Monday, April 1, 2013

Borderline Personality Disorder Origins


The borderline personality pattern is formed in a family dynamic where frequent boundary incursions and crises make it difficult for the child to establish a reliable identity. Rather, the child experiences confluence with the parent, in which thoughts and feelings are all tangled into knots. It seems impossible to establish where one’s identity begins and another's ends. This amorphous merging prevents the child from successfully developing either attachment or individuation. Lacking sufficient self-boundaries, the child is stuck in an undifferentiated limbo. Communications are taken personally and reacted against, rather than responded to or understood.

Family Chaos

The child interprets these garbled communications as his or her fault or the fault of others. Parents may act out through incessant arguing, drunken fury, physical combativeness, suicide attempts, or incestuous abuse. The child learns to become center-stage in this chaos, discovering how to create a similar chaos in others.

Family members perceive attempts toward autonomy and individuality as betrayal, and punish the child accordingly. With no Self Compass for balance, the child remains dependent upon family members while feeling rage against them for the invasion of one’s personhood. Inner pain that erupts in volatile explosions seems perfectly normal.

CLINICAL LITERATURE

Schneider first employed the term “labile” to accentuate the volatile nature of the borderline pattern. Indeed, this term is more descriptive than “borderline,” capturing the pattern’s predictable inconsistency.

Stern characterized this pattern as a “borderline group of neuroses” exhibiting contradictory traits: narcissistic grandiosity combined with feelings of inferiority, and psychic rigidity combined with inordinate hypersensitivity. Stern coined the term “psychic bleeding” to convey the anxious desperation that drives this unstable pattern. 

Schmidberg viewed the borderline personality as “stable in his instability, whatever ups and downs he has, and often keeps constant his pattern of peculiarity.” More recently, Kernberg has described the pattern as a “mutual dissociation of contradictory ego states.” 

COMPASS THERAPY INTERPRETATION

Borderline Self Compass: Dr. Dan & Kate Montgomery

The self-system of the borderline pattern fluctuates drastically as emotional explosions are interspersed with the boundless need for reassurance. When caught in the grip of anxiety (Weakness compass point) or longing for nurturance (Love compass point), the person seeks assurance in the manner of the Worrier or Pleaser patterns. This sends others an SOS signal that elicits a desire to rescue the borderline patterned person from depression or loneliness. But since one demands assurance that is absolute and comforting that is perfect, these demands can never be met.

Then self-righteous judgment erupts. Furiously accusing others of neglect, disregard, and untrustworthiness, one’s behavior then more closely resembles that of the Arguer and Boaster patterns.
“Just look at this pizza. The crust is thick! You know I like thin crust. Some treat you brought me. You did this just to make me miserable. Well, you succeeded admirably. I’ll never trust you again!”
  • Extreme lability of affect, erratic shifts between neediness and aggression, and a lack of basic trust make the Self Compass highly unstable. 
  • Such instability is accentuated by the ever-present but contradictory feelings of dependent anger and anxious superiority toward others. 

For more read:
Christian Psychology In Action 
and

 
Compass Psychotheology