SHOOT: I'm not sure if it is helpful - or accurate - to refer to hypersensitive people as having a borderline disorder. Artistic people, creative folk are often more perceptive than their peers, and this is a benefit to society, or should be. To call it a disorder is tantamount to a culture shooting itself, and arguably some of its best proponents, in the foot.
So what is dialectical behavour therapy?
Well, it's a combination of techniques.
Here's one.
Mindfulness. Think about what you're thinking about.
Wiki: Mindfulness is the capacity to pay attention, nonjudgmentally, to the present moment. Mindfulness is all about living in the moment, experiencing one's emotions and senses fully, yet with perspective.
Interpersonal skills. Figure out what works with other people and apply it to yourself.
Wiki: Individuals with borderline personality disorder frequently possess good interpersonal skills in a general sense. The problems arise in the application of these skills to specific situations. An individual may be able to describe effective behavioral sequences when discussing another person encountering a problematic situation, but may be completely incapable of generating or carrying out a similar behavioral sequence when analyzing his or her own situation.
Practise control. If you're not good at controlling your temper, first of all, say that: I'm not good at controlling my temper. I get angry a lot. So how do you improve? After you've accepted that it's something that needs your attention, give it your attention. Spend 1 minute a day, whether on the toilet, in traffic, as you're about to turn on your computer and start work at your desk - and say, how am I feeling? Does this make sense?
Wiki: Emotion regulation
Individuals with borderline personality disorder and suicidal individuals are frequently emotionally intense and labile [unstable]. They can be angry, intensely frustrated, depressed, or anxious. This suggests that these clients might benefit from help in learning to regulate their emotions. Dialectical behavior therapy skills for emotion regulation include:[4][5]
* Identifying and labeling emotions - I am feeling angry. I am feeling frustrated. I am feeling hopeless
* Identifying obstacles to changing emotions
* Reducing vulnerability to emotion mind - Do you let the weather influence your moods, or one unhappy incident cloud your day, or do you choose to be a positive force?
* Increasing positive emotional events - Decide to be happy, appreciate what you have, enjoy being alive.
* Increasing mindfulness to current emotions - Listen to your thoughts, and create a buffer between thoughts and emotions. Choose how to respond, and important, choose not to respond as often as you can. Try to make your response merely this - listening to your emotional range to a perception.
* Taking opposite action - You may have an instantaneous reaction. Instead of being enraged, laugh. Instead of lushing out, lush out with a hug.
* Applying distress tolerance techniques - Make peace with your distress by taking a deep breath, by not resisting, by exercising or remaining calm or by doing something about the problem in a non-violent way.
Wiki: More on distress tolerance...
Distress tolerance skills constitute a natural development from mindfulness skills. They have to do with the ability to accept, in a non-evaluative and nonjudgmental fashion, both oneself and the current situation. Four sets of crisis survival strategies are taught: distracting, self-soothing, improving the moment, and thinking of pros and cons.
Then, there's Mentalisation. Mentalisation is simply about recognising what’s going on in our own heads and what might be going on in other people’s heads.
Mentalizing - the ability to understand oneself and others by inferring the mental states that lie behind overt behavior - develops during childhood within the context of a secure attachment relationship. It is crucial to self-regulation and constructive, intimate relationships. Failure to retain mentalizing, particularly in the midst of emotional interactions, is a core problem in borderline personality disorder and results in severe emotional fluctuations, impulsivity, and vulnerability to interpersonal and social interactions.
Some children need more than others in learning to regulate their emotions,” said Marsha M. Linehan, a psychologist at the University of Washington who devised the leading treatment for borderline disorder.
“These kids require a lot of effort to keep themselves emotionally regulated,” Dr. Linehan said in an interview. “They do best with stability. If the family situation is chaotic or the family is very uptight, teaching children to grin and bear it, that tough kids don’t cry, these children will have a lot of trouble.”
Borderline personality disorder afflicts about 2 percent of the general population, according to the Diagnostic and Statistical Manual, and it is twice as common as a much better-known disorder, schizophrenia. (Other studies suggest the prevalence is as high as 6 percent.) Many borderline patients hurt themselves, and 10 percent die by suicide.
Alan E. Fruzzetti, a psychologist at the University of Nevada, said that families have to learn how to “soothe themselves, to realize that though the situation is awful, not to blame or be judgmental of the person but to see the person as also suffering.”
Reacting in a nonloving way magnifies the trauma tenfold, he said in an interview, adding: “You may have to leave a bad situation, but you must come back in a loving way, maybe say something like, ‘That blowout yesterday, I really want to understand your experience.’ ”
Therapists trained in dialectical behavior therapy can be located through the Web site www.behavioraltech.org.
As children, people who will develop the disorder are often “hyperreactive, hypervigilant and supersensitive,” Valerie Porr, a therapist in New York, said in an interview. |
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