Showing posts with label borderline personality disorder. Show all posts
Showing posts with label borderline personality disorder. Show all posts

Wednesday, December 1, 2010

That’s crazy talk!

Mirror cat There has been a big shakeup in the psychology world this week! And certain people might not be very happy about their very important diagnosis getting the boot.

The new edition of the DSM (Diagnostic and Statistical Manual of Mental Disorders) will eliminate five personality disorders, including Paranoid, Schizoid, Histrionic, and Dependent. But the real biggie, the one getting all the attention (naturally), is Narcissistic Personality Disorder. *gasp* NO! How will all those narcissists deal with being told that they don't rate their own personality disorder any longer? This could be very damaging to them.

This decision is causing a lot of disagreement among psychologists and psychiatrists. The rationale is that a patient can be diagnosed with a personality disorder with elements of the various disorders that have been eliminated. A smorgasbord, if you will, of personality disorder symptoms. Practicing psychologists and psychiatrists feel that there is a wide gap between what researchers see in their studies and what they see in their practices, and are none too happy about this decision. Although psychology is a bit of a hobby of mine, and I've read a few books about it, I am by no means an expert, so can't really comment on whether this is a good decision or not.

However, as someone who has been accused in the past of being a narcissist, I can certainly comment on that. I'm really not sure what prompted this person to decide that I am a narcissist, since I really don't fit the pattern of Narcissistic Personality Disorder symptoms (RIP, NPD). I think all of us exhibit certain of these behaviors at times; I am definitely easily hurt, and can appear unemotional at times. However, there is a big difference between exhibiting certain behaviors that many of us show at times, and being classified as having a personality disorder. I can only put on my psychologist hat and wonder if that accusation wasn't a classic case of psychological projection. Hmmm. There is also a big difference between exhibiting a healthy sense of self and self-worth, having self-confidence, and being a narcissist. While looking for a picture for this entry, I saw several that portrayed President Obama as being a narcissist. I think that is just silly.

He is obviously very self-confident. What politician isn't? I would think it's a prerequisite for the job. As for myself—and no, I am not comparing myself to our President—I worked hard to get past my feelings of inferiority, my self-doubts and insecurities. Although I still have those things, I have tried to replace them with a stronger self-confidence and a faith in my own abilities. My job did a lot to help me with that. I was good at what I did, but a lot of that came from my dedication towards learning as much as I could and keeping up with changes. My supervisor placed a lot of faith in me, giving me extra tasks and pushing me to learn more. I'm pretty sure that she was happy with my efforts. I have never pretended to know it all. Good grief...my Bachelor's degree doesn't qualify me as an expert! But I think it's okay to have confidence in your abilities, knowledge, and experience, as long as you have the equal and ever-present realization that there is always, always more to learn.

Does that make me a narcissist? I don't believe it does, and I would be interested to see if any psychologist would diagnose me as such. I saw one several years ago, and I wasn't diagnosed then, so I'm not sure what the person I mentioned previously based their diagnosis on. However, they might be happy to know that both borderline personality disorder and obsessive-compulsive personality disorder (not the same, but related to OCD) are still in the DSM!

Wednesday, January 14, 2009

Insane in the Membrane


First, an erratum: The hotel that Howard Hughes was staying in when he was so vexed by the glowing silver slipper was Wilbur Clark's Desert Inn (one of the first on the Strip), not the Frontier. Never let it be said that I don't strive for accuracy! Besides, I don't want to be responsible for anyone losing a game of Trivial Pursuit, although I'd be very surprised if that is a question. [wink]

When I was working out today, I was reading the latest issue of Time, and there was a fascinating article about Borderline Personality Disorder. I didn't study Psychology, except for a course in college that I enjoyed very much, but it's always been a sort of hobby of mine. (Most people pick things like scrapbooking...I pick Googie--which I will soon explain further--and Psychology.) Dissociative personality disorder (i.e., multiple personality disorder) was always particularly interesting to me, but a few years ago I had reason to become acquainted with Borderline Personality Disorder, heretofore referred to as BPD. (Not to be confused with Bipolar Disorder, which is completely different.)

