Tag Archives: Borderline Personality Disorder

Scared to Death? Join the Club….

(seemingly in direct contradiction to the following post, I just put a poem I wrote some time ago up at La Parola Vivace…)

+My theory of why some of us have grave difficulty feeling safe in the world and with others of our species is not new…but perhaps worth a little review.

We come into the world as symbiots needing nothing but to be held against the breast of the Other.  Then we begin to discover that we are separate, to experience separateness, aloneness, and eventually, to follow our instincts and curiosity, crawling then toddling, into the next room.

By preschool, in theory, we can handle being away from the Mother or caregiver– provided she/he has been a constant in our lives and we are not afraid that we will be abandoned.  We face our fears of strangers and new environments with her help.

In time, we find that we can attach to others and join a group of our peers, holding our own.  We discover our talents and proclivities and we begin to achieve and know early independence.  One day, we take wing.  We need to return to the nest less frequently, and we are driven to nest on our own behalf; we experience ourselves as solid and secure for the most part.

But there are those of us who have never felt safe in the world and who cope by isolating and scaring ourselves out of the very things that would mitigate against unrelenting loneliness.

Perhaps we were violated as children.  Perhaps we were repudiated.  Perhaps the Other was ill and taken away and we have tried to live with an immense love deficit, wandering along trailing a bleeding umbilical cord.

However you cut this cake, the core issue becomes that at some terribly important moment the most necessary attachment we had was broken, and that we stopped being able to trust– or to grow.

I would rather have nearly any malaise life has to offer than this foundling syndrome (I don’t like any of the diagnostic labels that might apply), in which I cycle again and again into feeling vulnerable, afraid, and immediately withhold myself from life. When my syndrome is active I am not:  I hide out in my apartment in a dark bedroom when others are out interacting in offices and coffee shops, and I come out when those awful fears that if I go out the door something will obliterate me abate.

As I’ve blogged about many times since last winter, I have recently charged myself with the task of leaving/changing a very safe but grueling life.  I hid out on a piece of rural property surrounded by animals and their incessant demands for some twenty years.  When I did venture out exhausted and covered with dog hair, in many instances– more than I am comfortable recounting–when I opened myself up, it didn’t take much of a misunderstanding or hard moment to scare me back to safety and retrigger profound distrust.

So it was that a year and a half ago I tried to live in a renovated hotel in downtown Fort Collins, in a beautiful condominium above Starbucks.  Starbucks wasn’t the problem; I loved the smell of coffee coming up from the radiator.  It’s that I couldn’t feel safe.  I would go out into the mezzanine of the place to interact with other residents and then I would retreat.  My first few attempts to get to know a few other women went on the rocks, and I let all of it jettison me out of the place.  It’s true that some of these people were quite scary, but if I had been stronger, perhaps I wouldn’t have felt so besieged.

I finally took an apartment in my old neighborhood that I am comparatively comfortable in– but there is a saying that wherever you go, there you are, and that is so very true!

After much journaling and talking things out with a friend, I’ve realized that I still feel immensely vulnerable, and that it is the sense of vulnerability keeping me from basic things, like finding a new doctor, going to the dentist, as well as showing up downtown for a latte in the very area I’ve loved for so many years.  It’s vulnerability that makes me endanger myself by staying out late with a friend and coming back tired in the dark– it is a tried and true and seemingly safe rut.

But how vital it is to feel safe in this magnificent and troubling world.  I know that it’s possible to overcome these emotional mountains:  years ago I bought an old horse; in the beginning I only had the courage to go down a driveway and back, and within a year rode to the top of a mountain on a much younger, headstrong and very athletic horse.  During that same period I took myself all the way to Denver to the opera, and I used to commute to teach at Boulder.  It was about baby steps, as it were:  gradually pushing back the boundaries of my world until I could inhabit more of it.

On the news today are new stats on how many hours our children and grand children are spending online social networking, how much they “text”.  These things are ready made for kids with trust issues; they keep all of us from having to risk associating with each other.

All that I know to do for the scared child within me is to soothe and encourage her, to feel the fear and do it anyway, in terms of getting out into the day.  Where yesterday I had the confidence and sense of strength to turn my whole life around, part of healing is the step back and a day like today.  I know that I still haven’t gotten my mojo back from becoming institutionalized in the nursing home a few years ago, where my wheelchair represented safety to me and going back out in the world seemed impossible.

