JW emotional probs and Borderline Personality Disorder

by Phantom Stranger 7 Replies latest watchtower medical

  • Phantom Stranger
    Phantom Stranger

    I have seen many posts here about addiction psychology and its relationsship to JW's. This is an interesting area... and I tend to be a bit sceptical simply due to the "trendyness" that addiction psych is experiencing.

    I personally see links to low-intensity Borderline Personality Disorder (high-intensity seems to lead to self-mutilation and suicide attempts, the latter of which we have all heard about). The comments below are taken from this site http://www.priory.com/dbt.htm and refer to Dr Marcha Linehan's work in treating BPD with dialectical therapy. The italic and bold is mine. I'm interested if any of you see any parallels.

    The term 'Invalidating Environment' refers essentially to a situation in which the personal experiences and responses of the growing child are disqualified or "invalidated" by the significant others in her life. The child's personal communications are not accepted as an accurate indication of her true feelings and it is implied that, if they were accurate, then such feelings would not be a valid response to circumstances. Furthermore, an Invalidating Environment is characterised by a tendency to place a high value on self-control and self-reliance. Possible difficulties in these areas are not acknowledged and it is implied that problem solving should be easy given proper motivation. Any failure on the part of the child to perform to the expected standard is therefore ascribed to lack of motivation or some other negative characteristic of her character. (The feminine pronoun will be used throughout this paper when referring to the patient since the majority of BPD patients are female).

    Linehan suggests that an emotionally vulnerable child can be expected to experience particular problems in such an environment. She will neither have the opportunity accurately to label and understand her feelings nor will she learn to trust her own responses to events. Neither is she helped to cope with situations that she may find difficult or stressful, since such problems are not acknowledged. It may be expected then that she will look to other people for indications of how she should be feeling and to solve her problems for her. However, it is in the nature of such an environment that the demands that she is allowed to make on others will tend to be severely restricted. The child's behaviour may then oscillate between opposite poles of emotional inhibition in an attempt to gain acceptance and extreme displays of emotion in order to have her feelings acknowledged. Erratic response to this pattern of behaviour by those in the environment may then create a situation of intermittent reinforcement resulting in the behaviour pattern becoming persistent.

    Linehan suggests that a particular consequence of this state of affairs will be a failure to understand and control emotions; a failure to learn the skills required for 'emotion modulation'.

    Linehan groups the features of BPD in a particular way, describing the patients as showing dysregulation in the sphere of emotions, relationships, behaviour, cognition and the sense of self.

    Firstly, they show evidence of 'emotional vulnerability' as already described. They are aware of their difficulty coping with stress and may blame others for having unrealistic expectations and making unreasonable demands.

    On the other hand they have internalised the characteristics of the Invalidating Environment and tend to show 'self-invalidation'. They invalidate their own responses and have unrealistic goals and expectations, feeling ashamed and angry with themselves when they experience difficulty or fail to achieve their goals.

    These two features constitute the first pair of so-called 'dialectical dilemmas', the patient's position tending to swing between the opposing poles since each extreme is experienced as being distressing.

    Next, they tend to experience frequent traumatic environmental events, in part related to their own dysfunctional lifestyle and exacerbated by their extreme emotional reactions with delayed return to baseline. This results in what Linehan refers to as a pattern of 'unrelenting crisis', one crisis following another before the previous one has been resolved. On the other hand, because of their difficulties with emotion modulation, they are unable to face, and therefore tend to inhibit, negative affect and particularly feelings associated with loss or grief. This 'inhibited grieving' and the 'unrelenting crisis' constitute the second 'dialectical dilemma'.

    The opposite poles of the final dilemma are referred to as 'active passivity' and 'apparent competence'. Patients with BPD are active in finding other people who will solve their problems for them but are passive in relation to solving their own problems. On the other hand, they have learned to give the impression of being competent in response to the Invalidating Environment. In some situations they may indeed be competent but their skills do not generalise across different situations and are dependent on the mood state of the moment. This extreme mood dependency is seen as being a typical feature of patients with BPD.

  • berylblue
    berylblue

    I've only skimmed this post; kind of hard to read, since I bore that dx.

    Self mutilation - now there's something few will discuss.

    My body is covered with the scars of my self-loathing slashes with knives, glass, whatever.

    Haven't even thought about it since I moved in with Tim, though.

    I'm kind of scared to admit I have done this terrible thing to myself, but as a young girl being abused by many in various ways with no access to the "normal" mind numbing activities (drinking, drugs), it was the only way I knew to make myself hurt less. I did, however, abuse food (recovered anorexic/bulimic here).

    What happened, for me, is that the physical pain ameliorated the emotional, as well as giving shape and form in a very obvious physical sense (blood) to the pain and hurt I have felt inside. I realize it's difficult for most to understand, but cutting really does take away the emotional pain (albeit temporarily).

    More later.

  • shotgun
    shotgun

    ((((((((((berylblue)))))))))

  • berylblue
    berylblue

    It's okay, shotgun. But thanks so much.

  • Lady Lee
    Lady Lee

    Personally coming from a PTSD background I find the symptoms better match that diagnosis that BPD.

    It is very common for PTSD patients to be misdiagnosed as BPD. And I have had great success treating a couple of people with a long standing diagnosis of BPD as PTSD. Several years later they still symptom free and living good lives without meds or the need for on-going therapy

    But that is a couple of people - not even statistical.

    Oh and many people with PTSD come from an addictive family

  • berylblue
    berylblue

    Lady Lee, what do you charge for counselling???

  • czarofmischief
    czarofmischief

    I'm bipolar - and have had some experience with self-mutilation. Now I get tattoos as part of my spiritual development.

    CZAR

  • suzi_creamcheez
    suzi_creamcheez

    beryl: thank you for having the courage to talk about your disorder. I was diagnosed w/ BPD a few years ago. I also struggled with an eating disorder in the Borg, and my arms are also scarred with slashes, cigarette burns, etc.

    I had always dismissed BPD as a "wastebasket diagnosis" for neurotic women who didn't fit in anywhere else. After reading Jerry Bergman's book, "Jehovah's Witnessses and the problem of Mental Illness" I realized how personality disorders can develop, an the JW environment is a key contributing factor.

    THanks for posting the article, Phantom.

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