dio treci: granicari 1 (kako nas prepoznati, kako se pred/vidjeti)


Kako neobicno, nevino:
Golemi bijeli prostori tisine,
Kao da cine,
kao da te ne volim,
(ali znam, naucio sam, sve to je  - samo privid.)
 
(hehe a sad kad sam vas navukao... procitajte i ovo dolje, cisto oni koji me, il koga drugog, sebe mozda cak, hoce upoznati bolje.)

Kernberg's Borderline Personality organization

Diagnoses of BPO are based on three categories of criteria. The first, and most important, category, comprises two signs:

the absence of psychosis (i.e., the ability to perceive reality accurately)
impaired ego integration - a diffuse and internally contradictory concept of self. Kernberg is quoted as saying, "Borderlines can describe themselves for five hours without your getting a realistic picture of what they're like."
Kernberg believes that borderlines are distinguished from neurotics by the presence of "primitive defenses." Chief among these is splitting, in which a person or thing is seen as all good or all bad. Note that something which is all good one day can be all bad the next, which is related to another symptom: borderlines have problems with object constancy in people -- they read each action of people in their lives as if there were no prior context; they don't have a sense of continuity and consistency about people and things in their lives. They have a hard time experiencing an absent loved one as a loving presence in their minds. They also have difficulty seeing all of the actions taken by a person over a period of time as part of an integrated whole, and tend instead to analyze individual actions in an attempt to divine their individual meanings. People are defined by how they last interacted with the borderline.
Other primitive defenses cited include magical thinking (beliefs that thoughts can cause events), omnipotence, projection of unpleasant characteristics in the self onto others and projective identification, a process where the borderline tries to elicit in others the feelings s/he is having. Kernberg also includes as signs of BPO chaotic, extreme relationships with others; an inability to retain the soothing memory of a loved one; transient psychotic episodes; denial; and emotional amnesia. About the last, Linehan says, "Borderline individuals are so completely in each mood, they have great difficulty conceptualizing, remembering what it's like to be in another mood."
Gunderson's conception of BPD

Gunderson's criteria in order of their importance:

Intense unstable relationships in which the borderline always ends up getting hurt.
Gunderson admits that this symptom is somewhat general, but considers it so central to BPD that he says he would hesitate to diagnose a patient as BPD without its presence.
Repetitive self-destructive behavior, often designed to prompt rescue.
Chronic fear of abandonment and panic when forced to be alone.
Distorted thoughts/perceptions, particularly in terms of relationships and interactions with others.
Hypersensitivity, meaning an unusual sensitivity to nonverbal communication.
Impulsive behaviors that often embarrass the borderline later.
Poor social adaptation: in a way, borderlines tend not to know or understand the rules regarding performance in job and academic settings.
In I Hate You -- Don't Leave Me! Jerold Kriesman and Hal Straus refer to BPD as "emotional hemophilia; [a borderline] lacks the clotting mechanism needed to moderate his spurts of feeling. Stimulate a passion, and the borderline emotionally bleeds to death."
Quite frequently people with BPD have a very hard time controlling their emotions. They may feel ruled by them. One researcher (Marsha Linehan) said, "People with BPD are like people with third degree burns over 90% of their bodies. Lacking emotional skin, they feel agony at the slightest touch or movement."
1. Shifts in mood lasting only a few hours.
6. Chronic feelings of emptiness or boredom.
Traits involving relationships

7. Unstable, chaotic intense relationships characterized by splitting (see below).
8. Frantic efforts to avoid real or imagined abandonment

Splitting: the self and others are viewed as "all good" or "all bad."
Alternating clinging and distancing behaviors (I Hate You, Don't Leave Me). Sometimes you want to be close to someone. But when you get close it feels TOO close and you feel like you have to get some space. This happens often.

