My Lover’s Eyes – Part 2

 Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the impairments listed in the DSM 5. 

DSM  5: Impairment 7 – Interpersonal hypersensitivity (i.e., prone to feel slighted or insulted)

  After living for twelve years on my own after my divorce (except for a few misguided relationships), I finally met a woman that I could trust and love unconditionally. For the first few months, I was blissfully happy but then things started to fall apart. To read more go to: https://lawrencejwcooper.ca/my-lovers-eyes-part-2/

My Lover’s Eyes

       Due to the high positive correlation between bisexuality and Borderline Personality Disorder, we are attempting to get a better understanding of the impairments listed in the DSM 5. 

DSM  5: Impairment 7 – Interpersonal hypersensitivity (i.e., prone to feel slighted or insulted)

  Research seems to suggest that borderline personality disorder may be characterized by emotional hypersensitivity with increased stress levels, anger proneness, and hostile, impulsive behaviours. As a result we may tend to view facial expressions as being angry or threatening and respond with prolonged emotional (amygdala) feelings. Read more at: https://lawrencejwcooper.ca/my-lovers-eyes/

Why is She Mad at Me

Because we are so concerned with our own safety, we fail to see the feelings being expressed by others, especially those nearest to us, who have the potential to inflict the greatest emotional pain. We fail to meet their needs because we are obsessed with our own need to be accepted and loved.

Read more at: https://lawrencejwcooper.ca/why-is-she-mad-at-m/

I Guess I’ll Be a Doctor – Part 2

My Sad Story

BPD Impairment 5 – Instability in goals, aspirations, values, or career plans

 

Up until the summer after my grade twelve graduation, I had planned to be a priest. Part of this was, of course, to please my mother who was convinced that I was special because I was the seventh son, and being special, of course, meant the highest calling, the priesthood. I also attended an all-boys Catholic high school where I was taught by priests (with the exception of my Physics teacher who was a lay person). About twice a year, Father Gocarths would come around and interview and counsel and encourage the boys who had hopes of becoming priests. Because of my near perfect grades he informed me that I would spend one year in a novitiate in Ottawa and then move on to studies in Rome. However, it was during my Grade Twelve year that I discovered women.

Read More at: https://lawrencejwcooper.ca/i-guess-ill-be-a-doctor-part-2/

– Dissociative states under stress – Part 2

This is the part two on the fourth impairment for Borderline Personality Disorder as noted in the DSM5. As previously noted there is a strong correlation between bisexuality and BPD.

Another Sad Story

In January, right in the middle of my depression, my mother died. She was ninety-two. Somewhere along the way I had lost touch with her. Yes, I visited her once or twice a year, but we never hugged or kissed. When she died, I did not feel anything: no longing, no regret, no love. We were a very large, five-generation, French Catholic family. During my eulogy, tears erupted from all corners of the packed church. These moments require tears to wash away the pain of separation, the pain of lost opportunity to somehow fix something that had been broken. My voice broke, but I could not cry.

To read more:
https://lawrencejwcooper.ca/dissociative-states-under-stress-part-2/

Borderline Personality Disorder, Childhood Sexual Abuse, and Suicidal Behavior Behavior

SHIRT & TIE [small] (final)(This is the second in the series linking BPD with Suicidal Behavior)

The DSM 4 lists “recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior” under symptom 5 for Borderline Personality Disorder; however it is listed as a separate category under Axis 6 in the DSM 5. Granted, suicidal behavior does indeed merit a separate category; however, we should be aware that people with BPD are at higher risk for suicide attempts.

Research suggests that suicidal behavior is a consistent possible threat when combined with BPD, PTSD, Clinical Depression, and Bipolar Disorder; however, it would appear that people with BPD are at a greater risk. In a study by Yen et al[1] involving 621 patients with a variety of psychological disorders, they concluded that only BPD and Childhood sexual abuse predicted suicidal behavior. The risk of adult suicidal behavior in BPD was increased by antisocial traits, severity of BPD, hopelessness, or comorbid major depressive episode. Other studies indicate that there is a definite correlation between suicide attempts and some BPD personality traits such as poor or no sense of self, hopelessness, and impulsivity.

Today, we want to look at the other aspect of the Yen et al study, namely the relationship between BPD, childhood sexual abuse, and suicidal behavior. Even though Childhood sexual abuse is not listed as a symptom, it is definitely related to suicidal behavior when combined with other BPD symptoms. Soloff et al.[2] in a study of 61 criteria-defined BPD patients concluded that with the occurrence and severity of childhood sexual abuse, patients with BPD were over 10 times more likely to attempt suicide. The study accounted for other variables such as neglect and other types of childhood trauma. It was definitely sexual abuse that seemed to be the most important determining factor.

It would appear that the risk for suicidal behavior is somehow related to negative coping mechanisms involved in BPD and that these symptoms are common in people who have suffered from childhood sexual abuse. If childhood trauma is treated and handled wisely and compassionately, the child may be able to learn to deal with the trauma and live a healthy and successful life. However, if they also have, or develop, other BPD personality traits, it can lead to self-doubt, self-blame, self-loathing and hopelessness, all symptoms of BPD and potential precursors  to suicidal behavior.

Just about everyone I know with BPD has entertained thoughts of suicide sometimes in their lives. When we are looking at diagnoses of BPD, we cannot overlook the possibility of suicidal behavior.  However, if the BPD symptoms also include childhood sexual abuse,  extra precautions need to be put in place. We can explore these possibilities as we go through the process of mental and emotional healing.

My five suggestions for bisexuals with BPD:

  1. If we ourselves have been diagnosed with BPD, and we have experienced childhood sexual abuse, we must be honest with ourselves to see if we have latent suicidal thoughts that could come to the fore if our life circumstances deteriorate.
  2. We need to build a safety net that will serve as a buffer between suicidal thoughts and suicidal attempts. We can share these thoughts with friends and loved ones on a regular basis.
  3. If our friends or loved ones demonstrate  symptoms of BPD, they are at a very high risk for suicidal behavior. We need to support them in any way we can.
  4. We should explore their history with them in a caring and loving manner and make sure they are not entertaining suicidal thoughts. If they are, we can help them build a safety net of people they love and trust. We let these people know that our loved one is at risk and together we set up a support schedule and set of activities to help them get through the rough times.
  5. If our loved one has experienced sexual abuse  and is still exhibiting symptoms of BPD, they will probably need professional help to deal with the issues involved. We can get them to commit to seeking help and then arrange for professional intervention.
[1] Yen, Shirley; Shea, Tracy M.; Sanislow, Charles A.; Grilo, Carlos M.; Skodol, Andrew E.; Gunderson, John G.; McClashan, Thomas H.; Zenarini Mary C.; and Morey, Leslie C.. Borderline Personality Disorder Criteria Associated With Prospectively Observed Suicidal Behavior. The American Journal of Psychiatry. 2004.
[2] Soloff, Paul H.; Lynch, Kevin J.; and Kelly, Thomas M.. Childhood Abuse as a Risk Factor For Suicidal Behavior in Borderline Personality Disorder. Journal of Personality Disorders. June 2002 .
Read More: https://guilfordjournals.com/doi/abs/10.1521/pedi.16.3.201.22542