Tag Archives: Intenionality

Borderline Personality Disorder: the Relationship Disorder


The image illustrates some theory of famous ps...Family life that includes relationship  with a borderline personality contains  the potential for creating a domino effect  of relationship problems characterized by toxic  behaviors and interpersonal problems that have the potential to disrupt, shatter, or even destroy social and family relationships.  While it is common for most people to overlook what is occurring in the midst of a family interactions, it does not change the cycle of pain and disruption experienced by everyone involved.  In fact, because others are not often exposed to the extreme relationship dynamics that work beneath the surface, they simple do not understand the deep emotional pain and difficulty in managing life. Quite often friends, who do not understand, mysteriously ignore happenings and the behavior goes unrecognized for years.  Strangely enough other people never question or really understand the difficulty faced by what is happening in daily interaction because it is not affecting them every day.  As a result, one difficulty with this type of behavioral disorder is the lack of realization that “Borderline personality disorder is a serious mental disorder with a characteristic pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, and self-image effect” (Lieb K., 2004, p. 453).  Consequently, many people who have the disorder, as well as, the people surrounding them rarely understand many of the things that are happening or why they are happening.

Furthermore, misunderstanding  is magnified by the absence of sensitivity to the significance of behaviors experienced daily.  It is because expectations of normality are set very subtly within a social context of family systems and relationships. When anomalies are the daily experience and at the center of the way families interact desensitization prevents family members from understanding and paying attention to things taken for granite or ignored.  Therefore, without a distinguishable way to dissect behavior from a borderline personality the majority of people do not understand how to connect the dots between behavior and pathology in personality disorders. Unfortunately, families that have borderline personalities as a part daily relationship patterns, often are confused about  the relationship disorder characterized by others as extreme.  Often, family members find themselves the target of abusive outburst of anger, which triggers more misunderstanding, confusion, and results in enabling behavior or rescuing actions.  The result is that functionality in relationships disable healthy responses with the individual, as well as, with the extended family.  Therefore, when families do not  recognize what (BPD) behaviors and patterns of relating indicate, the result is personal confusion in the experience of life  and a tendency to develop a reactionary lifestyle to emotional events.  Consequently, in many cases families develop natural mechanisms to adapt and manage things  misunderstood with strategies that may not be beneficial or healthy.

The problem, (BPD) that is not understood, contains a fundamental potential for failure and feelings of frustration about life.  The result is an inability to construct healthy ways of living and relating effectively resulting from a fundamental misunderstanding of borderline behavior.  Consequently, a relational mythology constructed by families paints a picture of perceived functionality; thereby establishing a group expectation that seems normal for the family, but what is normal?

The adaptive behavioral effects are cloaked by denial of the existing reality that something is wrong.  As a result, the outcome demonstrates an inability to experience functional intimacy; thereby hiding the problem that is beneath the unusual behavior occurring.  As a result, there is a life where secrecy, emotional abuse, codependency, and bullying behaviors are major themes accompanying the daily interaction within family life.  Consequently, confusion is the rule attached to a distorted self-concept.  What results is a feeling of disempowerment fueled by belief that this can never change resulting in relating through acquiescing to dysfunctional patterns erroneously felt to represent a safety zone to experience life.

Family Systems

All families develop coping strategies for managing relationships, but often times those ways are not the best approach to address the central issues within a family system.  It is a plausible reality that the family members inside the system do not understand clearly what is happening and are confused or in denial. Therefore, not being able to see the problem clearly results in a distorted sense of reality and skewed expectations of life.  As a result, family rituals, expectations, phenomenology and internalized mores’ create demands for participating in family life, which contribute to social reinforcement of problematic behaviors.  Therefore, enabling acceptance of anomalies that otherwise would be considered unacceptable.  Indeed, everyone likes to believe that they are objective and that they are not contributing to destructive patterns of relating, that in effect are damaging, and many times destroying relationships. However, the question that participants in the system need to ask is what role is going to be played; will it be the enabler, the excuser, or the examiner? The person  who decides to be a rescuer participates in the destructive behaviors excusing and then enabling by refusing to acknowledge there is something that is not right. Unfortunately, it is thinking and believing that helping means fighting to keep everything  the same.

Motivators and Influences

One essential problem that is fundamental to misunderstanding BPD is that most people do not know any more about personality disorders than we do about cancer.  When I think back upon my own experience with cancer and my wife who died from cancer; I often wonder why this went undiagnosed and untreated, while we were seeing doctors who should have understood.  Also, knowing what I know now, why did we not pay closer attention to clear indications that there was a problem and do something about the cancer.  The problem was that it was diagnosed too late for her to recover and the end result was that the cancer that was hidden destroyed her life. What might have been avoided, if we had taken time to think, brought an unimaginable reality and destruction of everything that was loved and hoped for in life.  Borderline personality, for some people, is eating away at things that create and sustain healthy relationships.  Also, because BPD  is not recognized or easily diagnosed as a result, it is often misunderstood. Unfortunately, the unimaginable destruction is becoming a reality the longer the disease is ignored.