Those of us who have battled such demons know how hard it is not to interpret setbacks as failure and to keep on.  But we must;  the options suck!  One potentially helpful technique has to do with “mindfulness”– to hang out with the very uncomfortable feeling of vulnerability and realize that it is just a feeling and that we are still there, that we are stronger than we believe we are.

Now that I’ve written this, I feel better; I think I’ll vary the routine today a little bit, let myself off my leash and stop in at the drive-in place for a cuppa joe… How about you?  What do you do when and if you don’t feel safe?


Years ago, when the ACA– Adult Children of Alcoholics– movement was in full swing, a number of people “in recovery” for various things made an effort to get to know their “inner child.”  The paradigm of inner child, critical parent, loving parent had already been postulated by Transactional Analysis therapy and other schools of psychology.  The idea of an inner child has been helpful to me at various points along the crooked journey of recovery from alcoholism and trauma.  It is a convenient way to look at my immaturity in various areas.

At one point I bought the idea that my inner child needed to be reparented by an “expert.”  I bravely opened up to “reparenting”– as opposed to “rebirthing”, only to realize that giving other people the power and authority to act as my parents was precisely the wrong solution for me:  I needed the adult me strengthened and that she exists, validated.

Validation and growth have come piecemeal for me.  It is up to those burdened with diagnoses and those compassionate bright people in the foreground of research into trauma and mental illness to come up with strategies for our parenting/living with  ”the inner child”.  She isn’t going to go away. How then, do we take control of our lives,  affirm our strengths, convince ourselves that we can live in the real world, forgive those who diss us and abandon us, keep from shutting down and hiding away in despair.

These are very real problems for someone with a hyperactive, lonely, often depressed inner child.

A deeper problem, an imperative with respect to healing at every level, is how we become the same person.  How do we integrate the parent and the child?  Helpful people can give us tools, but we have to use them.

Writing in Psychology Today, Stephen Diamond, Ph.D., a practicing pyschotherapist, puts this eloquent solution forward:

“First, one becomes conscious of his or her own inner child. Remaining unconscious is what empowers the dissociated inner child to take possession of the personality at times, to overpower the will of the adult. Next, we learn to take our inner child seriously, and to consciously communicate with that little girl or boy within: to listen to how he or she feels and what he or she needs from us here and now. The often frustrated primal needs of that perennial inner child–for love, acceptance, protection, nurturance, understanding–remain the same today as when we were children. As pseudo-adults, we futilely attempt to force others into fulfilling these infantile needs for us. But this is doomed to failure. What we didn’t sufficiently receive in the past from our parents as children must be confronted in the present, painful though it may be. The past traumas, sadness, disappointments and depression cannot be changed and must be accepted. Becoming an adult means swallowing this “bitter pill,” as I call it: that, unfortunately for most of us, certain infantile needs were, maliciously or not, unmet by our imperfect parents or caretakers. And they never will be, no matter how good or smart or attractive or spiritual or loving we become. Those days are over. What was done cannot be undone. We should not as adults now expect others to meet all of these unfulfilled childhood needs. They cannot. Authentic adulthood requires both accepting the painful past and the primary responsibility for taking care of that inner child’s needs, for being a “good enough” parent to him or her now–and in the future.”

Food for thought, yes?  Dr. Diamond proposes that there are many adult children wandering around in the world who have not been labeled with a diangosis, but who operate from varying levels of dysfunction.

In any event, we have more psychological laundry to do.  In the meantime my best shot as a “mother” is to take us out for a latte and to tell her that we are not helpless, that we matter.


Don’t Call Me “Borderline”….

I was apalled the other day when when I read several posts by young women “memoirizing” about ex-lovers with the full-blown speculation in each case that said partner was and is “a borderline.”

Wait just a minute. A person, a human being, is not “a borderline.” Moreover, before writers go off opining and diagnosing and publishing what they view as “personal truth”, they need to be sure they have the facts– all of them. Despite the fact that the DSM IV lists this as a personality disorder, many, many experienced and qualified people absolutely hate the terminology; the forward- looking clinical community is searching for something far less stigmatizing to characterize the ups and downs of the trauma survivor. Eventually this faux disorder will be redacted from the DSM.

There is no more disempowering, stigmatizing diagnosis in all of psychiatry. Moreover, labels– especially this one– maim and kill. I watched my mother, who fit the profile and wore the label, go from being a vibrant young artist, wife and mother to a blob of protoplasm incapacitated by over fifty shock treatments across 15 years. No one ever taught her to grab hold of her inner resources,her creativity and her strengths, which were plentiful.

