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Borderline
Personality Disorder Disorder: A Theory of it All
"Are you running faster to stay in the
same place? Or are you staying in the same place to run
faster?"
by an Anonymous Borderline
What went wrong?
I would like to offer an explanation to other Borders to what has been
going on. This explanation is based on theoretical ideas in reference
to the basic symptoms of borderline personality disorder (BPD). It has
been to my benefit, having BPD myself, to research and understand the
nature of what has been taking place. Thus, I write this in hope that
with a little understanding your life will become easier.
The main factor that I have found in analyzing the underlying
structures of BPD is the Pain. The pain or suffering is the ultimate
cause for BPD breakdowns. Of course, breakdowns aren't a short-end of
all ends-response; it is a long process, in which the world appears to
be gradually falling inwards on the BPD. This appearance, perception
or more likely a feeling is due to the fact that, during early years,
the self never developed the ability to repress emotion-called
"repression proper"- which is why the therapies for treating
BPD are actually known as Structure building therapies. These
structure building therapies help the self to contrast internal and
external worlds and stabilize and build structure, versus the
Uncovering therapies of the neurotic symptoms of repression which aim
at relaxing the repression walls and reconnecting the impulses and
emotions which have been repressed. Thus, one of the purposes of the
Structure building therapies (e.g. Dialectal Behavior Treatment) is to
get the persons with BPD "up to" a capacity for repression.
In the first section, I intend to explain how the Structures of
Consciousness, as illustrated by Ken Wilber, contribute to Borderline
Personality Disorder. Next, I will describe the contrast and effects
of natural human emotions, which are repressed. In order to take you
into support for dealing with the pain, I finally would like to offer
some advice for getting "up to" capacity for moving into the
acceptance phase which acts like a psychological and emotional clots
to allow you to flow with your whole self. [Note: this advice is from
a person with BPD, and not the advice of a physician.]
I. Structures of consciousness
Ken Wilber defines the self-development stages as structures of
consciousness in which he illustrates the by using the metaphor of a
ladder (basic structure), Fulcrums (steps on the latter as the
individual stage), and View (how we see the world during each stage).
See as below:
Ladder Climber Self-needs Self-sense World View
Sensoriphysical F-1 physiological autistic/symbiotic magic wish
Phantasmic-emotional F-2 beginning impulsive na�ve hedonism
Rep-mind F-3 safety impulsive/self-protective approval of others
Rule/role mind F-4 belongingness conformist/conscientous conformist
law/order
Formal Reflexive F-5 self-esteem conscientious/individualistic
individual rights
Vision-logic F-6 self-actualization autonomous/integrated individual
principles
Plus 3 others not stated
Upon development the self climbs the latter, beginning with Fulcrum 1
(F-1). With each step or F-1 there must be a 1-2-3 structure. One, the
self evolves or develops, stepping up to a new level and identifies
with that level. Two, the self begins movement beyond that
level-called differentiation or disidentification. Three, the self
identifies with a new and higher fulcrum and centers itself there.
Thus, it is Identify, Dis-identify and Integrate. If , however,
something goes wrong in one of the individuals stages or fulcrums,
pathology results; usually, the lower the fulcrum, the more severe the
pathology. The following is Ken Wilber's example of the the
development of Borderline Trauma which begins in fulcrum-2:
Suppose the infant has completed Fulcrum-1, "but still has not
yet established the boundaries of its emotional self. So it can
differentiate its physical self from the physical environment, but it
still cannot differentiate its emotional self from the emotional
environment. And this means that its emotional self is identified with
those around it, particularly the mother. (This is the initial
Identification phase of Fulcrum-2.)
The self at this stage cannot differentiate itself from the emotional
and vital world around it, the infant self treats the world as and
extension of itself-which is the technical meaning of
"narcissism." So this type of severe Narcissism-which is normal, not pathological, at this stage-does not
mean that the infant thinks selfishly about only itself, but on the
contrary, it is incapable of thinking about itself. It is unable to
differentiate itself from the world , the emotional world, and so it
thinks what it is feeling the world is feeling, what it wants the
world wants, what it sees it is what the world sees."
At the beginning of the Fulcrum-2 stage the infant doesn't have any
emotional boundaries. Normally, however around 15-24 months, the
emotional self begins to differentiate itself from the emotional
environment. (The self has moved from the initial Identity phase of
Fulcrum-2 to the middle or Dis-identification phase.) The infant
starts to wake up to a separate self, existing in a separate world. It
has hits the terrible twos. So, what happened with Borderlines in
Fulcrum-2?
" . . . the self either remains in identity at this emotionally
narcissistic stage (the so-called narcissistic personality disorder),
or the dis-identification process begins but is not resolved and there
is some sort of dissociation (the so-called borderline disorders). In
either case, there are no realistic emotional boundaries to the self.
In the narcissistic and borderline syndromes, the individual therefore
lacks a sense of cohesive self, and this is perhaps the central
defining characteristic of these pathologies. The self either treats
the world as an extension of itself (narcissistic), or is constantly
invaded and tortured by the world (borderline)."