Genetic Influence

A problem existing  within  mental disorders is establishing what the relationship is between symptoms and the etiology of biological problems.  Historically, an  ongoing debate focuses upon the question of origin or cause.  Can mental illnesses be inherited or is personality disorder caused by a negative impact of life events, trauma, stress, or other related symptoms?  A source providing clarity is medical history connected to of the family of origin. Research performed about genetic factors of mental health indicates that, “There are several lines of evidence from family studies supporting a possible genetic association of borderline personality and affective disorders” (MacKinnon, 2006, p. 6). As a result, family medical history, mental health histories , and relationship history create a link to what is happening.

When anomalies in behavior occurs what can be made of the connection between biology and behavior?  An assumption might be made that the borderline is angry or acting out. This  is a  behavior cue that something is seriously wrong and very puzzling–especially when family and acquaintances treat behavior as unimportant.  One response to what happened is in understanding how genetic-biological history of the person is organized. In general, science connects the conditions in the family history and suggests a link between the behavior that causes someone, who gives every indication that they are apparently honest and intelligent in other ways to engage in impulsive and reckless behavior without thought of consequences.

What causes emotional dysregulation to occur when there is a perceived, intense feeling of abandonment, rejection, or loss of control?  It may be that what is hidden by a casual look at circumstances may be better understood through looking at genetic predisposition indicating what motivates a person who looks like an upright individual to suddenly rationalize extreme behavior, while totally disregarding the autonomy of other  family members.  It is perplexing, at the very least, to understand why BPD individuals act as they do.  Consequently to sum it up, when there is a strong history that suggests mental health disease demonstrates significant patterns through family history, genetics, and systemic behaviors; there may be sound reasons to conclude that there is an identifiable systemic pattern for the behavior being elicited by the ongoing emotional dysregulation.

Unfortunately, denial and a fundamental lack of understanding creates a state of denial that promotes a false sense of security that life is under control.  However, the great danger is that when behaviors suggest BPD and it is ignored, families convince themselves that it is not happening and live with constant confusion and disillusionment. A good question to ask is whether creating a mythology and magical thinking can negate the serious effect of what is really happening?  A philosophers question about perception says: ‘if a tree falls in the forest and no one is there to hear it, does it make a sound”?   The moral is the quote reminds us to think about what may be happening around us that is actually happening, but we just are not aware of what is happening because we are not attentive to things that are happening.  The fact is that things that are not heard or understood often reveals something hidden in the secrecy of a  family system where denial provides a false sense of security that creates a artificial safe zone.  It is a place where the noise of behavior is not being heard by those around the Borderline, but that does not mean BPD behaviors are not happening in the context of life.

References

Lieb K., Z. M. (2004). Borderline personality disorder. The Lancet , 364, 453-61, doi:10.1016/S0140-6736(04)16770-6.

MacKinnon, D. F. (2006). Affective instability as rapid cycling: Theoretical and clinical implications for borderline personality and bipolar spectrum disorders. Bipolar Disorders , 8 (1), 1-14. doi:10.1111/j.1399-5618.2006.00283.x.

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How Can I be Intentional About Helping Others?


Gossip girls
Image by Miguel Pires da Rosa via Flickr

Lifting People Up Instead of Pushing Them Down

Many people are professional critics, self-centered, and see it their life’s mission to make as many people miserable as they can each day. Many churches, work places and other types of organizations have the same type of people – People who take pleasure at pushing someone down, instead of lifting them up. –

Wow!! That may sounds like me or someone else you can readily think of, but before you think of someone else, think of yourself and ask:

How can I be a help instead of damaging others in the daily processes of doing ministry?

It is Person Centered … One person at a time.

FOCUS ON INDIVIDUALS INSTEAD OF THE CROWD

Jesus wasfollowed by a large crowd . . Two blind men shouted, “Lord and Son of David, have pity on us.” Matthew 20:29-30 As long as we label people, we will never be able to help them. Often labels are used to tag people as “groups that do not matter.” One must never forget – everyone matters – Everyone.

Rather than focusing on changing America, or your company, focus on helping one person at a time.

LISTEN SINCERELY TO THE NEEDS OF OTHERS

“When Jesus heard them. . ” Matthew 20:32 If we do not care enough to listen, we do not care enough to help bring about change. Listening is hard work. It is amazing how much we can learn with out mouths shut and our ears open.

TAKE TIME TO BE PRESENT TO OTHERS

“. He stopped. . ” Matthew 20:32.  If we want to demonstrate genuine care and interest in people’s live and situations, it is going to take a commitment of our time. We cannot be too busy to help.

DETERMINE THE FELT NEED OF OTHERS

“Jesus asked, ‘What do want me to do for you?’ Matthew 20:31 It is easier to talk about someone

than it is to talk to someone. Do you know why they do what they do? Are they hurting, lonely, ill-equipped for the task at hand? We will never know without talking and listening.

EMPATHIZE WITH OTHERS

“Jesus felt compassion for them” Matthew 20:34 Empathize means to hurt with them. Share their sorrow. In the words of Bill Clinton, to “Feel their pain.” When we understand why, then perhaps we can begin to help bring about change.

TOUCH OTHERS WHERE THE HURT AND NEED IS GREATEST

Matthew 20:34 “Jesus touched their eyes.” What can we do to help meet the needs of others? What kind of help can we offer? What are we willing to invest in others?

Change begins with me. If I want my world to change then maybe I need to change?