I was once close to a person who I came to believe had BPD, and I've encountered another since then who I also have reason to believe suffers from this disorder. As I said, I'm not a psychologist, but my sister Diana got a degree in Social Work and also believes that one of these people (she's never met the other) has BPD. I had an epiphany one day when I was reading a blog in which a woman was writing about her ex and his diagnosis of BPD, and the behavior that he exhibited and things that he said. One phrase in particular jumped out at me: "If you left me, I don't know what I'd do." On the surface, this seems like a fairly innocuous statement of devotion, but considering the other behaviors I was witnessing, it wasn't harmless at all: it was an implied threat, although it was uncertain as to whether to him or me. (I heard later that after I left, he had some sort of emotional breakdown and had to be taken to the ER.)

I found that the emotional upheaval of implied harm was intolerable. Not only did I wonder what he might do to me, he was using emotional blackmail to keep me from leaving. An unspoken, "If you leave me, I might hurt myself." As you may have figured out by now, this gal doesn't play that game. I have no patience and no tolerance for that kind of blackmail, especially in someone who professes affection for me. I got away from that, obviously, but I have since encountered similar behavior, and it's equally as disturbing and manipulative.

When I talked to Diana about this years ago, she said that BPD is one of the hardest disorders to treat, and can take years of behavioral therapy. The Time article confirmed that. Psychologists and psychiatrists dread having to treat a person with BPD, but there is a new therapy that is apparently showing promise. It's called dialectical therapy, and includes individual therapy, small group therapy, and case management in which the therapist works closely with the patient to help them modify their behavior. Drugs have shown very little effect in the treatment of BPD.

In the past, the number one characteristic of BPD patients was considered to be simply "anger." Today, diagnosis is made when at least five of these criteria are met:

1. Frantic efforts to avoid abandonment
2. Unstable relationships
3. Unstable self-image
4. Impulsivity
5. Recurrent suicidal behavior
6. Mood instability
7. Chronic feelings of emptiness
8. Inappropriate anger
9. Stress-related paranoia

Based on these criteria, both of the people I have in mind probably have this disorder, although as far as I know, they haven't displayed suicidal behavior (which is common in those with BPD). Another article I read a while back spoke of the tendency to put others on a pedestal and display an almost fanatical sense of devotion. (The guy I knew set up a veritable shrine to me, with several 8x10 pictures up, and even a few 11x14 pictures. That's a little creepy, believe me.) When the threat of abandonment looms, devotion turns to extreme anger and volatility, and equally fanatical hatred.

I have no answer as to how to deal with those who have this disorder. It's sort of like the old joke: "How many psychologists does it take to change a light bulb? Only one, but the light bulb has to want to change." I remember that when we attempted separate counseling, my tests came back showing that I was psychologically healthy other than a slight tendency towards addictive behavior. His comment was, "I knew it would come back that way. It's never your fault or their fault, it's always MY fault." (See #9 above.) This is only a guess, but I'd be willing to bet that these people are, on the surface, fairly capable of exhibiting normal behavior. I know that this person was certainly different around others...there was often inappropriate behavior and comments, but it was tolerated. His behavior in private was much more volatile (see #1-4, #6, and #8 above). The bottom line was that he mostly believed that there wasn't anything seriously wrong with him. When he realized that there were issues, he still didn't comprehend that it was something he really needed help with, and that it couldn't be solved with medication alone. I suspect that while they may realize deep down that something is screwy with them, and that things never seem to work out right for them, it's probably very hard to admit that some pretty intensive therapy is necessary.

I'll get back to a lighter subject tomorrow, I promise. Reading that article just made me think about my previous life.

Friday, October 24, 2008

Only words?

I think I'm going to go back to a smaller font. Actually, this is just the normal size, but I'd been using "large." For some reason, I can't get comfortable with these fonts. I'll keep experimenting.

Ken is still snoozing--he had a very long day yesterday!--but I was laying there wide awake, so I thought I'd get up. It was a restless night, because I woke up a couple of times when I heard something outside. There are a lot of leaves in our front yard, and something was walking through the leaves outside our bedroom window. From the sound of it, it was a decent size, and from the cadence of the steps (step step step...pause...step), I'd guess it was a deer. At least I hope that's what it was. I suppose it could have been The Mummy. Sheeba heard it, too, and he sat up from his spot by my legs, and ran out of the room. I'm not sure to what purpose, but it's good to know he's vigilant!

