“Back from the Edge”–video about borderline personality disorder

Here is an excellent and informative video featuring three people who suffered and were successfully treated for their BPD. Marsha Linehan, a psychologist who also had BPD and developed DBT therapy for borderline patients, is also featured, as well as Otto Kernberg, an psychologist who specializes in NPD and BPD.

BPD is best defined as a severe lack of a sense of self which has its roots in abuse and often sexual abuse during childhood and adolescence but it also has a genetic component. Brain scans of people with BPD show their brains are actually wired differently. Self destructive behaviors such as cutting serve to help the sufferer regulate their emotions for the short term. Borderlines find their inability to regulate their emotions so painful and debilitating that many resort to suicide. One shocking statistic is that 8 – 10% of borderlines will ultimately either kill themselves or die of their self destructive behaviors.

Unlike people with NPD, medications that “turn off” the parts of the brain that overreact to emotional stimuli have been successful for treating and controlling BPD symptoms. Also, while people with BPD are more impaired in being able to function than people with NPD, therapy is much more likely to be successful.

A narcissist in therapy (Kohut’s Self Psychology Model)

heinz_kohut
Heinz Kohut, psychoanalyst and pioneer in treating people with NPD

The following is a pretty fascinating scholarly article from one of Sam Vaknin’s sites about a patient named Michael who underwent psychotherapy (using Heinz Kohut’s Self Psychology Model) for his NPD.

Being as interested as I am in possible healing and therapy methods for people with NPD, this article was right up my alley. For a scholarly article, it’s not a difficult read.

Psychotherapy with a Narcissistic Patient Using Kohut’s Self Psychology Model
Jamie McLean, MD, corresponding author

Abstract

According to Kohut’s self psychology model, narcissistic psychopathology is a result of parental lack of empathy during development. Consequently, the individual does not develop full capacity to regulate self esteem. The narcissistic adult, according to Kohut’s concepts, vacillates between an irrational overestimation of the self and irrational feelings of inferiority, and relies on others to regulate his self esteem and give him a sense of value. In treatment, Kohut recommends helping the patient develop these missing functions. Kohut proposes that the therapist should empathically experience the world from the patient’s point of view (temporary indwelling) so that the patient feels understood. Interpretations are used when they can help the patient understand his sometimes intense feelings about any empathic failure on the part of the therapist, and understand why he (the patient) needs to restore solidity and comfort after being injured by any failed empathic (self object) ties. As insight develops, the patient begins to understand why he might experience these apparently small empathic failures so deeply.
In this article, therapy with a narcissistic patient is approached from the point of view of Kohut’s self psychology theory, and the successes and problems that were encountered with this approach are described and discussed.

Read the rest of the article here.
https://groups.yahoo.com/neo/groups/toxicrelationships/conversations/messages/3640