Invalidating environment borderline personality disorder shemale dating online
(The feminine pronoun will be used throughout this paper when referring to the patient since the majority of BPD patients are female and Linehan’s work has focused on this subgroup).Linehan suggests that an emotionally vulnerable child can be expected to experience particular problems in such an environment.These two features constitute the first pair of so-called ‘dialectical dilemmas’, the patient’s position tending to swing between the opposing poles since each extreme is experienced as being distressing.
Dialectical Behaviour 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.Linehan groups the features of BPD in a particular way, describing the patients as showing dysregulation in the sphere of emotions, relationships, behaviour, cognition and the sense of self.She suggests that, as a consequence of the situation that has been described, they show six typical patterns of behaviour, the term ‘behaviour’ referring to emotional, cognitive and autonomic activity as well as external behaviour in the narrow sense.Patients with BPD are active in finding other people who will solve their problems for them but are passive in relation to solving their own problems.On the other hand, they have learned to give the impression of being competent in response to the Invalidating Environment.
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This ‘inhibited grieving’ and the ‘unrelenting crisis’ constitute the second ‘dialectical dilemma’.