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Re: That's ok. There's no need for you to get it. » fires

Posted by littleone on December 12, 2004, at 22:16:35

In reply to Re: That's ok. There's no need for you to get it. » gardenergirl, posted by fires on December 12, 2004, at 21:19:18

Fires,

I don't really understand what point you are trying to make. Of course people with BPD (and other people with similar issues) are going to seek treatment and deal with T's and MD's and whatnot.

And of course it's possible that problems will arise from these dealings (eg lawsuits, transference, you name it).

But T's are trained to deal with this (although MD's probably aren't). Are you suggesting that people with BPD should just live out the rest of their lives in a hole somewhere so they won't cause interpersonal problems?

The whole idea of therapy is for the person to go along and have these problems raise their ugly head and to deal with the issues and break the patterns that are prevalent in these people lives.

You mention this lawsuit with an MD you know. This could have just as easily been a lawsuit against a work boss or colleague or teacher or just about anybody. One way to prevent this from happening is for the person to get therapy and address their issues.

And for that to happen, the person in question has to interact with members of the medical/psych community. Regardless of what interpersonal problems this interaction may illicit.

> > > I think it matters because:
> > >
> > > My former MD, a specialist in TRPs, had a bpd patient file a bogus lawsuit against him because he refused to have an affair with her.
> > >
> > > p. 34 "Tuning the Brain"
> >
> > I hardly think that one must have bpd to file a bogus lawsuit.
> >
> > gg
>
> No, but given the following "symptoms", I'm sure it must help:
>
> Diagnostic Criteria
> A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
>
>
>
> frantic efforts to avoid real or imagined abandonment.
>
> Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
>
>
> a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation
>
> identity disturbance: markedly and persistently unstable self-image or sense of self
>
>
> impulsivity in at least two areas that are potentially self-damaging (e.g., spending, sex, substance abuse, reckless driving, binge eating).
>
>
> Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
>
>
> recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
>
>
> affective instability due to a marked reactivity of mood (e.g., intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days)
>
> chronic feelings of emptiness
>
>
> inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights)
>
>
> transient, stress-related paranoid ideation or severe dissociative symptoms
>
>

 

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URL: http://www.dr-bob.org/babble/psycho/20041210/msgs/428621.html