Invalidating environment borderline personality
Dialectical Behavior Therapy is an innovative method of treatment that has been developed specifically to treat this difficult group of patients in a way which is optimistic and which preserves the morale of the therapist.The technique has been devised by Marsha Linehan at the University of Washington in Seattle and its effectiveness has been demonstrated in a wealth of research in the past decade.
It was suffocating, frightening and debilitating."Even though people were being kind in saying those things ...what it actually ended up doing in this really counter-intuitive way was sort of invalidate my intense experience," she said."By someone saying to me, 'This is normal; everyone has this', the next thought that came in my mind was, 'Well why the hell am I struggling so much?'"Three-and-a-half years ago, Ms Mc Mullen was diagnosed with Borderline Personality Disorder.Linehan emphasizes that this theory is not yet supported by empirical evidence but the value of the technique does not depend on the theory being correct since the clinical effectiveness of DBT does have empirical research support.For most of her 30 years, Beth Mc Mullen has lived amidst a hectic swirl of emotional turmoil.About 1 to 2 per cent of the population has the illness, and about 10 per cent of patients will suicide if left untreated.
Ms Mc Mullen was initially diagnosed with a range of mental illnesses, including depression, anxiety and bipolar."Every day was just this huge emotional rollercoaster. I would take things really personally, not in an egotistical way, but in a self-damning way," she said."I got around hating myself, and needed to put on this face to the rest of the world that I was competent, capable and confident, but really underneath, I would be feeling that I didn't belong, and feeling that there was something deeply, fundamentally wrong with who I am."I thought that I was broken.
Dialectical Behavior Therapy is based on a bio-social theory of borderline personality disorder.
Linehan hypothesizes that the disorder is a consequence of an emotionally vulnerable individual growing up within a particular set of environmental circumstances which she refers to as the .
He said it was common for people with BPD to be more emotionally sensitive, and to have grown up in an 'invalidating' environment."Really it's a combination of nature and nurture," Prof Willcox said."If you have someone growing up in a world where their experience isn't being validated for various reasons, they'll grow up not learning how to regulate their emotions."Often when events occur in their lives, they have a very strong emotional response to what's going on.
In that moment of emotional deregulation, they will quite often go on to self harm as a way of regulating that emotion."To be diagnosed, people have to meet at least five of nine criteria.
They tend to have issues relating to others, managing their emotions, dealing with distress in their life, and have a poor sense of self.