I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman)
- Your Highlight on Location 162-165 | Added on Saturday, March 6, 2021 4:38:06 PM Jennifer described her roller-coaster emotions, which seemed to have worsened when she started college. She began drinking for the first time, sometimes to excess. Without warning, she would feel lonely and depressed and then high with happiness and love. On occasion, she would burst out in rage against her friends—fits of anger that she had somehow managed to suppress as a child. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 170-170 | Added on Saturday, March 6, 2021 4:38:54 PM “Allan gave me an identity,” she explained. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 171-172 | Added on Saturday, March 6, 2021 4:39:16 PM She developed a cast of “repertoire players”—characters or roles whom she could call to the stage on cue. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 180-182 | Added on Saturday, March 6, 2021 4:40:21 PM “Usually I’m okay,” she told Dr. Gray. “But there’s another side that takes over and controls me. I’m a good mother. But my other side makes me a whore; it makes me act crazy!” ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 183-184 | Added on Saturday, March 6, 2021 4:40:50 PM Anxiety would threaten to overwhelm her unless she found some kind of release. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 189-190 | Added on Saturday, March 6, 2021 4:41:29 PM She could be insightful and intelligent, working collaboratively toward greater self-understanding, and then become a child, coquettish and seductive, pronouncing herself incapable of functioning in the adult world. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 192-194 | Added on Saturday, March 6, 2021 4:42:00 PM Jennifer felt like a child clad in the armor of an adult. She was perplexed at the respect she received from other adults; she expected them to see through her disguise at any moment, revealing her as an empress with no clothes. She needed someone to love and protect her from the world. She desperately sought closeness, but when someone came too close, she ran. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 207-210 | Added on Saturday, March 6, 2021 6:33:37 PM For years, “borderline” was used as a catchall category for patients who did not fit more established diagnoses. People described as “borderline” seemed more ill than neurotics (who experience severe anxiety secondary to emotional conflict), yet less ill than psychotics (whose detachment from reality makes normal functioning impossible). ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 216-218 | Added on Saturday, March 6, 2021 6:34:31 PM as more and more people began to seek therapy for a unique set of life problems, the parameters of the disorder crystallized. In 1980, the diagnosis of Borderline Personality Disorder was first defined in the American Psychiatric Association’s third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III), ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 224-226 | Added on Saturday, March 6, 2021 6:35:08 PM In many ways, the borderline syndrome has been to psychiatry what the virus is to general medicine: an inexact term for a vague but pernicious illness that is frustrating to treat, difficult to define, and impossible for the doctor to explain adequately to his patient. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 237-238 | Added on Saturday, March 6, 2021 6:36:39 PM surprising—inconsistency is the hallmark of BPD. Unable to tolerate paradox, borderlines are walking paradoxes, ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 238-239 | Added on Saturday, March 6, 2021 6:36:51 PM Their inconstancy is a major reason why the mental health profession has had such difficulty defining a uniform set of criteria for the illness. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 264-266 | Added on Saturday, March 6, 2021 7:55:16 PM Some researchers have suggested adjusting the DSM to a dimensional approach to diagnosis. Such a model would attempt to determine what could be called “degrees of borderline,” since clearly some borderlines function at a higher level than others. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 270-271 | Added on Saturday, March 6, 2021 7:56:08 PM a higher or lower functioning borderline would be identified by her ability to manage her usual tasks of living. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 274-275 | Added on Saturday, March 6, 2021 7:56:43 PM Such adaptations may more accurately measure changes and degrees of improvement, rather than merely determining the presence or absence of the disorder. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 281-283 | Added on Saturday, March 6, 2021 7:57:20 PM When explored in depth, however, the nine symptoms are seen to be intricately connected, interacting with each other so that one symptom sparks the rise of another like the pistons of a combustion engine. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 294-297 | Added on Saturday, March 6, 2021 7:58:27 PM 1. Mood instability (criteria 1, 6, 7, and 8). 2. Impulsivity and dangerous uncontrolled behavior (criteria 4 and 5). 3. Interpersonal psychopathology (criteria 2 and 3). 4. Distortions of thought and perception (criterion 9). ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 305-308 | Added on Saturday, March 6, 2021 8:00:17 PM A borderline suffers a kind of “emotional hemophilia”; she lacks the clotting mechanism needed to moderate her spurts of feeling. Prick the delicate “skin” of a borderline and she will emotionally bleed to death. Sustained periods of contentment are foreign to the borderline. Chronic emptiness depletes him until he is forced to do anything to escape. In the grip of these lows, the borderline is prone to a myriad of impulsive, self-destructive acts—drug ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 316-317 | Added on Saturday, March 6, 2021 8:01:36 PM title character in Woody Allen’s film Zelig, who literally assumes the ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 321-322 | Added on Saturday, March 6, 2021 8:03:18 PM It is as if when the struggle to find identity becomes intolerable, the solution is either to lose identity altogether or to achieve a semblance of self through pain or numbness. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 331-333 | Added on Saturday, March 6, 2021 8:05:35 PM The world of a borderline, like that of a child, is split into heroes and villains. A child emotionally, the borderline cannot tolerate human inconsistencies and ambiguities; he cannot reconcile another’s good and bad qualities into a constant, coherent understanding of that person. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 340-341 | Added on Saturday, March 6, 2021 8:07:33 PM Most individuals can experience ambivalence and perceive two contradictory feeling states at one time; borderlines characteristically shift back and forth, entirely unaware of one emotional state while immersed in another. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 352-353 | Added on Saturday, March 6, 2021 8:10:18 PM In the relentless search for a structured role in life, the borderline is typically attracted to—and attracts to her—others with complementary personality traits. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 361-362 | Added on Saturday, March 6, 2021 8:11:35 PM He fears abandonment, so he clings; he fears engulfment, so he pushes away. He craves intimacy and is terrified of it at the same time. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 364-367 | Added on Saturday, March 6, 2021 8:13:33 PM many are able to function productively in a work situation—particularly if the job is well structured, clearly defined, and supportive. Some perform well for long periods, but then suddenly—because of a change in the job structure, or a drastic shift in personal life, or just plain boredom and a craving for change—they abruptly leave or sabotage their position and go on to the next opportunity. ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 373-375 | Added on Saturday, March 6, 2021 8:14:39 PM But a highly competitive or unstructured job, or a highly critical supervisor, can trigger the intense, uncontrolled anger and the hypersensitivity to rejection to which the borderline is susceptible. The ========== I Hate You--Don't Leave Me: Understanding the Borderline Personality (Jerold J. Kreisman) - Your Highlight on Location 369-372 | Added on Saturday, March 6, 2021 8:14:51 PM borderlines frequently function best in highly structured work environments. The helping professions—medicine, nursing, clergy, counseling—also attract many borderlines who strive to achieve the power or control that elude them in social relationships. Perhaps more important, in these roles borderlines can provide the care for others—and receive the recognition from others—that they yearn for in their own lives.
