Borderline Personality Disorder Quotes

I'm so good at beginnings, but in the end I always seem to destroy everything, including myself.

People with BPD are like people with third degree burns over 90% of their bodies. Lacking emotional skin, they feel agony at the slightest touch or movement.

They love without measure those whom they will soon hate without reason.

I can honestly say that my misery had been transformed into common unhappiness, so by Freud's definition I have achieved mental health.

Thirty seconds of pure awareness is a long time, especially after a lifetime of escaping yourself at all costs.

But what if you simply don't have a solid self to return to—if the way you are is seen as basically broken? And what if you can't conceive of "normal" or "healthy" because pain and loneliness are all you remember?

The role of the therapist is to reflect the being/accepting self that was never allowed to be in the borderline.

Imagining that you are deep and complex, but others are simple, is one of the primary signs of malignant selfishness.

Yet I also recognize this: Even if everyone in the world were to accept me and my illness and validate my pain, unless I can abide myself and be compassionate toward my own distress, I will probably always feel alone and neglected by others.

A crucial element of the real self is its unconditional acceptance of itself.

To stave off the panic associated with the absence of a primary object, borderline patients frequently will impulsively engage in behaviors that numb the panic and establish contact with and control over some new object.

You are a warrior in a dark forest, with no compass and are unable to tell who the actual enemy is, So you never feel safe ..

A borderline suffers a kind of emotional hemophilia; [s]he lacks the clotting mechanism needed to moderate [his or her] spurts of feeling. Stimulate a passion, and the borderline emotionally bleeds to death.

We do not deserve to be trapped in hell. It isnt our fault.

My skin is so thin that the innocent words of others burn holes right through me.

I couldn’t trust my own emotions. Which emotional reactions were justified, if any? And which ones were tainted by the mental illness of BPD? I found myself fiercely guarding and limiting my emotional reactions, chastising myself for possible distortions and motivations. People who had known me years ago would barely recognize me now. I had become quiet and withdrawn in social settings, no longer the life of the party. After all, how could I know if my boisterous humor were spontaneous or just a borderline desire to be the center of attention? I could no longer trust any of my heart felt beliefs and opinions on politics, religion, or life. The debate queen had withered. I found myself looking at every single side of an issue unable to come to any conclusions for fear they might be tainted. My lifelong ability to be assertive had turned into a constant state of passivity.

The biographies of the great men see their excesses as signs of their greatness. But Jean Rhys, in her biography, is read as borderline; Anaïs Nin is borderline; Djuna is borderline; etc. etc. Borderline personality disorder being an overwhelmingly gendered diagnosis. I write in Heroines: “The charges of borderline personality disorder are the same charges against girls writing literature, I realize—too emotional, too impulsive, no boundaries.

I need them to be aware and present with me in the midst of the storm, not just tell me what to do.

When you fall in love, everything is impregnated with new meaning. It is as if you suddenly have borderline personality disorder.

Borderlines create the vicious circles they fear most. They become angry and drive the relationship to the breaking point, then switch to a posture of helplessness and contrition, beg for reconciliation. If both parties are equally enmeshed, chaos and conflict become the soul of the relationship.

You survived by seizing every tiny drop of love you could find anywhere, and milking it, relishing it, for all it was worth. And as you grew up, you sought love, anywhere you could find it, whether it was a teacher or a coach or a friend or a friend's parents. You sought those tiny droplets of love, basking in them when you found them. They sustained you. For all these years, you've lived under the illusion that somehow, you made it because you were tough enough to overpower the abuse, the hatred, the hard knocks of life. But really you made it because love is so powerful that tiny little doses of it are enough to overcome the pain of the worst things life can dish out. Toughness was a faulty coping mechanism you devised to get by. But, in reality, it has been your ability to never give up, to keep seeking love, and your resourcefulness to make that love last long enough to sustain you. That is what has gotten you by.

That was the crux. You. Only you could work on you. Nobody could force you, and if you weren't ready, then you weren't ready, and no amount of open-armed encouragement was going to change that.

Self-destructiveness may be a primary form of communication for those who do not yet have ways to tame their excruciating inner conflicts and feelings and who cannot yet turn to others for support.

