Posted by RealMe on August 27, 2007, at 22:16:18
In reply to Pseudo-neurotic Schizophrenia, posted by Quintal on August 27, 2007, at 18:09:17
I am not sure what your question is, but you gave a nice summary of the diagnosis though others in Great Britain and France have also weighed in amongst others. When I first went to Menningers as a patient, that was my diagnosis, BPD plus MDD but not my diagnosis when I left treatment. Then it was only that I had avoidant traits and no depression. Now it is only MDD. I also trained at Menninger's, and Kernberg was there as director of the hospital when he wrote most of his works on BPD (in the 70's and before my times there). That was the specialty area at Menninger's back in the 50's through the 90's. Lots of people went there for long term treatment for BPD. Research showed it worked for some people to have long terms intensive treatment, that they could actually be "cured" so to speak of the personality disorder. Yes there is overlap with Axis I diagnoses. The fad popular diagnosis right now is Bipolar, and lots of people are being diagnosed as Bipolar who actually might be BPD. Funny thing is that the meds for Bipolar also work well with people who are BPD. Also, lots of people diagnosed with BPD have a history of trauma of some sort. Some dissoicate; some have mini-psychotic episodes, and sometimes the two are confused. The DSM is a guide but not always the best guide. I tend to view people as more than some symptoms mentioned in DSM. Yes, the itemization of BPD includes what is often found with folks who have BPD. The people at Menninger's who did not do well and were diagnosed with BPD were people who were also heavily into illegal drugs. Why those who weren't fared better with treatment, IDK. I haven't looked at the study in awhile.
I am missing a lot here, but I have read so many books on BPD and narcissism. I really enjoyed working with people with personality disorders when I did therapy. It was a challenge I enjoyed. I think it would be easier for my therapist if I still had a personality disorder. In the end it really doesn't matter the disorder if you have a therapist who knows how to work with you, and you are on the right meds.
RealMe
(Oz)
poster:RealMe
thread:779140
URL: http://www.dr-bob.org/babble/psycho/20070822/msgs/779232.html