dr.lawrence chu

Saturday, June 05, 2010

Borderline Personality Disorder

Borderline patients suffer from volatility of emotion. They do not like to be considered as simply another patient. They seek attention, care, responsiveness, and not from the person who is with preoccupied with their problems or with his mind elsewhere.

Borderline patients usually suffered symptoms such as anxiety and depression, and these symptoms can be rapidly replaced by angers. Their clarify of mind can be replaced by bewilderment and fragile grip of reality. They are unable to distinguish between the reality and the assumption state of mind. Therefore, they can be provoked easily. Very often, they have to tackle a problem head-on instead of reflecting the problem elsewhere on the problem which may produce a solution of the problem, and it may also reduce the emotion volatility.

Severe borderline patients required medication. Symptoms such as lability of mood, rejection sensitivity, mood crashes, intense anger, temper outburst, chronic emptiness, dysphoria, loneliness, anhedonia, social anxiety, avoidance, inappropriate behavior, Impulsivity, sensation seeking behavior such as risky, reckless behavior, cognitive impulsivity, no reflective delay, low frustration tolerance, impulsive aggression, recurrent assaultiveness, threats, property destruction, impulsive binges, alcohol, food, sex, spending, recurrent suicidal threats, self-mutilation, cognitive perceptual disturbance, suspiciousness, paranoid ideation, idea of reference, odd communication, vague, muddled thinking, magical thinking, episodic distortions of reality, micro-psychotic episodes, derealization, depersonalization, illusion, stress-induced hallucinations (Anthony baseman and Peter Fonagy, 2004).

Thursday, June 03, 2010

Development of the 'alien self'

In early childhood, the failure to find a representation in the primary caretaker mind will fail the mirroring process of a child to the primary care taker. The child will not be able to internalize his or her feeling, and thus unable to generate the agentive self. In other words, the child will develop an alien experience within the self, meaning that the ideas and feelings that created do not seem to the self (Fonagy, 1995).

This means that the infant cannot find herself in the mother's mind, instead, she finds the mother's mind or the mother has colonise the self.

Individuals who have developed an alien self usually do not have enough capacity for mentalization; the capacity to think about the mental states of someone else in terms of beliefs, feelings and desires. Studies shave shown that those care takers who have strong mentalization capacity likely to have secured children attached to them. Interestingly, research have shown that mothers of girls sexually abused by male abusers appear to have lower capacity to think of their child in mental state other others due to their past traumatic experiences. Thus, they are not able to have a coherent, integrated and meaningful reflection on parenting their children.