2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
A LITTLE CLINIC …
I am often asked "Who is the borderline?"
Other, clarifying options for this question:
- Are borderline personality disorder and borderline organization the same thing?
- Borderline daffodils?
- Borderline codependents?
- Do borderline and psychopathic behavior coincide?
I will try to clarify this uncertainty.
There are two dimensions in customer diagnostics: level of personality organization and form.
Level - this is about fixing a person on that basic task, which turned out to be an unsolved person at a certain stage of its development. There are (in psychoanalytic diagnostics) three levels of personality organization: neurotic, borderline, psychotic. Levels are directly tied to a specific developmental task.
Clients of the psychotic level are fixed in the modality of the relationship “I - the World” and are “concerned” with solving the problem of world security. Most of their psychic energy is spent on providing a sense of security.
Clients borderline stay in the “I am the Other” modality and try to solve for themselves problems related to the relationship with the Other and attachment. Their vital energy is expended in trying to establish intimacy with the Other.
Clients neurotic level are in the "I - I" modality. Here, as an object of relations, one's I acts and clients of a neurotic level are busy with issues of relations and agreements with their I. These are questions of self-acceptance, self-esteem, self-identity and many other “selves”.
Personality organization form - this is about a method of compensation, adaptation, which a person “chooses” to solve his individual developmental problems described above. This is the individual variant of adaptation with which a person compensates for the deficiency in meeting his basic needs for development. This option depends on a number of factors: temperament, the specifics of relationships with loved ones, "successful" individual ways of solving development problems, etc.
The clinic offers the most typical ways-forms of adaptation, designated as disharmonious personality types (accentuation, psychopathy, personality disorder). Narcissistic, hysterical, schizoid, paranoid, borderline, etc. are all clinical forms or types.
I think that psychiatry made a methodological mistake, choosing a formal principle as a diagnostic approach, thereby "multiplying entities unnecessarily." As:
1. Not a single real person "does not fit into the Procrustean bed" of the universal.clinical type;
2. The therapeutic emphasis shifts from the causal, etiological to the "investigative", symptomatic.
Thus, level organization of personality is the answer to the question:
Where, at what level did the disorder in the development of personality occur?
Form the same organization of the personality speaks about the nature of this violation: "How, how?"
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