Biology of Borderline Personality Does Not Impede Ability to Recover
There are still many conflicting theories about the origin and cause or causes of Borderline Personality Disorder. There are some who lean toward theories that are still reflect the dualistic causation of nature and nurture. There are others who would still forward that Borderline Personality Disorder is caused by lack of nuture and lack of secure attachment. The biopsychological theories, citing evidence of imaging and various physical tests, purport that Borderline Personality Disorder has, at the very least, some neurobiological underpinnings. Some have labelled this as meaning that BPD is a “brain disorder”, a result of deficits or damage to the hard-wiring of the brain. This leads many with BPD to feel hopeless about recovery. However, just as more is being discovered about the biology of BPD – which still doesn’t rule out aspects of lack of attachment and nurture – so too are professionals discovering that the brain has much more plasticity that was previously thought.
“A second theme in the literature on borderline personality concerns etiology. Once again there have been two distinct views. The first, popular among psychotherapists and many early psychoanalytic thinkers, emphasized early experience—pre-oedipal and separation-individuation were common terms. Parental care had been unempathic, there had been traumatic experiences, the mother-child “match” was poor, etc. A second theme, popular among psychiatric researchers, emphasized constitutional factors—genetic links to bipolar or affective disease, temperamental characteristics such as impulsivity or affective dysregulation, brain abnormalities, etc. Currently there have been several efforts to meld these two perspectives, as is occurring in other areas of psychiatry. Parents who may have little difficulty raising a temperamentally well-modulated infant may face major challenges with a dysregulated one, with unempathic and traumatic interactions resulting. Endogenous affective storms may interfere with the normal development of internalized object relations. In sum, development is complicated, always involves the interaction of nature and nurture, and although in extreme cases one or the other may predominate as the determinant of pathology, there is much more likely to be a complex interaction when the outcome is less extreme—that is, borderline..” (1)
Abandonment and Borderline Personality Disorder
The Shame of Abandonment in Borderline Personality Disorder
Breaking Free From the BPD Maze – Recovery For Loved Ones
Brain plasticity refers to the reality that the brain can change. While science and technology are now making it possible for professionals to understand more about brain differences in those with BPD, I am not aware that they can say why those differences are as they are. I also continue to wonder what came first, the chicken – abandonment trauma that affects the brain physically – or the egg – the results of the change in thinking or behavior and the now being noted changes in the brain. What I mean by this is that it has been established that psychological trauma, such as abandonment, whether it is perceived or actual can and does change the physical brain. This is where I still see some potential over-lap in the causation of BPD – in it being caused by lack of nurture and environmental factors that do effect the brain and lead to arrested emotional development. I guess, in my non-professional understanding of much that I’ve read it seems to me that it does still make sense that what science is figuring out now doesn’t necessarily change the impact and accuracy of object relations theory, for example, which I talk about in my ebook, The Legacy of Abandonment in Borderline Personality Disorder. It is important to note, if you have BPD, that you can get better, you can recover. I have. And neuro-biological psychatric findings really do not change this at all, in fact, they support this.
- Purchase all 3 of ebooks for NON BORDERLINES or 3 Non Borderline Ebooks packaged together with audio.
- Non Borderlines – You can purchase 6 ebooks packaged together without audio or 6 ebooks bundled together with 2 audio programs 6 ebooks packaged together with 2 audio programs
- Those with BPD and/or Non Borderlines can purchase A.J. Mahari’s 3 “Core Wound of Abandonment” series ebooks or Mahari’s 3 “Core Wound of Abandonment” series ebooks with From False Self To Authentic Self In BPD – The Inner Chid Audio Program
“It is interesting that, although we now recognize the importance of heritable risk factors predisposing a patient to develop borderline personality disorder, the evidence based core treatment recommended for this disorder is psychotherapy, an intervention long thought to change the mind but not necessarily the brain. Ironically, we also now understand that intensive psychotherapy is a form of long-term learning and memory, which indeed changes the brain. Psychotherapy is thus, at least in part, a biological treatment. But one important emphasis here is the reference to ‘long-term’.” (2)
Therapy for Borderline Personality Disorder needs to be available to people with BPD in long term ways. This is because, that among all else being addressed in therapy on the journey of recovery from Borderline Personality Disorder, as John M. Oldham writes above, one of the crucial goals in therapy and in the changing of patterns of thoughts and the neuro-pathways in the brain that have long-supported negative all-or-nothing, black-and-white, cognitively distorted ways of thinking. It is the reality that this effort can and will change at a brain level. For that to happen, however, this learning and creation of new neuro-pathways, memory circuts so to speak, in the brain does take time and reinforcement.
“The good news to underscore, during this Congressionally established Borderline Personality Disorder Awareness Month, is that many treatments have now been demonstrated to be effective for patients with borderline personality disorder. This optimistic state of affairs situates us very far along from the discouraging early days of borderline personality disorder’s diagnostic arrival.” (3)
© A.J. Mahari, March 17, 2010 – All rights reserved.
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