Even though the sound of the rain was soothing, I couldn't go back to sleep, because I started thinking about the entry I want to make. Our friend Indigo writes occasionally about her past experiences at the hands of an abuser. It's no secret; she's open and honest about it, and she has become an advocate for those who find themselves in a similar position. One of the things I admire in her is her seemingly endless ability to not only survive, but to do so with grace and humor, and her unfailing need to help others if she can. Note the hotline number on the graphic and write it down if you need to. Indigo is currently asking for anyone who wants to participate to contribute their own story in the hopes that if someone finds themselves in an abusive relationship, they will know that they are not alone. It happens all the time, unfortunately, and maybe there is someone out there who will find strength in numbers, and know that there are people who have managed to get out of such relationships and have not only survived, but thrived. So here's my tale, and sorry about the length.

I'm fortunate in that my experience didn't include physical abuse (although it was edging dangerously close...more later), but I think everyone knows that verbal and emotional abuse can also cause harm. This particular guy (heretofore known as the ex) had a family connection which I won't go into, but that complicated things further. My sister warned me, but I foolishly ignored her and did what I wanted to do. I moved to be with this guy, and we eventually bought a house. Well...I bought a house. The deed was in my name. Before I moved, there were a couple of signs that something wasn't quite right, but I didn't think much of it. An increasingly sullen look, silence, followed by an irrational argument about something trivial...like I didn't wear what he thought I was going to wear when we went out the night before.

After we moved in together, those incidents got more and more frequent, and more intense. What started as arguments turned into shouting matches. I felt attacked and felt that I had to fight back, turning me into something I'm not. I made the mistake of telling him that I really hate to be called a bitch, so when the next argument occurred, he got in my face and very deliberately said, "BITCH." I can still see that triumphant look in his eyes, a sort of look that said, "There. I said it. Now what are you gonna do about it?" If I would try simply to get away, go in another room, he'd follow me and continue. If I tried to go to bed, he'd keep talking, and we'd be up until 3 or 4 in the morning, continuing these ridiculous arguments. This would continue for up to 3 days sometimes, until whatever rage was percolating in his mind was dissipated. Then came the tears. I'm so sorry, I'll never do it again, I looooooove you soooooo much...I'd die without you.

Until the next time. The silence would begin, the pouty look, and I knew it was coming. It got so that I was afraid to go home from work, because I never knew what I'd find. Sometimes I'd even get a phone call while I was at work, and I could tell by what was said and the tone of voice what I'd be facing when I got home. The name-calling escalated, and I went from just a plain old bitch to a cold-hearted bitch, and I eventually graduated to a f***ing c***. I got shoved a couple of times, and got kicked in the arm. When I got kicked I went cold, and at that point I said, "You will never again kick me or strike me like that. I mean it. Do you understand me?" Tears again. Dropping to his knees, crying, I'm so sorry I'll never do it again I love you...I'd die without you.

Then it was counseling. The guy he saw put him on medication for manic-depression, but that did no good. Next was Valium, I believe, and that seemed to take a bit of the edge off, but the attacks didn't go away. When my psychological testing came back and said that I was a normal, healthy individual (with a slight tendency towards addiction--I'm an ex-smoker, remember), he said, "I knew they'd say that. It's never you, it's always me." Nothing was changing, and it finally got to the point where he asked me if I even wanted to be in this relationship. I took a deep breath and said, "No. I want out."

And I didn't leave. I wonder why now. I suppose part of it was that I'd bought this house...how was I going to get out? Part of it was I didn't want to hurt our families. There was definitely an element of not wanting to admit failure. So I stayed. But the writing was on the wall, and it wasn't much longer. One evening after work, he started in on me, and as he was walking past me on his way to another room, he muttered, "You stupid shit."

