honor of this momentous occasion, I will clip a response from me to a list member. Any personal details have been removed. The only thing blog readers need to know is that this man’s wife has been diagnosed with BPD and is asking him for a divorce. We also have a couple of recovered borderlines on this list and they are a valuable resource (as is noted here):

I believe that there is no right or wrong way to approach human emotions – there’s an effective way and an ineffective way and there are shades of grey in between those “polar” opposites. The effective way gets a positive outcome. That positive outcome is typically the return to baseline of the borderline and the establishment of a modicum of trust with others. One of the most important issues with borderlines seems to be the idea that they believe no one understands them (they feel “strange” – I said “broken” in WHINE, but I think that it was [a recovered borderline on the list] who clarified that it’s more like a “not feeling ‘normal’ and ‘fitting in’ feeling”), they can’t trust anyone with their emotions because many people have invalidated their feelings throughout their life and this leads to “silent desperation” and the inability to communicate effectively how they feel. If, through the use of my tools, you are able to gradually establish an environment in which your wife feels that she can safely express her emotions, which will go a long way toward establishing trust.

Secondly, you posted that you feel as through your feelings do not have a forum for airing and validation. Unfortunately for you, your wife sounds like a typical borderline. She is impulsive, she cuts, she abuses substances – especially painkillers. The divorce talk is probably born of either shame (“I will leave you before you leave me”) or of a feeling that she is being judged and/or disrespected (or not appreciated and accepted for whom she feels that she is). That leads to a certain mind-set that essentially makes her believe that, since no one has ever listened to her feelings before, she must dig in and hold on to her feelings as if she is the only person in the world. That is, “if I don’t fight for myself no one will”. This situation makes it difficult for you to express how you feel because she gets the message (even if it is not true): “YOU MADE me feel this way” because she thoroughly believes that about you. The reason she believes that you (and others, not just you) make her feel like she feels is that she is unable to self-regulate and looks to others to regulate her own emotionally states. When [a recovered borderline on the list] said something about her being more worried about what you think of her, she hit the nail on the head, because a borderline (and possibly for biological reasons) has a great deal of internal chaos and the usual strategy (also possibly biological) is to internalize other’s feelings and opinions about her self. It’s odd, yet I think that this dynamic is the one in which all the talk of not respecting boundaries arises. She feels at some level that you are actually a “part” of her, because she requires external validation. When that external validation turns to judgment, she has to cut you out of her mind. Sadly, she will continue to seek others (particularly men) to self-regulate until she can self-regulate.

As for IAAHF (“It’s all about his/her feelings”), one thing that many people read into that is that EVERY interpersonal situation is about her feelings and that she will not EVER be able to empathize with yours. This is neither the intent of IAAHF or the case. Borderlines are really empathetic (really no kidding they can be) but only when they are not on fire internally and emotionally. The intent of IAAHF is to EXPLAIN the “crazy” behavior, not to make a blanket statement about the relationship. When asked “why would she cut herself?” (for example) the answer is IAAHF. She’s in pain and the cutting helps alleviate that pain. Or asked “why is she raging at me over nothing?” (which happened to me the other night, presumably out of the blue). The answer is IAAHF.

First Search on IAAHF

I coined the phrase “It’s All About His/Her Feelings” (IAAHF) as a mentalization tool to understand the MOTIVATION behind much of the confusing behavior of those with BPD. Last week, I got the first search engine search on IAAHF. See below:

IAAHF

As you can see, I also get lots of searches on “famous people” or “celebrities” with BPD. I only post those types of articles to relate to those with BPD and their families that perhaps they are not alone in their struggles – perhaps (again it’s a maybe because the closest celebrity to actually come out and say he/she has BPD is Megan Fox – who speculated about it).

I’ve written a lot about IAAHF here. I also explain the concept and how it relates to validation skills in the I-AM-MAD communication skill. The concept of IAAHF is extremely important to fully understand if a non-BPD is going to understand what is going on in the emotionally dysregulated moments (EDMs). It takes some time to understand and to truly “get” it. For me, it was one to the most valuable perspectives on BPD and emotional dysregulation.