So it was that on the last day of her life, after decades of being passed out in a chair in our study living from a self-perception as a defective, washed-up human being, when she was angry at me, she walked out of the nursing home to get her hair done. It was too much for her after years of inactivity and smoking; she had a massive heart attack in the chair in the beauty shop and died.

I try to find comfort in the fact that this happened at the precise moment in which she started to take responsibility for herself and that thus she died trying. But this, of course, left me terrified for myself. Terror perpetuated the mythologies of incapacitation that some people said applied to me. Losing touch with my strength, I capsized and floundered, having to rescue myself from fears morphing into beliefs leading to the deadly idea that I didn’t deserve to suck air.

Minus any validation of my strengths, I came dangerously close to checking out myself. But the important thing is that I didn’t and that I got in touch with the real me who is strong and brave, who has endured the unendurable and lived to tell about it– like so many of us with deep-running childhood wounds and patterns of interaction that put us back “there”– in hell.

Some therapists really get off on putting people in a box and shunting them on through the system. In the past decade, especially in the court system in every state,  more and more women have been assigned this label and told that they must undergo years of therapy– notably, Dialectical Behavior Therapy or DBT– to even be able to function.

Last year,  in a dehumanizing and unethical ambush attempt by a pair of therapists who should be stripped of all licensure,  I was force-fed the diagnosis of BPD. We fought it out in Court and I won. I won the right of self-determination– to call myself a writer and a human being with a history of trauma. But don’t think that I don’t fight that tape within that says, “You’re a mess. You’re a sicko. You belong in a mental hospital” night and day.

As a civil rights activist, I have advocated and claimed and perpetuated the idea wherever I can that those diagnosed with Borderline Personality Disorder are in fact trauma survivors whose pain must be validated and whose ability to heal must be reinforced. Thank God I am not alone in this fight:

Here is an excellent excerpt by the webmistress/therapist at GoodTherapy.org:

“Recently, someone asked GoodTherapy.org to include Personality Disorders within our list of Concerns Addressed (this is the list of concerns that people can select when searching for therapists and the list that all members select from when creating their listing). Our decision was a unanimous “no” and we thought it would be fair to explain why and to give our members the chance to make an argument for the use of the “Personality Disorder” diagnosis. I should say that we do support the inclusion of “personality disorder” symptoms in our list of concerns and we are currently working on translating these to fit into our list…. Please feel free to add your comments to this discussion below by clicking on the comments link directly below this post.

The following is our reasoning: We believe that by labeling a person as personality disordered or, in its more gentle form, stating that a person has a personality disorder, we are essentially claiming one’s personality, their person-hood, their essence, is fundamentally flawed. What else are we, other than our personality? Such a diagnosis is very likely, if not absolutely, to produce more shame, worthlessness, and rejection in a person who probably has enough of it already. I don’t care how it is framed, normalized, or expressed: having a diagnosis called “Personality Disorder” says one thing: you are fundamentally flawed.

Please don’t get me wrong, I’m not saying I’ve never worked with people whose inner systems fit the criteria for the DSM categories of Borderline, Narcissism, and others. The difference is that I don’t use the categorical and shaming word “Personality Disorder” to describe a person’s experience and I don’t view people as fundamentally flawed. Deeply wounded, yes, powerfully protected, yes, but fundamentally and irreparably flawed, no.”

Thank God for those who break with “mainstream” clinical thinking to challenge these horrific labels, which rank right up there with the mind-numbing doctrine of “original sin” in the shame and guilt we humans have brought to bear on one another.

The young writers were upset with me when I weighed in, commenting that I was “off-topic”, blowing off what I had to say.

The only way to deal with the stigma that sets in in which one is viewed through uninformed and fear-filled eyes is to live against it. To claim one’s personal power, thereby breaking out of the box– to be in the world as who one truly is– a writer, a carpenter, an activist, a whole person. To do this requires, daily, action both physical and mental against the tapes.

This, as I understand it,  is how Jews maintained their dignity during the Holocaust. Viewed as vermin by the Nazis, they supported each other, sustaining their cultural and individual identities, refusing to surrender to shame.

Sorry, memoirists who think nothing of exposing family and ex-loves to write a sensational tale: you do not have the right to take another person’s clothes off. Vent your “victimologies”– that you were somehow drawn into a relationship with a person in pain– privately. Own your choices and tell a story that offers hope to the world.


Follow

Get every new post delivered to your Inbox.

Join 28 other followers