I Hate You--Don't Leave Me: Understanding the Borderline Personality
Jerold J. Kreisman, Hal Straus
Language: English
Pages: 288
ISBN: 0399536213
Format: PDF / Kindle (mobi) / ePub
A revised and updated edition of the bestselling guide to understanding borderline personality disorder.
After more than two decades as the essential guide to Borderline Personality Disorder (BPD), this new edition now reflects the most up- to-date research that has opened doors to the neurobiological, genetic, and developmental roots of the disorder as well as connections between BPD and substance abuse, sexual abuse, Post-Traumatic Stress Syndrome, ADHD, and eating disorders.
Both pharmacological and psychotherapeutic advancements point to real hope for success in the treatment and understanding of BPD.
This expanded and revised edition remains as accessible and useful as its predecessor and will reestablish this book as the go-to source for those diagnosed with BPD, their family, friends, and colleagues, as well as professionals and students in the field.
5-4 Borderline Dilemmas The SET-UP principles can be used in a variety of settings in attempts to defuse unstable situations. Following are some typical borderline predicaments in which the SET strategy may be used. Damned If You Do, and Damned If You Don’t Borderline confusion often results in contradictory messages to others. Frequently, the borderline will communicate one position with words, but express a contradictory message with behavior. Although the borderline may not
as an extension of himself—who strikes out with the bases loaded. Although these examples may describe borderline-like traits in some people who in fact are not borderline, when these behaviors are extreme or represent a consistent pattern, they may be indications of a true borderline personality. The borderline’s intensity interferes with his ability to relax and have fun. Others’ attempts at humor may frustrate him and make him angry. It is virtually impossible “to kid him out of it.” If you
primary principle. Instead, she sometimes approaches treatment as if the purpose were to please the doctor or to fight with him, to be taken care of or to pretend to have no problems. Some patients look at therapy as the opportunity to get away, get even, or get an ally. But the real goal of treatment should be to get better. The borderline may need to be frequently reminded of the parameters of therapy. He should understand the ground rules, including the doctor’s availability and limitations,
psychotherapeutic approaches and medications targeting specific symptoms. While at one time BPD was thought to be a diagnosis of hopelessness and irritation, we now know that the prognosis is generally much better than previously thought. And we know that most of these patients leave the chaos of their past and go on to productive lives. The process of treatment may be arduous. But the end of the journey opens up new vistas. “You always spoke of unconditional acceptance,” said one borderline
prescribe medicines of which they know little, to cure disease of which they know less, in human beings of whom they know nothing. —Voltaire While psychotherapy is the recognized primary treatment for BPD, most treatment plans include recommendations for inclusion of drug therapy. However, medications often present highly charged dilemmas for borderline patients. Some are bewitched by the alluring promise of drugs to “cure” their “borderline.” Others fear being transformed into zombies