Sometimes, however, nons have a problem with this concept because they misinterpret it. Here is a brief note from “When Hope is Not Enough” (the second edition, on which I am working) about IAAHF:

I found that many people bristle at the idea that it’s “all about” the borderline’s feelings. Sometimes this formulation makes the Non-BPD’s ask: what about my feelings? (which, in a way, is a reformulation of “what about me?”). The intention of this concept is for you to understand the motivation of behavior, not the entire landscape of the relationship. There will be times in which the context of the relationship is about your feelings. Yet, when the “crazy” behavior takes place, it is most often motivated by dysregulated feelings and emotions. The purpose and intent of the behavior is to quell those feelings, even if it seems as if it’s your fault that those feelings exist. To understand and use this attitude properly, you have to remember that it’s (the behavior) is all about (motivated by) his/her feelings (dysregulated emotions that require calming/quelling of pain).

 

New Review of When Hope is Not Enough

Sometimes Love Hurts

I’m currently reading the book ‘The Essential Family Guide to Borderline Personality Disorder’ by Randi Kreger. This is the first book I’ve read on the subject & I’m finding it really helpful.

I started to research other books and found the one I’m ‘reviewing’ on the US Amazon website. There are lots of reviews of the book there and it made me decide to buy it as the reviews are very positive. So, if you want to read reviews before you buy this book, have a look on the American site.

I’ve now read the book! Just this minute finished reading it in fact. I have found it so very very helpful, not just with the tools Bon Dobbs gives you for improving your relationship with your BP loved one, but for improving their experience of life. It’s a book for being a kinder, more understanding, more enlightened person in all relationships I think.

The first book I read by Randi Kreger (mentioned above) was more about looking after yourself when in a relationship with a BP. Bon Dobbs’ book is about looking after them too. He says “a BP’s brain is working against them by upsetting the emotional regulation system. It is impossible for a BP NOT to feel those emotions. The emotions are not right or wrong, they just ARE. It is the behaviours that arise from the emotions that can be changed, and that is where we will focus our attention.”

The book is very practical and very intelligently and insightfully written, based on years of experience of living with 2 family members with BP (wife & young daughter). I am so grateful to the author for so generously sharing his experiences and the ways he’s found to improve life for his wife, daughter, the rest of the family & himself.

I have learned so much about why my own loved one developed BPD in the first place and what I can now do to help alleviate some of the suffering that goes with this condition.

The title ‘When Hope is Not Enough’ sounds a bit bleak, but what the book has given me IS huge hope! I now very clearly understand that my loved one needs validation of their feelings. The author has shown me that validating their feelings in no way compromises my own core value of acting with integrity – rather, it will enhance it.

The reason I find this review interesting is two-fold (beyond the thank-yous and the nice words about me): 1) I believe that the reviewer is correct about the nature of my book – it is for the relationship, not for the non-BP exclusively and 2) The reviewer is also right about the fact that you can enhance the relationship, through validation and other tools, without sacrificing your own value or values.

Book Review: Overcoming Borderline Personality Disorder



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Overcoming Borderline Personality Disorder by Valerie Porr is perhaps the most up-to-date and complete book for family members of people with BPD published to date. When I read the book, I couldn’t help but think that Ms. Porr had the therapists and mental health professional more in mind than the family members. It appears as though she is trying to dispel many myths about BPD that exist not only in the family environment but also in the mental health community. This book is steeped in scientific research, including research involving the biological under-pinnings of BPD. It includes many skills for family members from both DBT and mentalization based therapy (MBT). Clearly Ms. Porr is highly respected by the clinical community since many of the leading experts in research and practice in BPD treatment have written blurbs for this book. The book is quite dense and a must read for family members of those with BPD. Yet it might not be the best book to start with because of the complexity of the scientific research, the psychoeducational aspects and the technical details about the various therapies for those with BPD. Still, I highly recommend Overcoming Borderline Personality Disorder.