Great difficulty trusting people and themselves. Early trust may have been shattered by people who were close to you.
Sensitivity to criticism or rejection.
Feeling of "needing" someone else to survive
Heavy need for affection and reassurance
Some people with BPD may have an unusually high degree of interpersonal sensitivity, insight and empathy
Miscellaneous attributes of people with BPD:

People with BPD are often bright, witty, funny, life of the party.
They may have problems with object constancy. When a person leaves (even temporarily), they may have a problem recreating or remembering feelings of love that were present between themselves and the other. Often, BPD patients want to keep something belonging to the loved one around during separations.

They frequently have difficulty tolerating aloneness, even for short periods of time.
Their lives may be a chaotic landscape of job losses, interrupted educational pursuits, broken engagements, hospitalizations.
An important feature of DBT is the assumption that it is the emotional regulation system itself that is disordered, not only specific emotions of fear, anger, or shame. Thus, BPD individuals may also experience intense and unregulated positive emotions such as love and interest. All problematic behaviors of BPD individuals are seen as related to re-regulating out of control emotions or as natural outcomes of unregulated emotions.

What causes Borderline Personality Disorder?

Linehan theorizes that borderlines are born with an innate biological tendency to react more intensely to lower levels of stress than others and to take longer to recover. They peak "higher" emotionally on less provocation and take longer coming down. In addition, they were raised in environments in which their beliefs about themselves and their environment were continually devalued and invalidated. These factors combine to create adults who are uncertain of the truth of their own feelings and who are confronted by three basic dialectics they have failed to master (and thus rush frantically from pole to pole of):

vulnerability vs invalidation
active passivity (tendency to be passive when confronted with a problem and actively seek a rescuer) vs apparent competence (appearing to be capable when in reality internally things are falling apart)
unremitting crises vs inhibited grief.
DBT tries to teach clients to balance these by giving them training in skills of mindfulness, interpersonal effectiveness, distress tolerance, and emotional regulation.
(o ovome vise rijeci u nastavku o terapiji... izgleda, dakle, da zaista _ne_moramo_ patiti kako bi sebi i drugima pokazali da i kad nam fale... budi vesela, i s tobom sam.)
 

26.01.2005. u 22:24   |   Prijavi nepoćudni blog   |   Dodaj komentar

pih, ne volish me :(

Autor: 3erkalo   |   26.01.2005. u 22:26   |   opcije


haha pa nisam reko da moramo komentiravat do iznemognutja vec lijepo citas polako a imas i poplavljene zanimljivije detalje... nego, pa ko da nemas kotacic, ihhh, tko te ne zna .. ;)))

Autor: 3erkalo   |   26.01.2005. u 22:38   |   opcije


haha onaj prajvat dio, jasno... ah ti si isto jedna dosadna iskljuciva zena koja ne zna se prilagodit analitickom umu te joj isti cini nemir, vidim te, da ;)

Autor: 3erkalo   |   26.01.2005. u 23:01   |   opcije


kak znas da nemozes? ha?! jesam te sad :P (ma sama si se, pa ko ti kriF)

Autor: 3erkalo   |   26.01.2005. u 23:08   |   opcije


hehe bravo jezicna balerino, dam se kladit da mozes polizat i zilet a da ne ostavish stetu... hehe al ja sam mislio o dijalektickom sintetickom, nijeli... no bit ce price, al tebe biti nece... svega ce bit al nece biti srece, kad se prijatelji, hehehhe-.. blahblah.

Autor: 3erkalo   |   26.01.2005. u 23:15   |   opcije


nu sad, kad me ovako opatrnesh ravno medju oci nema mi druge tresnut cu u san i prespavat cijeli dan, kad noci ovako provodim ranjiv i slab sa zvijerima monologe vodim, bjezim pred psima, i terijerima, o zeno prevelika napasti, u bijelo, u bijelo.. spasit ce me zima... :)

Autor: 3erkalo   |   26.01.2005. u 23:25   |   opcije


evo na, i sta sad da ti co'ek na to veli? ma znas... bash... ;)))

Autor: 3erkalo   |   26.01.2005. u 23:33   |   opcije


e sireno ti si pukla, kao psikopat ili ne... u pol cetri pisat o tome, hehehheheh ;PPP

Autor: prilagodjen   |   27.01.2005. u 10:24   |   opcije


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