63-64) (I hate you, don't leave me review).
The last three chapters deal with treatment and coping skills, which presents an emphasis on communicating with the borderline client. The authors present a system designed to facilitate this and that is called Support Empathy Truth (SET). (p. 101-103). The first stage, Support, is a personal statement of concern about the borderline person. Empathy is an acknowledgment of the person's feelings. Finally, there is Truth, which recognizes the existence of a problem and addresses more practical issues of how to solve it. The SET system is used to defuse unstable situations. From there, the authors provide suggestions about how to cope with certain scenarios and characteristics of the borderline patient (I hate you, don't leave me review).
For many borderline clients bibliotherapy may be a helpful addition to psychotherapy because it would promote active participation in the therapeutic process even when the client is not actually in a psychotherapy session. This is especially important with borderline clients, whose lack of object constancy can lead them to feel abandoned by people who are not physically present. The authors describe a woman who carried a newspaper article that contained quotes from her psychiatrist and referred to it when she was under
They explain, "Seeing her doctor's name in print reinforced his existence and his continued interest and concern for her" (p. 53). In the same way, the assigned reading of a bibliotherapy book would remind the patient of her therapist's involvement and commitment to therapy. I Hate You - Don't Leave Me actually encourages the use of bibliotherapy books for this reason. The beginning of this book could be helpful to clients with BPD. The first few chapters provide more general information about the disorder and its development. Reading these chapters could help the borderline client by giving her information about the disorder and lessening her sense of being alone. However, this book may not be the best resource available for borderline clients themselves. A person who has BPD would benefit more from reading a book that deals directly with managing her own feelings than from one that advises others about how to deal with her (I hate you, don't leave me review).
Along with that, I Hate You - Don't Leave Me could be helpful as a bibliotherapy resource. This is because it provides information about the development and presentation of the disorder. Furthermore, it gives practical strategies for coping. The book is filled by case studies that further illustrate the concepts being discussed and give the reader a deeper understanding of borderline functioning even though it has some small drawbacks (I hate you, don't leave me review).
Borderline Personality Disorder Individuals with Borderline Personality Disorder are afflicted with a continual state of emotional conflict and chaos, often swinging from one extreme of emotion to another. Patients with BPD are traditionally known to exhibit symptoms of depression, anger and anxiety at varying times, and traditionally demonstrate self-injurious behavior. The road to treatment and recovery is often a different one, as traditional psychotherapeutic approaches often fail treating patients with DSM-IV.
People living with mental illness are often marginalized, demeaned, and seen as being outside the normal boundaries of society. For people with BPD, this is doubly painful as it reinforces their sense of worthlessness and victimization, and may even lead to suicide attempts. For those who can recognize they have BPD, yet not know how to deal with it, the social stigma may lead them to attempt to cope with
32) The overall diagnostic and symptomatic patterns described by these points indicate that BPD is a serious disorder and is "...classified as a major personality disorder involving dramatic, emotional, or erratic behavior; intense, unstable moods and relationships; chronic anger; and substance abuse." (Boucher, 1999, p. 33) There are a number of criteria which, in line with DSM-IV, are used to identify and characterize this disorder. The first of these criteria refers
Within ten years, many of these approaches will become closer and closer to reality. Currently, research into the biological basis of BPD is in its infancy. A great deal of concerted research is necessary to ascertain the specific impairment in the regulation of neural paths that modulate impulsivity, mood instability, aggression, anger, and negative emotions seen in the BPD patient. These are complex pathways, and it will require a significant
According to Philip W. Long, M.D., "During brief reactive psychoses, low doses of antipsychotic drugs may be useful, but they are usually not essential adjuncts to the treatment regimen, since such episodes are most often self-limiting and of short duration. It is, however, clear that low doses of high potency neuroleptics may be helpful for disorganized thinking and some psychotic symptoms. Depression in some cases is amenable to neuroleptics.
Etiology Borderline Personality Disorder (BPD), as is the case with several psychiatric disorders, is viewed widely as a consequence of the complex interaction of many factors such as psychological, neuroanatomical, neurochemical, and genetic factors. a) Genetic factors: There is growing evidence that BPD is genetic and can run in some families. A study of people with BPD has shown that the prevalence of BPD among the relatives of people suffering from the
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