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Re: Hurtful diagnoses - to all yellowbird01

Posted by Dinah on January 15, 2009, at 2:18:02

In reply to Re: Hurtful diagnoses - to all, posted by yellowbird01 on January 14, 2009, at 19:00:50

I fought with my therapist for a year over his thinking schizotypal personality disorder fit me. I didn't want him to think my personality was disordered. It sounded like I wasn't a nice person to know.

I admit I brought it up far more often than he did. I mentioned it the first time because of something my least favorite pdoc had said. And I brought it up for at least a year after that on a regular basis. He rarely brought it up himself, but he refused to back down. To this day he has some things that he'll start to say then say "uh oh. I had better not say that. I know you hate it when I say that." Things like "transference" or "schizotypal".

The funny thing is that he's now backed off a number of his previous positions on the topic as he got to know me better and understand me better.

If she brings it up often, or brings it up in connection with your behavior, I think it's fair enough to ask how that's relevant. I think there are probably other ways for her to get her point across than to use labels.

It is a poor choice of terminology on the part of the psychiatric community, I think. I think the whole system should be revamped. I think it would be better to rename them "characteristic ways of coping". But they never listen to me at the DSM-V. After all, if Linehan is right, a major part of borderline personality disorder is easy arousal and slow return to baseline. That's biological. And some aspects of borderline personality disorder can be brought on with the "physostigmine challenge". That would tend to point to biological issues as well.




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