Two winters ago, after a spell of burnout landed her in the hospital, Ann began having disturbing dreams. Visions of her father turned into distressing flashbacks from her childhood—scenes of physical and psychological abuse.
I met Ann at the Central Institute for Mental Health , which sprawls across several city blocks in the compact, gridlike center of Mannheim, a midsize city in the southwest of Germany.
“I think that borderline personality disorder does not fit in the concept of a personality disorder,” Martin Bohus, a psychiatrist at the ZI, tells me. “It fits much better to stress-related disorders because what we know from our clients is that there is no borderline disorder without severe, interpersonal early stress.”
For years “borderline” remained a nebulous concept. It did not become an official diagnosis until the 1970s, when John Gunderson, a psychiatrist at McLean Hospital in Massachusetts, carefully examined and characterized a group of patients he noticed had been misdiagnosed with schizophrenia.
Others experts spoke out vehemently against overhauling the existing system. Among them were Gunderson and Bohus, who argued that a large body of research on specific disorders—particularly BPD—had led to uniquely tailored treatments and that adopting a completely new model would upend this progress and harm patients.
This experience, which in her memoir Linehan recounts as a “descent into hell,” motivated her to dedicate her life to helping others like herself. Through this journey Linehan came to highlight emotion dysregulation as a driving force of the disorder, noting that people with BPD routinely experience a roller coaster of emotions. “Borderline individuals are the psychological equivalent of third-degree-burn patients,” Linehan told Time magazine in 2009.
In the early 1990s, after scanning years of literature on trauma survivors, Judith Herman, a psychiatrist at Harvard University, proposed “complex PTSD” as a new diagnosis to account for a cluster of symptoms that resulted from long-term exposure to extreme stress. These problems, Herman noted, occurred when one person was under the control of another, such as in the context of prisons or labor camps or in certain families.
It's also more stigmatized for men than it is for women..
Soft sciences is the Joke and the punchline of the human condition.
Yes
considering that 'personality' is an abstract with no quantifiable dimensions
CMichaelGibson I and my son are survivors of a borderline personality disorder lunatic. The worst, most physically, and emotionally draining part of my life and I spent 9 years in the Marine Corps. Don't give a crap if she had trauma in her past the way borderlines treat others is dastardly
Trauma and attachment related, which seems to have a wide consensus in the field. The tagline refers to evidence of heritability, which of course is the case when you’re talking about generational trauma. It’s not either/or.
arthurfkrause
DianaMKwon Such a racist insinuation!
DianaMKwon I believe it always has been considered trauma related.
DianaMKwon
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