When the borderline is alone, continuity and connectedness cease. Like sand falling through her fingers, her confidence - even her sense of reality - slip away.

The Queen is controlling, the Witch is sadistic, the Hermit is fearful, and the Waif is helpless. And each requires a different approach. Don't let the Queen get the upper hand; be wary even of accepting gifts because it engenders expectations. Don't internalize the Hermit's fears or become limited by them. Don't allow yourself to be alone with the Witch; maintain distance for your own emotional and physical safety. And with the Waif, don't get pulled into her crises and sense of victimization. Pay attention to your own tendencies to want to rescue her, which just feeds the dynamic.

Owing to a poorly defined sense of self, people with BPD rely on others for their feelings of worth and emotional caretaking. So fearful are they of feeling alone that they may act in desperate ways that quite frequently bring about the very abandonment and rejection they're trying to avoid.

In some ways, com­ing to terms with my­self and work­ing to­ward re­cov­ery has been like say­ing “I love you” to some­one but keep­ing a loaded gun hid­den in your back pocket, just in case that per­son pisses you off enough.

All you want is love and belonging, and your very existence depends on it. But when you get it, you have no existence except that love; there’s still no you.

A successful suicide demands good organization and a cool head, both of which are usually incompatible with the suicidal state of mind.

This will sound strange, and yet I'm sure it was the point: it was a bit like being high. That, for me, anyway, had always been the attraction of drugs, to stop the brutal round of hypercritical thinking, to escape the ravages of an unoccupied mind cannibalizing itself.

I was the one who was fighting for survival and I was also the murderer within.

He may attempt suicide, often not with the intent to die but to feel something, to confirm he is alive.

Cincinatti was where I learned that running away from your problems has a three-month statute of limitations, a lesson I have found repeatedly to be true. Three months is still a first impression -- of a city, of other people, of yourself in that place. But there comes a point when you can no longer hide who you are, and the reactions of others become all too familiar...

recognizing how even poison is a form of medicine when used the right way.

An inner ease spreads inside me. Such is the power of acceptance and understanding from other people, the power of validation

Certainly, it's important to acknowledge and identify the effects of BPD on your life. It's equally important to realize that it neither dictates who you are nor fixes your destiny.

The theologian Paul Tillich wrote that "loneliness can be conquered only by those who can bear solitude." Because the borderline finds solitude so difficult to tolerate, she is trapped in a relentless metaphysical loneliness from which the the only relief comes from of the physical presence of others. So she will often rush to singles bars or with crowded haunts, often with disappointing--or even violent--results.

What does borderline personality mean, anyhow? It appears to be a way station between neurosis and psychosis: a fractured but not disassembled psyche. Though to quote my post-Melvin psychiatrist: "It's what they call people whose lifestyles bother them.

Connection gives us our life, yet it also threatens to take it from us.

Some of our fiercest battles are fought and won in silence.

The great thing about treating borderline patients is that it is like having a supervisor always in the room.

How can I put this? There's a king of gap between what I think is real and what's really real. I get this feeling like some kind of little something-or-other is there, somewhere inside me... like a burglar is in the house, hiding in a wardrobe... and it comes out every once in a while and messes up whatever order or logic I've established for myself. The way a magnet can make a machine go crazy.

It's not about blame or wallowing...you are all molded by so much more than a dysfunctional past, and you must ultimately take responsibility for creating the life you want.

There weren't as many layers between her and the world as there were with the rest of us.

To a large degree, a particular collision of genes and temperament with a suboptimal or hostile environment may explain the development of borderline personality disorder.

I've grown up with an ethic, call it a part, that insists I hide my pain at all costs. As I talk, I feel this pain leaking out—not just the core symptom of BPD, but all the years of being blamed or ignored for my condition, and all the years I've blamed others for how I am. It's the pain of being told I was too needy even as could never get the help I needed.

We need this help from the outside because we don't know how to to do this for ourselves. We start with a deep deficit—a chasm really—when it comes to understanding and being tolerant of ourselves, and that's even before we go forth to do battle with the rest of the world. As soon as someone judges, criticizes, dismisses, or ignores, the cycle of pain and reactivity ramps up, compounded by shame, remorse, and rejection. The act of validation, simply saying, 'I can see things from your perspective,' can short-circuit that emotional detour.

