The diagnosis of “borderline personality disorder” is relatively new. Early physicians used the term “border” as a General name for patients “not eligible” under the usual diagnoses. And still for the doctors, the edge of the person – the most difficult patients. They even avoided and feared – more often than schizophrenics, alcoholics or other patients. Many therapists do not know how to treat borderline personality disorder.
“Ask people on the street about anxiety neurosis, depression or alcoholism, and they will likely be able in General terms, though not exactly in detail, to describe these diseases. Ask them about borderline personality disorder, and then, likely, you will get the answer uncomprehending look”. Indeed, BPD still remains in the shadows, and yet each of us meets with the officer in the street, at work, in the family, and someone sees it in the mirror.
“Unable to bear the paradoxes, borderline personality are themselves a walking paradox – a kind of vicious circle.” That’s why it was extremely difficult to determine a uniform set of criteria for diagnosis.
These nine criteria, the availability of five is enough to diagnose BPD:
- 1. Persistent efforts to avoid real or imagined abandonment.
- 2. Unstable and intense interpersonal relationships.
- 3. Insufficient or absent awareness of their own identity.
- 4. The manifestations of impulsivity in potentially self-destructive behaviors such as alcohol and drug abuse, shoplifting, reckless driving, overeating.
- 5. Repeated threats of suicide or suicidal gestures, intentionally-inflicted bodily harm.
- 6. Mood swings and over-reaction to situational stress.
- 7. Chronic feeling of emptiness.
- 8. Frequent and inappropriate displays of anger.
- 9. Passing associated with stress a feeling of unreality or paranoia.
The world of the “sentry” – black and white, there are heroes and villains, the third is not given. This splitting gives a spare outlet for their anxiety.
“Despite the constant torment caused by other people, borderline personality looking for new relationships, as privacy and even temporary loneliness for them is much more intolerable than cruelty. Avoiding loneliness, they will tend to bars for Dating, in the arms recently tried to flirt with them new friends, somewhere- anywhere – where you can meet someone who is able to save from the torture of their own thoughts”.
The problems faced by border guards close to all people. We are all afraid of being rejected, worried about their identity, sometimes feel a sense of emptiness. We, too, can fly into a rage, to be on the verge of self-harm. To a greater or lesser extent, we manifest the symptoms of borderline personality.
The line between “normal” and “abnormal” can be very thin. And the book is written so we can understand how the world looks to people with borderline disorder are able to treat them carefully, because, as noted by a leading expert of the March, Lionel, “People with BPD in psychology is an analogue of patients with third-degree burns. Roughly speaking, they simply missing the emotional skin. Even the slightest touch or movement can cause them unimaginable suffering.”