At 5:24 pm +1000 27/4/06, ash wrote:
Oliver wrote:
-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of David de Bhál
Sent: Thursday, 27 April 2006 4:34 PM
And WTF is "borderline personality disorder"?
Is it akin to borderline pregnancy or
borderline senility or borderline?
I think that it may have been invented since
you and I graduated. I wonder what the label
used to be for people who behaved in these ways.
sociopath i believe (or psychopath was the less demure expression)
Label first introduced officially in 1980 DSMIII.
Definitely not sociopath. Perhaps "suicidal",
"non-coper", "pain in the ...". I recall when I
was a student they had the label of "too hard to
deal with" from psych registrars.
If you want to help these people, you could read:
Marsha Linehan on "dialectic behaviour therapy"
(a newish term not on the cover!)
http://tinyurl.com/l6kle
Russel Meares on "self psychology"
http://tinyurl.com/jj9cn
And remember that a large number of "borderline"
patients have suffered significant childhood
trauma (sexual/physical/emotional).
Also search for "borderline" on this page, which
is a fabulous site for complete exploration of
trauma, including full text of all major research
papers:
http://www.trauma-pages.com/pg4.htm
Major issues include:
* boundaries
* trust
* control
So attaching a label and not telling them about
it is a serious problem, which helps perpetuate
their aberrant behaviour.
"Borderline" patients are a long-term project
that can be helped towards cure. I have a couple
of them who have eventually been relabelled
correctly as "dissociative" rather than
"borderline" and are moving towards cure after a
long trail of different psychiatrists over
decades who didn't manage to help them. It seems
they often fall over at "...that was a long time
ago...get over it...."
Ian.
--
Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
Health Informatics Consultant, Brisbane, Australia
Internet: [EMAIL PROTECTED]
(for urgent matters, please send a copy to my
practice email as well:
[EMAIL PROTECTED])
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