Okay, I can laugh about this now, because after all the things I'd been called, this was what caused me to snap. I went running after him, pounded him on the chest, and yelled, "Don't call me stupid!" Ha ha ha! The fact that this illiterate asshole (who often used the word "literately" when he meant "literally") called me "stupid" was the straw that broke the camel's back! I knew I was going to be leaving soon, I just had to figure out how to do it. The decision was taken away from me later that week. I had been corresponding online with a guy in another city, and I got a call at work from the ex...he had found those emails. (My friend Bruce told me later that if I'd tried to hide those emails, I hadn't done it very well, and he thought that it was probably on purpose. I think he was right.)

It got pretty ugly from there. My sister came over and tried to talk to us, the ex alternated between rage and tears, and he said some pretty ugly and embarrassing things about me in front of my sister. She told him to leave so I could get some things together and we'd get out of there, and she told me not to worry about what he'd said. She knew he was just trying to hurt me. (Have I mentioned that I love my sister very much?) I spent a week with her, then stayed with my parents for a couple of months until my new apartment was ready. There were a few phone calls that took place, including one in which he said, "I'm sick. I'm mentally ill. Whatever happened to stand by your man?" I believe my reply was something like I hoped he could get some help, but that I just couldn't live like that. When he knew I wasn't coming back, he told everyone he talked to what a horrible person I was. I'd walk into a book store, and someone I'd briefly met at a museum function would say, "I saw your ex the other day! Boy, he is really upset about this and talked my ear off about it." My Mom talked to one of their neighbors who worked at a furniture store, and she said, "Your daughter's ex was in the other day...he said that when she left she took everything." (I'd taken the furniture I had before and left everything else, including my washer and dryer.) It went on for several months, and Mom told me, "Honey, the people that really know you will know the truth." Good advice, and she was right. My folks saw him at one point and Mom tried to be nice to him. She said, "I bet you kind of miss Beth Anne, huh?" He said, "I miss her money!" Classy. He got a loan and bought me out of the house, and I was DONE!

I heard that the ex (thank goodness I didn't marry him) broke down shortly after I left and had to be taken to the emergency room. As far as I know, he's doing okay now (I don't think he's ever gotten remarried, after his first marriage well before I came into the picture), but on the rare occasion that I see him at a family function, he flees the scene right after I arrive. Hmm! My sister Di has a degree in Social Work, and she told me later that she thinks the ex has borderline personality disorder, and that's one of the hardest things to treat. I didn't think much about it at the time, but some time later I was reading a web site where the woman was writing about her ex-husband's BPD. Almost every symptom and behavior fit my ex, from alternating between worshipful behavior and hatred, down to that exact phrase: "I'd die without you." So was it heartless of me to not "stand by my man?" Hell to the no! It was obvious that things would have continued to escalate, and it was equally obvious that he thought the problem wasn't with him...it was with me. And apparently every other woman he'd dated before me, who also couldn't stand to be with him for any length of time.

I believe you can always find the silver lining in a situation. While it was not a fun experience by any means, it told me that there was no way I could stomach being in that kind of a volatile relationship. When I met Ken, he had experienced some similar things (where you try to get away from the arguing, and they follow you), and also wanted no part of that. So based on our shared experiences, we knew that we both wanted no drama, no fights, no shouting matches. Remember me saying that past relationships brought out the worst in me? That's what happened with that ex. The opposite holds true with Ken, and part of that is probably because of what happened to both of us in previous relationships. I made it clear to him early on that name-calling, even in jest, was not cool with me, and he understood and doesn't do it. I appreciate that.

Maybe there are some who get off on the drama, who get a charge out of the adrenaline that comes with a fight. Hey, have a ball. Knock yourselves out, so to speak. I'll get my adrenaline rushes elsewhere.

I remember talking to my friend Pam at work about a lot of this stuff when it happened, and a few years later on. She told me that I'm about the last person on earth she'd expect to put up with that kind of stuff, and we agreed that it just shows that it can happen to anyone. It probably happens a lot more than we know. If you feel uncomfortable with such behavior, say so. If it doesn't stop, start thinking about why it isn't stopping. They either don't respect you enough to understand that it is hurtful, or they can't control themselves. The former is something you'll have to decide whether or not you can tolerate. The latter is dangerous, because after a while, they won't be content with just verbal and emotional injury.

Every human being deserves better than that.