I Hate You--Don't Leave Me: Understanding the Borderline Personality
Jerold J. Kreisman, Hal Straus
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.
next romance. At first, when Pat perceived Jake as supportive and reassuring, she idealized their relationship. But when he exhibited signs of functioning separately, she became enraged, cursing and denigrating him. When he was at the office, she would call him incessantly because, as she said, she was “forgetting him.” To her friends, Jake sounded like two completely different people—for Pat, he was. SET confrontations of object inconstancy require recognition of this borderline dilemma.
Support statements must convey that caring is constant, unconditional. Unfortunately, the borderline has difficulty grasping that she does not need to earn acceptance continuously. She is in constant fear that Support could be withdrawn if at any point she displeases. Thus, attempts at reassurance are never-ending and never enough. The Empathy message should confirm an understanding that Pat has not yet learned to trust Jake’s continual attempts at comfort. Jake has to communicate his awareness
her. Contending with Borderline Rage After a while, for someone close to a borderline, unpredictable behaviors may become commonplace and therefore “predictably unpredictable.” One of the most common, the angry outburst, usually comes with no warning and appears way out of proportion. The close friend, relation, or coworker should resist the temptation to “fight fire with fire.” The louder and angrier the borderline gets, the quieter and more composed the other person should become,
psychotherapies, medications, and hospitalization—the therapist’s role in treatment may be as varied as the different therapies available. The doctor may be confrontational or nondirective; he may either spontaneously exhort and suggest or initiate fewer exchanges and expect the patient to assume a heavier burden for the therapy process. More important than the particular doctor or treatment method is the feeling of comfort and trust experienced by both patient and therapist. Both must perceive
Perspective on Effects and Costs,” Canadian Journal of Psychiatry 52 (2007): 803-809. 2 John G. Gunderson, Borderline Personality Disorder: A Clinical Guide, 2nd ed. (Washington, DC: American Psychiatric Publishing, 2008): 242-243. 3 Cameo F. Borntrager, Bruce F. Chorpita, Charmaine Higa-McMillan, et al., “Provider Attitudes Toward Evidence-Based Practices: Are the Concerns with the Evidence or with the Manuals?” Psychiatric Services 60 (2009): 677-681. 4 Aaron T. Beck, Arthur Freeman,