News for hackers. Stuff that matters.
Re:Borderline Personality Disorder: Treatment Resistance Rec... by mjburgess on Friday December 01, 2017 @03:35PM (#15827154)
They're both connected in this instance. A person with a personality disorder is really on a continuum of insight in which schizophrenia is the most extreme example and represents a complete dissociative break with self-awareness.

I'm not claiming that the kind of dissociation a person experiences when psychotic can be treated by therapy. Pharmacology is essential, and actually I do think after awhile therapy can be helpful (I have family members who have had psychotic episodes too).

The lack of insight in both cases is a product of dissociation. In a personality disorder this is a "mild" chronic state (compared to psychosis) which is amenable to very long term (years+) therapy, unlike psychosis. It is why BPD people with quite severe dissociation or who have episode of severe dissociation report mildly schizoprenic-like problems with their identity (eg. thinking that they are multiple people, lost time, etc.).

I was assuming his BPD friend had this background state, which would not preclude treatment. Treatment would, in part, be to deal with that.

There are no comments on this comment yet.