I didn't understand why I could not control myself despite my best intentions.

For those of us with BPD, entering into a shared experience means passing through the ring of fire that leaves us feeling even more burned—and in this case branded with a label no one would ever choose to wear.

From a pathological standpoint, the incipient twenty-first century is determined neither by bacteria nor by viruses, but by neurons. Neurological illnesses such as depression, attention deficit hyperactivity disorder (ADHD), borderline personality disorder (BPD), and burnout syndrome mark the landscape of pathology at the beginning of the twenty-first century. They are not infections, but infarctions; they do not follow from the negativity of what is immunologically foreign, but from an excess of positivity. Therefore, they elude all technologies and techniques that seek to combat what is alien.

In the life cycle of an intense emotion, if it isn't acted upon, it eventually peaks and then decreases. But as Dr. Linehan explains, people with BPD have a different physiological experience with this process because of three key biological vulnerabilities (1993a): First, we're highly sensitive to emotional stimuli (meaning we experience social dynamics, the environment, and our own inner states with an acuteness similar to having exposed nerve endings). Second, we respond more intensely and much more quickly, than other people. And third, we don't 'come down' from our emotions for a long time. One the nerves have been touched, the sensations keep peaking. Shock waves of emotion that might pass through others in minutes keep cresting in us for hours, sometimes days.

For all these years, you’ve lived under the illusion that, somehow, you made it because you were tough enough to overpower the abuse, the hatred, the hard knocks of life. But really you made it because love is so powerful that tiny little doses of it are enough to overcome the pain of the worst things life can dish out. Toughness was a faulty coping mechanism you devised to get by. But, in reality, it has been your ability to never give up, to keep seeking love, and your resourcefulness to make that love last long enough to sustain you. That’s what has gotten you by

Ironically, the word “borderline” has become the most perfect expression of my experience— the experience of being in two places at once: disordered and perfect.

The best revenge is living well,

The techniques of brainwashing are simple: isolate the victim, expose them to consistent messages, mix with sleep deprivation, add some form of abuse, get the person to doubt what they know and feel, keep them on their toes, wear them down, and stir well.

I honestly didn’t realize at the time that I was dealing with myself. But I suppose it’s true that I developed a therapy that provides the things I needed for so many years and never got.

All the skills from DBT glom together, a mass of acronyms without any meaning. I pull out the DBT books and paw through the pages. Something has to help. Then I find these words: 'The lives of suicidal, borderline individuals are unbearable as they currently being lived.

Accepting a psychiatric diagnosis is like a religious conversion. It's an adjustment in cosmology, with all its accompanying high priests, sacred texts, and stories of religion. And I am, for better or worse, an instant convert.

The man reeks of mental illness. I can taste his pathology... Goes well with my palette.

It's important that you don't continue to ignore or accept rages. Realize that extreme rage directed at you or your children is verbal and emotional abuse. Even if you think you can handle it, over time it can erode your self-esteem and poison the relationship. Seek support immediately.

The desire to commit suicide, however, has at its base a belief that life cannot or will not improve. Although that may be the case in some instances, it is not true in all instances. Death, however, rules out hope in all instances. We do not have any data indicating that people who are dead lead better lives.

Most important, the reason I wrote this book is to serve as proof that miracles do happen, that love can and does heal wounds, that there is hope for those with the courage and fortitude to seek healing.

So at family gatherings… I try to stick to the acceptable script. Indeed, I discover that the less I say, the happier everyone seems to be with me. I sometimes wonder if I wouldn’t have been better off as a paraplegic or afflicted by some tragic form of cancer. The invisibility and periodicity of my disorder, along with how often I border on normalcy, allows them to evade my need for their understanding. And because our most enduring family heirloom is avoidance and denial of pain and suffering, I don’t need much prompting to shut myself down in their presence.

