Information



BPD
Legacy Name: BPD


The Reborn Illumis
Owner: POURRITURE

Age: 14 years, 1 month, 3 weeks

Born: May 26th, 2012

Adopted: 14 years, 1 month, 3 weeks ago

Adopted: May 26th, 2012

Statistics


  • Level: 1
     
  • Strength: 10
     
  • Defense: 10
     
  • Speed: 10
     
  • Health: 10
     
  • HP: 10/10
     
  • Intelligence: 0
     
  • Books Read: 0
  • Food Eaten: 0
  • Toys Played: 0
  • Job: Unemployed


{ Borderline personality disorder }

The Reborn Illumis POURRITURE

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To live a life analogous to a soap opera is to live the life of a borderline personality. Wrought with emotional ups and downs, these individuals are known to be unstable and especially angry. What fuels the chaos are intense interpersonal needs and sudden shifts of opinion about others, who may be painted as loving, sensitive, and intelligent one minute and accused of neglect and betrayal the next. When left alone, even for short periods, borderline personalities feel intolerably lonely and empty. With romantic relations typically stormy and intense, they spend most of their time either making up or breaking up. They make frantic attempts to avoid abandonment, including suicidal gestures. In addition, they fail to realize that their clinginess via dramatic and drastic measures drives others away. - Millon et al., 2004 [3]
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Alternative diagnoses:

Aggressive personality disorder; emotionally unstable personality disorder; explosive personality disorder; impulsive personality disorder [8]

Common comorbidities:

ADHD; anxiety disorders; bipolar depression; eating disorders; dissociative identity disorder; post-traumatic stress disorder; substance abuse [3]

Five-factor model profile:

↑ Agreeableness; extraversion; neuroticism
↓ Conscientiousness; openness [4]

Evolutionary strengths and weaknesses:

Structurally defective personality (prone to decompensation into cyclophrenia); conflict between all polarities [7]
Enhancement -
Preservation -

Pleasure/pain

Accommodation -
Modification -

Passive/active

Individuation -
Nuturance -

Self/other

DSM-IV-TR Criteria

DSM-5 Criteria

Alternative DSM-5 Criteria

ICD-10 Criteria

Functional Domains

Expressive Behavior: SpasmodicDisplays a desultory energy level with sudden, unexpected, and impulsive outbursts; abrupt, endogenous shifts in drive state and inhibitory controls; not only places activation and emotional equilibrium in constant jeopardy, but engages in recurrent suicidal or self-mutilating behaviors.
Interpersonal Conduct: ParadoxicalAlthough needing attention and affection, is unpredictably contrary, manipulative, and volatile, frequently eliciting rejection rather than support; frantically reacts to fears of abandonment and isolation, but often in angry, mercurial, and self-damaging ways.
Cognitive Style: CapriciousExperiences rapidly changing, fluctuation, and antithetical perceptions or thoughts concerning passing events, as well as contrasting emotions and conflicting thoughts toward self and others, notably love, rage, and guilt; vacillating and contradictory reactions are evoked in others by virtue of behaviors, creating, in turn, conflicting and confusing social feedback.
Regulatory Mechanism: RegressionRetreats under stress to developmentally earlier levels of anxiety tolerance, impulse control, and social adaptation; among adolescents, is unable to cope with adult demands and conflicts, as evident in immature, if not increasingly infantile, behaviors.

Structural Domains

Self-Image: UncertainExperiences the confusions of an immature, nebulous, or wavering sense of identity, often with underlying feelings of emptiness; seeks to redeem precipitate actions and changing self-presentations with expressions of contrition and self-punitive behaviors.
Object-Representations: IncompatibleInternalized representations comprise rudimentary and extemporaneously devised, but repetitively aborted learnings, resulting in conflicting memories, discordant attitudes, contradictory needs, antithetical emotions, erratic impulses, and clashing strategies for conflict reduction.
Morphologic Organization: SplitInner structures exist in a sharply segmented and conflictual configuration in which a marked lack of consistency and congruency is seen among elements; levels of consciousness often shift and result in rapid movements across boundaries that usually separate contrasting percepts, memories, and affects, all of which lead to periodic schisms in what limited psychic order and cohesion may otherwise be present, often resulting intransient, stress-related psychotic episodes.
Mood/ Temperament: LabileFails to accord unstable mood level with external reality; has either marked shifts from normality to depression to excitement, or has periods of dejection and apathy, interspersed with episodes of inappropriate and intense anger, as well as brief spells of anxiety or euphoria. [6]

Abandonment anxiety:

The stormy interpersonal life of the borderline personality, where action flows freely from mood, is legendary. Although everyone wants a special someone, many borderlines hunger for that one relationship to validate their very existence, a powerful or nurturing figure who can make them feel secure. At the beginning, they feel magically involved, idealizing their partner, putting him or her on a pedestal as the greatest thing the world has ever seen. Because their partner is so special, borderlines are special, too, for it is they who are the recipient of the love and affection of this perfect person. Distance is intolerable and separation unthinkable.

As a consequence of their concentrated need to be intensely emotionally connected with someone, borderlines have tremendous abandonment fears. For most borderlines, being attached to someone rises to the level of a pseudo-biological need, like water or air. Even when securely involved in a relationship, fears of abandonment impose themselves on reality to an almost delusional degree, as if their self-cohesiveness or self-identity might dissolve if the relationship were to end. They may feel, for example, that they are nothing without a certain person, life would be empty without him or her, and their very existence depends on preserving the relationship. To compensate these fears, significant others should nurture, love, and protect the borderline, always be physically available, and never leave.

Fears of abandonment are not confined to fantasy, but instead distort borderlines' perception of the communications and actions of others as part of everyday life. They are easily provoked by things that others would never notice. Innocent or irrelevant events or comments may be construed as implying criticism or condemnation. Other events are perceived as their loved one's waning affections or others have refused to consider their feelings or simply no longer care. Even efforts to establish simple boundaries may signify total rejection, the borderline's worst fear. As a result, minor events are regularly given unintended significance and blown completely out of proportion, producing major interpersonal catastrophes. From the perspective of borderlines, they will soon be cast aside, left lost and alone, with no one to care. The feeling that someone important to the subject is actively distancing may provoke an emergency reaction, punctuated by a tearful, helpless paralysis and a near manic hyperactive display of anger. [3]

Subtypes of the borderline personality:

Discouraged (with avoidant, depressive or dependent features) borderlines are pliant, submissive, loyal and humble. They feel vulnerable and in constant jeopardy; hopeless, depressed, helpless, and powerless.

Petulant (with passive-aggressive features) borderlines are negativistic, impatient,restless, as well as stubborn, defiant, sullen, pessimistic, andresentful. They are easily slighted andquickly disillusioned.

Impulsive (with histrionic or antisocial features) borderlines are capricious, superficial, flighty,distractible, frenetic, andseductive. Fearing loss, they becomeagitated, gloomy andirritable. They are potentially suicidal.

Self-destructive (with depressive or masochistic features) borderlines are inwardly-turning, intropunitivelyangry, conforming and deferential.Ingratiating behaviors have deteriorated.They are increasingly high-strungand moody and are possibly suicidal. [5]

Differential diagnoses:

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