Borderline Personality Disorder and Bisexuality 4

SHIRT & TIE [small] (final)(This is the fourth in the series on the relationship between bisexuality and Borderline Personality Disorder [BPD].)

In the previous blogs, we have established a significant correlation between bisexuality and BPD. In the last blog, we looked at the first symptom for BPD from the DSM4 which was, “Frantic efforts to avoid real or imagined abandonment”. Today we want to look at the third symptom, “identity disturbance: markedly and persistently unstable self image or sense of self”.

The DSM5 describes self-identity under “Significant impairments in personality functioning”. The markers are “Markedly impoverished, poorly developed, unstable self-image, often associated with excessive self-criticism; chronic feelings of emptiness; and dissociative states under stress.” The key here is self-identity. There was a catch phrase in the 1980’s that said, “he is trying to find himself”. For us bisexuals, this can be a lifetime pursuit. Not only do we often have to deal with BPD, but we also struggle with our sexual identity.

In my definition, there are two aspects to self-identity; namely, how I present myself to others, and how I view my own sense of being. The first is usually defined by occupation, family roles, and societal roles. People with BPD usually try to be everything to everybody in order to please. Unfortunately, we lose our sense of our inner self. When our outer self is threatened, we have nothing to fall back on so we crash.

When we look at some of the other descriptors, we see “impoverished and unstable self-image”. There is no, or only a limited, sense of inner self. As seen in a previous blog, these feelings usually originate due to abuse or neglect during childhood. The bonding with our parents gives us a foundation, a sense of having a loving bond that we can build on during childhood, teen years, and early adult life. We gradually sort it out and come up with a feeling of who we are and what we stand for. However, without this firm foundation, the self-structure is limited and usually lacks confidence and a sense of what it feels like to be loved.

The next descriptor is “chronic feelings of emptiness”. We lack confidence in our self and have difficulty building on past successes. We reject positive compliments and focus on  the negative.  The result is that we go from moment to moment looking for affirmation but never really digesting it. We look for love but never really accept that we are indeed lovable and worthy of being loved.

The last point is “dissociative states under stress”. This is the one where our bisexuality really complicates the matter. Because we lack a sense of self, we tend to have difficulty dealing with stress, especially when it comes to our sex life. It seems that in order to function as heterosexuals, we have to create a heterosexual identity, and when we enter the gay or lesbian world, we create a significantly different persona. Bisexual men tend to seek love and intimacy and bisexual women tend to seek and protection and security in the heterosexual relationships, and when we want power and passion, we go gay or lesbian. When we are under stress and need to restore our chemical balance by going from the sympathetic to the parasympathetic system, we usually go for same-sex erotica. This helps us escape anxiety for a few precious moments, and also stimulates the pleasure centers or our brain.  We then form a dissociative relationship between the two identities to cope with the stress and avoid guilt and shame. This works for awhile, and then we will inevitably crash.

Let’s face it, there are a significant number of bisexuals who have to deal with the BPD component of their psychological makeup. The key is to bring the two sexual identities together. We can do this by creating neural pathways involving feelings of acceptance and gratitude to replace the feelings of guilt and shame.

My five suggestions for bisexuals:

  1. If you are bisexual and have no self-identity issues and no BPD problems – enjoy.
  2. If we struggle with self-identity, we can learn to accept ourselves just the way we are. We can seek a new foundation. We bond with ourselves. We bond the fragile ego-self with the spiritually powerful higher self. We become our own parent.
  3. We flood our self with self-love from the higher self. We practice looking in the mirror and seeing the higher self within. We tell our selves we love our self over and over again until we believe and feel the higher self healing and cleansing the neural pathways of our brain.
  4. When confronted with a moment of self-hate, self-loathing, or self doubt we stop it. We tell ourselves that we are better than that; in fact, we are beautiful, powerful, and in complete control of our emotions and feelings. We make a conscious decision to let go of the negative feelings of self-loathing and shame and embrace the positive feelings of love from our higher self.
  5. We bring the two sexual identities together and accept our bisexuality as part of our self, and yes, even, or especially, a part of our higher self. We release the power of our sexual identity and sexual passion  as a motivator for loving our self and sharing our love with others.

Borderline Personality Disorder (BPD) and Bisexuality 2

SHIRT & TIE [small] (final)

(This is the second in the series on the relationship between bisexuality and Borderline Personality Disorder.)

A study by Zubenko et al [1], using the sexual histories of patients who met standardized criteria for borderline disorder, found that 17 of the 61 men (21%) were homosexual, and 4 (5%) were bisexual compared with 7 (11%) of the 61 women. They concluded that homosexuality was 10 times more common among the men and 6 times more common among the women with borderline personality disorder than in the general population or in a depressed control group. Another study by Reich, and Zanarini,[2] concluded that same-gender attraction may be an important interpersonal issue for approximately one-third of both men and women with BPD. There were no significant differences between homosexual or bisexual orientation.

We can see from these studies that about a third of the people with BPD have some form of same-sex attraction. I was not able to locate information on the reverse to see how many bisexuals would be diagnosed with BPD, but I think we can extrapolate that the number is indeed significant. It is my belief that the majority of bisexual men and women may exhibit at least “some” of the BPD symptoms, even if they do not reach the level of a disorder where it would seriously affect their ability to function psychologically and socially.

So let’s take a look at the symptoms listed in the DSM4 (this appears to be much clearer that the DSM5). In general, it is, “A pervasive pattern of instability of interpersonal relationships, self image, and affects, and marked impulsivity beginning by early adulthood and present in a variety of contexts, as indicated by five(or more) of the following:

  1. Frantic efforts to avoid real or imagined abandonment. Note: Do not include suicidal or self-mutilating behavior covered in Criterion 5.
  2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
  3. Identity disturbance: markedly and persistently unstable self image or sense of self.
  4. 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 selfmutilating behavior covered in Criterion 5.
  5. Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.
  6. 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).
  7. Chronic feelings of emptiness.
  8. Inappropriate, intense anger or difficulty controlling anger (e.g., frequent displays of temper, constant anger, recurrent physical fights).
  9. Transient, stress-related paranoid ideation or severe dissociative symptoms “

The first of these is a fear of abandonment. We will look at this one in detail next week.

Here are my five suggestions for bisexuals:

  1. Do an inventory on the nine symptoms. Give yourself a rating between 1 and 10 with 10 being severe and frequent.
  2. If your score is 25 or greater you may have a Borderline Personality Disorder.
  3. If so you may wish to consider getting counselling.
  4. Write down the symptoms that you have noted. We will be covering these items in future blogs.
  5. If you know someone with BPD you may want to give them this website address.

[1] Zubenko, George S.George, Anselm W.; Soloff, Paul H.; and Schulz, Patricia. Sexual practices among patients with borderline personality disorder. APA PsycNet, 2018.

 

[2] D. Bradford Reich, MD; Mary C. Zanarini, EdD. Sexual Orientation and Relationship Choice in Borderline Personality Disorder Over Ten Years of Prospective Follow-Up.  Journal of Personality Disorders December 2008. Guilford Press Periodicals. Vol 22, Issue  6. 2018

Read More: https://guilfordjournals.com/doi/abs/10.1521/pedi.2008.22.6.564