And, as an adult, you have the freedom and the access to indulge in much greater forms of self-destruction than a two-year-old could ever have. You can drink and use drugs. You can smoke. You can be promiscuous. You can kill yourself if you want to, run into the streets at night, choose to eat everything in sight, or starve yourself. It's dangerous when the raw black-and-white emotions of a child are harbored in an adult's mind and body.

Deeply vulnerable and hurting within as you act tough outside. You do need people; you need them so much so that it scares you to death. You drive them away so they don't get too close; yet you regret it every time you do.

The only way to see the light at the end of the tunnel was to crawl through the mud in darkness.

The ALL or Nothing, You Love Me-You Hate Me-I am Everything-I am Nothing. I want to Live. I want to Die, became the Curse of her life.

If my mind began to wander again, I found a way to distract it. Stay busy. Get drunk. Get laid. Anything to escape the chamber of torture that was my mind.

As much as I loathed pain, progress did not seem to come without it.

Dissociative symptoms—primarily depersonalization and derealization—are elements in other DSM-IV disorders, including schizophrenia and borderline personality disorder, and in the neurologic syndrome of temporal lobe epilepsy, also called complex partial seizures. In this latter disorder, there are often florid symptoms of depersonalization and realization, but most amnesia symptoms derive from difficulties with focused attention rather than forgetting previously learned information.

I’ve read that, for some borderlines, the flip side of abandonment fear is the fear of engulfment. It’s another one of those “screwed if you do, screwed if you don’t” situations. All you want is love and belonging, and your very existence depends on it. But when you get it, you have no existence except that love; there’s still no you.

If the abuser is a parent or caretaker, the abuse may be the most attention the child has had from that person. To the child, withholding attention can be a powerful form of coercion. Sexual molestation may be accompanied by physical expressions of affection that are sometimes the only affection the child receives.

The disorder is more common in women." Note the construction of that sentence. They did not write, "The disorder is more common in women." It would still be suspect, but they didn't bother trying to cover their tracks. Many disorders, judging by the hospital population, were more commonly diagnosed in women. Take, for example, "compulsive promiscuity." How many girls do you think a seventeen-year-old boy would have to screw to earn the label "compulsively promiscuous"? Three? No, not enough. Six? Doubtful. Ten? That seems more likely. Probably in the fifteen-to-twenty range, would be my guess - if they ever put that label on boys, which I don't recall their doing.... In the list of six "potentially self-damaging" activities favored by the borderline personality, three are commonly associated with women (shopping sprees, shoplifting, and eating binges) and one with men (reckless driving). One is not "gender specific," as they say these days (psychoactive substance abuse). And the definition of the other (casual sex) is in the eye of the beholder.

The borderline Queen experiences what therapists call "oral greediness". The desperate hunger of the borderline Queen is akin to the behavior of an infant who had gone too long between feelings. Starved, frustrated, and beyond the ability to calm of soothe herself, she grabs, flails, and wails until at last the nipple is planted securely and perhaps too deeply in her mouth. She coughs, gags, chokes, and spits, eyeing the elusive breast like a wolf guarding her food. Similarity, the Queen holds on to what is hers, taking more than she could use, in case it might be taken away prematurely.

Consider a lighthouse. It stands on the shore with its beckoning light, guiding ships safely into the harbor. The lighthouse can't uproot itself, wade out into the water, grab the ship by the stern and say, "Listen, you fool! If you stay on this path you may break up on the rocks!" No. The ship has some responsibility for its own destiny. It can choose to be guided by the lighthouse. Or, it can go its own way. The lighthouse is not responsible for the ship's decisions. All it can do is be the best lighthouse it knows how to be.

Every age has its signature afflictions. Thus, a bacterial age existed; at the latest, it ended with the discovery of antibiotics. Despite widespread fear of an influenza epidemic, we are not living in a viral age. Thanks to immunological technology, we have already left it behind. From a pathological standpoint, the incipient twenty-first century is determined neither by bacteria nor by viruses, but by neurons. Neurological illnesses such as depression, attention deficit hyperactivity disorder (ADHD), borderline personality disorder (BPD), and burnout syndrome mark the landscape of pathology at the beginning of the twenty-first century.

