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Re: let me restate... » Survivor

Posted by Mitch on August 9, 2001, at 9:34:01

In reply to Re: let me restate..., posted by Survivor on August 9, 2001, at 1:46:19

> I think BPD is one of those variable labels like the Multiple Personality Disorder/Dissociative Disorder/Grand Hysteria sequence that get revised regularly. These revisions aren't necessarily based on any new understanding of the conditions, but seem to be more related to changes in the jargon of the treatment community.

Sure, that makes sense. You still see similar "phenomena"-the *label* just gets tweaked with time. My grandmother was diagnosed as schizophrenic in the 50's and given ECT, when in fact she only had one episode of psychotic depression, and didn't have any other episodes.
>
> I've never heard of BPD referred to as a subset of ADHD, although that doesn't surprise me. It does seem to share ADHD's impulse control problems and inappropriate disinhibition - I'm speaking as an off-the-scale ADHD adult who takes *massive* doses of medication to control my symptoms here - but is far more complex with its aggressive, hostile, and sometimes paranoid aspects. I've heard it diagnosed as a temporal lobe dysfunction rather than a psychiatric disorder, but aren't a lot of these problems based in the temporal lobe?

BPD probably is something a lot of pdocs and researchers would like to find an organic basis for given their relative lack of success with conventional treatments (thinking that a medication could be created/discovered for that condition).
>
> It isn't unusual to find an angry, defensive, somewhat dissociative adult grow out of an abusive childhood spent trying to survive mentally ill parents. Toss in some sexual and/or physical abuse, and I wonder if the behavior that results is actually a new disorder of some kind or simply the understandable outcome of a highly dangerous, uncontrollable childhood.

I didnt' suffer any abuse but my parents definitely had their problems. My Mom epilepsy-OCD/GAD and my Dad probably bipolar (explosive temper). I have known others that have suffered from abuse and it DID effect them very deleteriously.
>
> Sometimes I think the experts are too quick to diagnose or discover a new pathology in situations where the behavior makes a lot of sense when you look at the background of the people who are suffering from it. Raised by wolves, we learn to respond with equally vicious attitudes and behaviors in attempts to defend ourselves from unpredictable and unjustified attacks. Unfortunately, these behaviors that are self-defensive in our formative years don't translate well into outside social situations. Isn't that a problem with adjusting to perceived threats in the outside world that can be helped through learning new social patterns more than an organic brain dysfunction or other pathology?

I have brought this up before, but what about the impact of accelerating technology on communities and our sense of empathy for others-effects of increased depersonalization?
>
> Learning to ease up on ourselves is probably the first step toward letting go of the expectation that everyone and everything else in the world poses an immediate threat to you, long after you've left the circumstances where, in fact, almost everything did. Maybe BPD is much closer to PTSD than any other recognized disorder when it grows out of such disordered surroundings, if a psychiatric diagnosis is desired. Maybe it is closer to the truth to classify it instead as a residual socially maladaptive behavior problem.

Most anxiety disorders are based in irrational fears and catastrophic prejudice about others and situations.

Mitch


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