In summary, as Wilber explains the stages of development as a fulcrum
on a ladder, the self is the conscious being in which must pass
through these fulcrums. When the person with BPD passed through
fulcrum-2, part of the self became cut off, similarly to losing an arm
or leg. That part of the self remains in the Fulcrum, thus in the same
worldview while the rest of the self continues onward through the
other fulcrums. So, We persons with BPD passed through all other
fulcrums above Fulcrum-2, making it quite possible to be intelligent,
creative, intuitive, etc. However, stuck in fulcrum-2 is the false
self.
"Once this accident occurs-once we get a subphase malformation at
any level-then this pathology forms a lesion in consciousness that
tends to infect and distort all subsequent development. There are now
aspects of the self's being that it doesn't own or admit or acknowledge. It starts to hide
from itself. In other words, the self begins lying to itself. A false
self-system begins to grow over the actual self, the self that is
really there at any given moment, but is now denied or distorted
or repressed. Repression, basically, is being untruthful about what is
actually running around in your psyche. Thus, the personal unconscious
begins its career. Aspects of awareness are split off-"little
blobs", little selves, little subjects, are forced into the
subterranean dark. These little blobs remain at the level of
development they had when they were split off and denied. They cease
to grow. They remain in Identity with the level where they were
repressed. So aspects of your potential, sealed off by the
dissociation, begin eating up your energy. They are a drain. The false
self-at whatever level-might simply remain in charge for a lifetime,
as the individual limps through a life of internal insincerity. More
than not, however, the false self will at some point collapse under
its own suffocating weight-there is a "breakdown" -and the
individual is then faced with several choices: rest and recover and
then resume the same false self trajectory; temporarily drug the
dilemma out of awareness; behaviorally reinforce actions that avoid
the problem; or take up an investigation into the life of the lie,
usually with a therapist who will help you interpret your interior
intentions more truthfully."
Commonly referred, this false self can be described as the underlying
context of FEAR: false evidence appearing real. This fear can be
associated to the fear of abandonment, eventually leading to
associated paranoid tendencies involving interpersonal relationships.
Thus, if untreated or dealt with can falter any other developments
along the fulcrum as well. In retrospect, I have illustrated these
basic fundamentals within these borderline symptoms:
1)* Impulsivity in at least two areas that are potentially
self-damaging (e.g., spending, sex, substance abuse, reckless driving,
binge eating). Note: Do not include suicidal or self-mutilating
behavior covered in Criterion 5.
"Since the center of gravity of the self is at a preconvential,
impulsive stage in fulcrum-2, then aspects that impulsive self can be
split off or dissociated. If this dissociation is extremely severe,
then self-development will come to a screeching halt. But more often
than not, the self will simply limp along down the road, dissociation
and all. It will continue to develop, it will continue to climb the
basic structures in expanding awareness, however haltingly or however
wounded. But an aspect of the impulsive self has nonetheless been
split off and dissociated. That split-off aspect does not climb or
continue to grow and develop. It remains at a moral stage 2, even as
the rest of the self grows and develops. So this split-off aspect is
altogether impulsive."
2) *Transient, stress-related paranoid ideation or severe dissociative
symptoms.
"The differentiation, or dis-identification process began in
fulcrum-2, but is not resolved with the final phase integration and
there is some sort of dissociation because the structures 1-2-3 were
not complete."
3) *Identity disturbance: markedly and persistently unstable
self-image or sense of self. *Inappropriate, intense anger or
difficulty controlling anger (e.g., frequent displays of temper,
constant anger, recurrent physical fights)
"There are no realistic emotional boundaries to the self. In the
narcissistic and borderline syndromes, the individual therefore lacks
a sense of cohesive self . . ."
4) *Affective instability due to a marked reactivity of mood (e.g.,
intense episodic dysphoria, irritability, or anxiety usually lasting a
few hours and only rarely more than a few days).
"The self either treats the world as an extension of itself
(narcissistic), or is constantly invaded and tortured by the world
(borderline)."
5) A pattern of unstable and intense interpersonal relationships
characterized by alternating between extremes of idealization and
devaluation.
"Typical fulcrum-2 defense mechanisms include splitting and
Identifying (identifying of self and object representations and a
splitting of all-good and all-bad objects)."
6) Frantic efforts to avoid real or imagined abandonment. Note: Do not
include suicidal or self-mutilating behavior covered in Criterion 5.
Related to the World View-Magic- in which is perceived in fulcrum-2!
"As images and symbols begin to emerge, around the time of
fulcrum-2, these early images and symbols are not differentiated
clearly from the objects they represent. Thus, it seems that to
manipulate the image is to actually change the object. The child lives
in this world of magical displacement and condensation. Likewise,
because self and other are not well dis-identified, the child
populates its world with objects that have mental characteristics-the
magical worldview is animistic. It's very crude and very egocentric.
The clouds move because they are following you, they want to see you.
It rains because the sky wants to wash you off. It thunders because
the sky is angry at you personally. Mind and world (others also) are
not clearly dis-identified, so their characteristics ten to get fused
and confused, "magically". Inside and outside are both
egocentric, narcissistic."
Fulcrum-2 Worldview= impulse + sensation + images + symbols
7) *Chronic feelings of emptiness
* Recurrent suicidal behavior, gestures, or threats, or
self-mutilating behavior
These can be due to the overall pain and confusion, and depression,
which have been triggered by the symptoms in the Borderline
Personality Disorder.
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