Borderline Personality Disorder, Disinhibition, and Suicidal Behavior

img_1394-1(This is the third in the series linking Borderline Personality Disorder (BPD) with Suicidal Behavior. In the first blog, we established the link between BPD and suicidal behavior in general, and in the second blog we looked at the correlation with childhood sexual abuse.)

A study conducted by Brodsky et al [1] involving 214 inpatients diagnosed with BPD, concluded that Impulsivity was the only characteristic of borderline personality disorder that was associated with a higher number of previous suicide attempts. Could it be that impulsivity by itself, leading to risk taking, is the leading cause of suicidal behavior among those diagnosed with BPD? I think not, at least not in isolation.

So why are we splitting hairs when it comes to the causes of suicidal behavior and BPD? We know there is a link with BPD and suicide, and we know there is a link with suicide, impulsivity, and risk taking. Whether or not suicidal thoughts and behaviors are a symptom of BPD or not is not the issue. The issue is that people with BPD  are dying because of their risk taking. This is especially evident in the case of the flirtation with death through street drugs. Why are we doing that? Why are we taking risks with drugs we know are, or may be, laced with fentanyl? Why have we gay and bisexual men engaged in unsafe gay sex when it may have led to AIDS? Why such a disregard for our own lives?

Speaking from personal experience, impulsivity was not my major cause of suicidal thoughts. It was my sense of failure and hopelessness. I never made an attempt on my life but I certainly took risks that I hoped might end it for me. Perhaps, it is the combination of other affects in conjunction with impulsivity, in other words,  a kind of global personality disorder, including impulsivity, that puts us at risk not just for suicidal thoughts but for actual suicidal attempts. Perhaps it is merely not wanting to live our lives anymore because there is too much pain coupled with a desperate sense of helplessness and hopelessness.

So what can we do about it? Therapy should begin not with what has happened in the past, and not the sense of hopelessness in the present.  We have to start with finding something to be thankful for, and what a better place to start than with life itself. We have to stop viewing life through the eyes of our damaged egos and begin to see the possibilities of a life we would love to live that is being offered by our higher self. We have to close our eyes and ears to the message of hopelessness and helplessness and open ourselves up to the message of hope and love from our higher self. We should be focusing on what life can be, not what it was not. We have to learn to dream again and see the possibilities of a life of peace and contentment, a life that we would truly love to live. There is a light at the end of the tunnel; we just have to open the eyes of our higher self to see it.

Here are my five suggestions for bisexuals with BPD:

  1. We can look deep inside ourselves and find that sweet spot at the center of our being, the home of our higher self. We can do this through meditation where we seek out that especial place that is within all of us.
  2. During the day, we just stop the madness for a few minutes and enter into a state of short meditation where we seek the presence of our higher self. It will give us a moment of peace.
  3. If we stay in the moment, our higher self will begin to heal our wounds and dissolve our sorrows. It may be just a quiet knowing, or it may be an emotional charge as old feelings come to the surface and are let go. We do not try to analyse where the feeling comes from; we just acknowledge it and let it go. It’s okay for us men to cry.
  4. We begin to search for and recognize our inner voice. We choose to silence the voice of our mind and welcome the voice of our spirit. It will always say I love you in a thousand different ways.
  5. We recognize that we are in essence love and that love starts with love for our self. We tell ourselves that we are proud that we have survived the pain and we give our self a hug.

[1] Brodsky, Beth S.; Malone, Kevin M.; Ellis, Steven P.; Dulit, Rebecca A.; and Mann, Hohn J..

Characteristics of Borderline Personality Disorder Associated With Suicidal Behavior. Am J Psychiatry 1997; 154:1715–1719)

 

 

Auto-Suggestion and Bisexuality

SHIRT & TIE [small] (final)(This is the fourth in the series on applying Napoleon Hill’s principles for financial success to how we can shape our bisexuality into creating a life that we would truly love to live.)

According to Napoleon Hill, auto-suggestion is “the agency of communication between the part of the mind where conscious thought takes place, and that which serves as the seat of action for the subconscious mind (higher self).” [1]

Most of us live continuously within our conscious mind. Biologically, it is the constant process of sensing, turning senses into perceptions, and then processing the new information in the orbitofrontal cortex (OFC). The OFC does this by referring to past mind sets involving memories and emotion. It then sets plans of action and carries them out. Once we have completed the task, the new information is connected through creating neural pathways to past mind sets. Thus we continue to experience and grow. But is that all there is?

Hill suggests that there is another part of us that functions apart from the conscious mind. He refers to it as the subconscious. However, we now know that the subconscious is merely mind sets, or neural pathways, involving implicit and explicit memories attached to strong emotions. Frequently these emotions are based on negative experiences and fears that serve as guides or blocks to taking actions into the unknown. However, we do not grow unless we are willing to take some risks. This leads to my thesis that we have a higher power that drives us on to become better and better human beings. It operates in the realm of imagination and by taking steps into the unknown. It wants to experience and grow.

We can perceive life then as a battle between our conscious mind with its subconscious fears and our higher self with its desire to grow. According to Hill, the way to move from the conscious mind to the higher self is through the power of Auto-Suggestion.  Hill states that we do this by forming a plan under the intuitive guidance of the higher self and developing a procedure to bypass the fears of the conscious mind. He suggests that we put this plan into writing, and repeat it over and over again until a clear picture of the plan is formed in our conscious mind, thereby removing the fear of the unknown. This includes the pleasure feeling of what it would be like to obtain our desires. Instead of fear of failure or the unknown, the conscious mind now has a desire and an expectation for the hoped for outcome. But we still have to battle against the old paragigms of the subconscious mind.

Hill suggests that our ability to use the principle of auto-suggestion will depend upon our ability to concentrate upon a given desire until that desire becomes a burning obsession. Once that obsession is in place we can expect the higher self to connect with the Infinite Intelligence to intuitively provide the conscious mind with a step by step plan. The law of Attraction will then come into effect whereby The Universe will provide everything that is necessary to bring our desires into material reality.

According to Hill we employ the following three-step process for auto-suggestion:

  1. Make a plan including the goal, time limit, and what you will give in return
  2. Create a written copy and post it where you can see it and read it just before retiring and upon arising, until it is memorized.
  3. Repeat this plan vocally day and night until you can see in your imagination the money (desire) you intend to accumulate.

For example, here is the plan on which I am now working:

By June 30, 2019, I will have sold 1000 copies of my latest book, The Room, which is about the emotions and feelings associated with depression. In return I will give readings, book launches, and whatever service needed to market my book. I will then submit my book for provincial and national contests and receive the Governor General’s Award and the twenty-five thousand dollars that goes with it. 

Here are my five suggestions for bisexuals:

  1. We call up our higher self by getting into a state of mindfulness and dreaming up what it would be like to live the life of our dreams. We stay in a state of mindfulness allowing our higher self to formulate a step by step plan  to achieve our dream.
  2. We write and post that plan where we can see it and recite it day and night until it is memorized.
  3. We continue reciting this plan until we can feel what it is like to have the desires fulfilled.
  4. We will begin to receive hunches on what we have to do to achieve our desires, and we immediately act upon them.
  5. We follow these intuitive suggestions step by step until our desires and dreams become a reality.

[1] Hill, Napoleon. Think and Grow Rich. Dover Publications Inc..2015. (page 57)