I’m not interested in Bob Marley telling me to ‘lively up’ myself. The only music that satisfies me is Nine Inch Nails and Trent Reznor’s voice crying through industrial rhytms. In the August evenings, I lie on my bed with earphones, letting his laments roll through me like unrepentant thunderstorms. I envy the courage that carries his voice into the world. He doesn’t berate himself for pain and anger; he howls. And this delights me, even though I feel ashamed when my own rage comes to the surface. My anger doesn’t signify courage; it’s just more confirmation that I’m bad.

DBT's catchphrase of developing a life worth living means you're not just surviving; rather, you have good reasons for living. I'm also getting better at keeping another dialectic in mind: On the one hand, the disorder decimates all relationships and social functions, so you're basically wandering in the wasteland of your own failure, and yet you have to keep walking through it, gathering the small bits of life that can eventually go into creating a life worth living. To be in the desolate badlands while envisioning the lush tropics without being totally triggered again isn't easy, especially when life seems so effortless for everyone else.

[Adult children of a BPD parent] may seem old before their time or like an old soul (and probably were that way as children too.) They may easily assume the role of fixer and nurturer. They're the ones friends lean on, the ones to whom people tell their problems. Helping others gives them a sense of purpose and worth.

Unbearable pain that is expressed and acknowledged becomes bearable. But borderlines received no such responses in their childhood. Therefore, they are stuck in the past, trying to elicit what they needed as a child—validation of their unbearable pain.

People with BPD tend to judge themselves and others in extreme ways. They will often use excessively positive terms, idealizing or glorifying, or excessively negative terms, demonizing or devaluing themselves or others. They look at themselves with harsh and critical negative self-judgments that increase their sense of shame.

I paint my wrists a pretty red To silence the demons in my head Creating art out of my pain It's the only thing that keeps me sane But why do others cry when they see my art? Is it because I ripped the canvas apart? I never understood why they looked so upset I guess they just don't like the color red

Sadly, psychiatric training still includes far too little on the very serious psychiatric sequelae of childhood trauma, especially CSA [child sexual abuse]. There is inadequate recognition within mental health services of the prevalence and importance of Dissociative Disorders, sufferers of which are frequently misdiagnosed as Borderline Personality Disorder (BPD), or, in the cases of DID, schizophrenia. This is to some extent understandable as some of the features of DID appear superficially to mimic those of schizophrenia and/or Borderline Personality Disorder.

If the borderline rage that had fueled me for so long was torn down and taken away, would there be anything left? Or would it take the life, the spirit, right out of me? I was daunted by the prospect of letting go without a clear idea of what would emerge in the old framework's place.

This painful mental illness is not fair, but saying it is not fair does not change anything. Thinking that you should not have to work so hard to get through everyday life with someone with BPD does not change the fact that this is what you need to do.

Children who experience abuse also learn to deny pain and chaos or accept them as normal and proper. They learn that their feelings were wrong or didn't matter. They learn to focus on immediate survival - on not getting abused, and miss out on important developmental stages. As a result, they have problems developing their own identities.

GoodReads: Do people still ask you about your mental health? Susanna Kaysen: Well, they used to a lot. "Are you still crazy?" was how people put it. And I would say, "Yes, but I'm older, so I'm more used to it." It's familiar. You've been there, you've done that, and it's gone away. I think the fact that you can feel like it's the end of the world and you're going to kill yourself and yet there's some part of you that says "this has happened before." And by the time you get to the point where you can say "this has happened 137 times before," it's better than saying "this has happened four times before." So as you get older, there's a little ironist or cynic or somebody inside you who says, "Yeah, uh-huh. Right, OK, I've heard that, I've heard that.

I thought the doctor's diagnosis was the first step to mending her. I know now that a diagnosis is taken in like an orphaned dog. We brought it home, unsure how to care for it, to live with it. It raised its hackles, snarled, hid in the farthest corner of the room; but it was ours, her diagnosis. The diagnosis was timid and confused, and genetically wired to strike out.

While others might feel manipulative, I feel powerless. Sometimes I just hurt so bad from the mean things that people do to me, real or perceived, or I’m so desperately feeling abandoned, that I withdraw and pout and go silent. At some point people get pissed off and fed up with that crap and they go away and then I’m left with nothing all over again.

