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Unusual choice for a headline Phillipa

Posted by Dinah on April 17, 2010, at 9:30:32

In reply to Borderline Personality Recovery Out of Reach For M, posted by Phillipa on April 16, 2010, at 21:48:27

I can see other, far more positive ways to summarize the article in one sentence. There were more positive than negative statistics in that article, I think.

I also rather wonder what group of patients they are talking about. Those who have been diagnosed with borderline personality disorder on this board already have decent or even very good vocational functioning, and the GAF score may already be over 61.

The research I've seen on DBT outcomes suggests that behavior changes enough that the patient minimizes the sort of additional pain that acting in certain ways might bring. But that the subjective scores of how a patient *feels* don't improve nearly as much.

To me, that makes perfect sense. I've always felt there were underlying biological disorders. Perhaps not the same ones for all patients. But ones that cause a lot of what Linehan talks about. Dysphoric feelings, easy arousal, slow return to baseline. Learning new ways of dealing with those feelings would minimize life disruptions. But they wouldn't actually make people feel entirely better. How could they if there are underlying biological issues?

 

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poster:Dinah thread:943634
URL: http://www.dr-bob.org/babble/psycho/20100405/msgs/943680.html