Janna knew - Rikki knew — and I knew, too — that becoming Dr Cameron West wouldn't make me feel a damn bit better about myself than I did about being Citizen West. Citizen West, Citizen Kane, Sugar Ray Robinson, Robinson Crusoe, Robinson miso, miso soup, black bean soup, black sticky soup, black sticky me. Yeah. Inside I was still a fetid and festering corpse covered in sticky blackness, still mired in putrid shame and scorching self-hatred. I could write an 86-page essay comparing the features of Borderline Personality Disorder with those of Dissociative Identity Disorder, but I barely knew what day it was, or even what month, never knew where the car was parked when Dusty would come out of the grocery store, couldn't look in the mirror for fear of what—or whom—I'd see. ~ Dr Cameron West describes living with DID whilst studying to be a psychologist.

Gwen, a woman with BPD, talks about her inability to decipher the world around her. “On the day I was born, all the newborn babies got on a line to meet God and to get their How to Act in All Situations Throughout Life book. When it was my turn, God had run out of the book. Ever since that day, I have been looking over other people’s shoulders so that I could read their book and know how to act.

Conviction rates in the military are pathetic, with most offenders going free AND THERE IS NO RECOURSE FOR APPEAL! The military believes the Emperor has his clothes on, even when they are down around his ankles and he is coming in the woman's window with a knife! Military juries give low sentences or clear offender's altogether. Women can be heard to say “it's not just me” over and over. Men may get an Article 15, which is just a slap on the wrist, and doesn't even follow them in their career. This is hardly a deterrent. The perpetrator frequently stays in place to continue to intimidate their female victims, who are then treated like mental cases, who need to be discharged. Women find the tables turned, letters in their files, trumped up Women find the tables turned, letters in their files, trumped up charges; isolation and transfer are common, as are court ordered psychiatric referrals that label the women as lying or incompatible with military service because they are “Borderline Personality Disorders” or mentally unbalanced. I attended many of these women, after they were discharged, or were wives of abusers, from xxx Air Force Base, when I was a psychotherapist working in the private sector. That was always their diagnosis, yet retesting tended to show something different after stabilization, like PTSD.

            Tempting as it may be to draw one conclusion or another from my story and universalize it to apply to another's experience, it is not my intention for my book to be seen as some sort of cookie-cutter approach and explanation of mental illness, It is not ab advocacy of any particular form of therapy over another. Nor is it meant to take sides in the legitimate and necessary debate within the mental health profession if which treatments are most effective for this or any other mental illness.             What it is, I hope, is a way for readers to get a true feel for what it's like to be in the grips of mental illness and what it's like to strive for recovery.

I may have no emotional skin and come undone at the smallest interpersonal upset, but I’d make a great bullfighter or firefighter—anything that gets my adrenaline going and focuses me on a physical target. The motorcycle is all of that and more. When I’m on the bike, it feels like a door opens in my chest and the world rushes in, pure, fresh, and sparkling with clarity. It forces me to approach fear with total awareness and to pull reason mind into the moment of intense reactions.

Although, in principle, the psychoanalytical theory of borderlines is not punitive, in practice 'borderline' is almost always used to indicate that the patient is hostile, demanding, unpleasant, manipulative, attention-seeking, and prone to regression and dependency if admitted to hospital; in other words patient is a witch by Malleus Maleficarum criteria. The term 'borderline' functions to rationalize sadistic counter-transference, and to legitimize rejecting triaging decisions within the health-care system. Actually, most of the time, in my experience, the splitting is coming from the staff, not the patient, and it is the mental-health professionals who are using projection and denial. This is an example of 'blaming the victim,' which is a fundamental borderline psychodynamic.

When you travel to another country, it’s important to know the local customs. When you’re interacting with someone with BPD, it’s crucial to understand that their unconscious assumptions may be very different from yours. They may include: I must be loved by all the important people in my life at all times or else I am worthless. I must be completely competent in all ways to be a worthwhile person. Some people are good and everything about them is perfect. Other people are thoroughly bad and should be blamed and punished for it. My feelings are caused by external events. I have no control over my emotions or the things I do in reaction to them. Nobody cares about me as much as I care about them, so I lose everyone I care about—despite the desperate things I do to stop them from leaving me. If someone treats me badly, then I become bad.

bargaining This stage is characterized by the non-BP making concessions in order to bring back the “normal” behavior of the person they love. The thinking goes, “If I do what this person wants, I will get what I need in this relationship.” We all make compromises in relationships. But the sacrifices that people make to satisfy the borderlines they care about can be very costly. And the concessions may never be enough. Before long, more proof of love is needed and another bargain must be struck. depression Depression sets in when non-BPs realize the true cost of the bargains they’ve made: loss of friends, family, self-respect, and hobbies. The person with BPD hasn’t changed. But the non-BP has.

Not knowing how to regulate their own painful, aversive feelings, such as shame and anger, makes people with BPD walking powder kegs. Because of their deficits, they tend to regulate emotional pain with actions that bring quick, short-term relief, such as cutting themselves (parasuicidal acts) using drugs or alcohol, shopping or overspending, binge eating, anorexia, gambling, or engaging in unsafe sex. The consequence of these behaviors is usually more emotional pain. Alternatively, they may cope by avoiding or dissociating from the trigger or the actual emotion they are feeling. Some people with BPD may have developed too much control of their emotional responses. They may be described as emotionally over-controlled or emotionally constipated.

Some scientists were conducting an experiment, he said, trying to gauge the impact of abuse on children. Ducks, like people, develop bonds between mother and young. They call it imprinting. So the scientists set out to test how that imprint bond would be affected by abuse. The control group was a real mother duck and her ducklings. For the experimental group, the scientist used a mechanical duck they had created - feathers, sound, and all - which would, at timed intervals, peck the ducklings with its mechanical beak. A painful peck, one a real duck would not give. They varied these groups. Each group was pecked with a different level of frequency. And then they watched the ducklings grow and imprint bond with their mother. Over time, he went on, the ducklings in the control group would waddle along behind their mother. But as they grew, there would be more distance between them. They'd wander and explore. The ducklings with the pecking mechanical mother, though, followed much more closely. Even the scientists were stunned to discover that the group that bonded and followed most closely was the one that had been pecked repeatedly with the greatest frequency. The more the ducklings were pecked and abused, the more closely they followed. The scientist repeated the experiment and got the same results.

The Dialectical Dilemma for the Patient The borderline individual is faced with an apparently irreconcilable dilemma. On the one hand, she has tremendous difficulties with self-regulation of affect and subsequent behavioral competence. She frequently but somewhat unpredictably needs a great deal of assistance, often feels helpless and hopeless, and is afraid of being left alone to fend for herself in a world where she has failed over and over again. Without the ability to predict and control her own well-being, she depends on her social environment to regulate her affect and behavior. On the other hand, she experiences intense shame at behaving dependently in a society that cannot tolerate dependency, and has learned to inhibit expressions of negative affect and helplessness whenever the affect is within controllable limits. Indeed, when in a positive mood, she may be exceptionally competent across a variety of situations. However, in the positive mood state she has difficulty predicting her own behavioral capabilities in a different mood, and thus communicates to others an ability to cope beyond her capabilities. Thus, the borderline individual, even though at times desperate for help, has great difficulty asking for help appropriately or communicating her needs. The inability to integrate or synthesize the notions of helplessness and competence, of noncontrol and control, and of needing and not needing help can lead to further emotional distress and dysfunctional behaviors. Believing that she is competent to “succeed,” the person may experience intense guilt about her presumed lack of motivation when she falls short of objectives. At other times, she experiences extreme anger at others for their lack of understanding and unrealistic expectations. Both the intense guilt and the intense anger can lead to dysfunctional behaviors, including suicide and parasuicide, aimed at reducing the painful emotional states. For the apparently competent person, suicidal behavior is sometimes the only means of communicating to others that she really can’t cope and needs help; that is, suicidal behavior is a cry for help. The behavior may also function as a means to get others to alter their unrealistic expectations—to “prove” to the world that she really cannot do what is expected.