When Your Loved One Has Borderline Personality Disorder

Escape Plan From a Borderline Woman

Escape from Damaged Woman book is an eye-opener to all men in the modern society who go through domestic abuse and struggles in a relationship all because they fear to get out of the relationship. The book provides ways through which an abused man can apply and get away from the damaged woman in confidence. Reading the book will help a man recognize and decide that he needs to get away from the damaged woman. He will also know how to prepare and take the real action. Ivan Throne has even gone an extra mile of discussing how to handle fragile days after the escape plan is executed and also ways of making sure that the escape plan is permanent. After conducting a test on Escape Plan from the Damaged Woman, results prove that the book contains contents which are solid and compelling which add value to men and society at large. Read more here...

Escape Plan From a Borderline Woman Summary


4.6 stars out of 11 votes

Contents: Ebook
Author: Ivan Throne
Official Website: darktriadman.com
Price: $50.00

Access Now

My Escape Plan From a Borderline Woman Review

Highly Recommended

I started using this book straight away after buying it. This is a guide like no other; it is friendly, direct and full of proven practical tips to develop your skills.

When compared to other e-books and paper publications I have read, I consider this to be the bible for this topic. Get this and you will never regret the decision.

Borderline Personality Disorder

The borderline personality is characterized by identity disturbance, feelings of chronic emptiness, impulsive or self-destructive behavior, and unstable intense interpersonal relationships. Loss of ego boundaries, an identity based on multiple contradictory unintegrated self-images that are experienced as an inner void, and aggression that breaks through defenses are key characteristics, according to Goldstein (1995). Distrust, all-or-nothing thinking, extreme sensitivity to unfair treatment, and an appearance of normality that quickly unravels under stress are additional features he discusses. The picture of the borderline patient as a demanding, aggressive, and angry woman is a recurring theme over the past 20 years (Jimenez 1997). Perry and Klerman, for example, pathologize the behavior of their borderline patients for what seems like a failure to comply with the social role assigned to women patients

Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT), developed by Marsha Linehan, is a method developed specifically for the treatment of borderline personality disorder, particularly for those patients with chronic problems with suicide gestures and attempts. Combining techniques from cognitive, behavioral, and supportive approaches, the goals of the therapy are to reduce life-threatening behaviors, behaviors that interfere with the treatment process itself, and behaviors that significantly impair quality of life. DBT is based on a manual, and patients participate in both weekly individual and group therapies for 1 year. During this time, individual therapists are accessible by telephone between sessions, and the groups focus on skills training targeting interpersonal, distress tolerance, and emotional regulation issues.

Empirical Studies

Christopher Perry published an analysis of 15 studies of the effectiveness of psychotherapy for patients with personality disorders. The studies reviewed were the most rigorous of their kind in that the investigators used systematic methods to diagnose the disorders, along with validated outcome measures. 4 of the studies focused on borderline personality disorder there was one on borderline and schizotypal disorders, one each on avoidant and antisocial personality disorders and 8 examining mixed types of personality disorders. 6 studies evaluated psychodynamic psychotherapy three evaluated cognitive-behavioral psychotherapy, and three compared the psychodynamic and cognitive-behavioral treatments. Treatment duration varied, with a median of 28 to 40 sessions. The frequency of sessions ranged from daily in an inpatient study to once or twice weekly for outpatient therapy. There have also been a number of other research endeavors, such as the Menninger Psychotherapy...

Madness and Subjugated Others

This section articulates ways in which postmodernist theory might illuminate a feminist vision of madness. Drawing initially on the work of Irigaray and Kristeva, I focus on two thematic issues femininity as inscribed within the symbolic order, and notions of subjectivity and unity as they are spelled out in psychiatry. I then remark on the need for a feminist postmodernist psychiatry that considers intersections of raced, classed, sexualized, and gendered subjectivity rather than the more prevalent privileging of gendered subjectivity alone, before discussing current diagnostic and therapeutic practices for one of the personality disorders most commonly associated with women borderline personality disorder (BPD).

Awareness Of Personal Factors Leading To Misusing Diagnosis

In addition to a lack of awareness of our basic assumptions and our assumptions in specific areas, insufficient attention to our own personal reactions and dynamics may tend to make us vulnerable to faulty evaluations. Reiser and Levenson's excellent article, Abuses of the Borderline Diagnosis (1984), focuses on six ways in which the diagnosis of borderline personality disorder is commonly abused to express countertransference hate, mask imprecise thinking, excuse treatment failures, justify the therapist's acting out, defend against sexual clinical material, and avoid pharmacologic and medical treatment interventions (p. 1528). Openness to such issues within ourselves and frequent consultations with colleagues can help prevent abuses of this kind and help ensure that our assessments meet the highest ethical standards.

Modernist Therapy for the BPD Patient Lacanian Therapy

Glen Gabbard (2001) suggests that practitioners aim for a flexible and spontaneous attitude rather than allow warnings from literature on borderlines to lead to excessive rigidity. On the other hand, he says that the inherent instability of the borderline patient demands that structure must be imposed from external sources (2001 5). He warns against a tendency of practitioners to resist being turned into the object of the patient's rage and hatred, as such resistance tends to provoke efforts by the patient to transform the therapist into the bad object. The goal is for the patient ultimately to own her own projected hostility, but the practitioner should not rush this task. As the experience of being incomplete or fragmented is at the core of borderline psychopathology, the goal of therapy is to help the patient achieve integration of her good and bad object-selves (2001 10).

Meaning Of Confrontation

Confrontation as a therapeutic technique has a more prominent position in the treatment of more primitive or highly resistant patients. Along with clarification, it is the primary channel for dealing with manifest content in the patient's ongoing behavior. Confrontation is a part of the therapy in some degree with all patients, but particularly in regressed patients or in regressive crises with some borderline patients, confrontation is often essential. in borderline patients, who experience the therapist more or less exclusively in transference terms resulting in various forms of therapeutic misalliances. The work of tactful clarification and confrontation with the actuality of the therapeutic situation is often a central and persistent aspect of the therapeutic work with borderline patients, although it is by no means rare in other forms of personality disorder. In general, these patients do not have a stable sense of self based on introjections and identifications derived from...

Schematic Change Potential

The anchor point at the extreme of the continuum is schematic instability. The keyword is chaotic. These individuals are driven by rules that may vacillate or alternate. The rule shifts will often come unbidden and often unexpectedly. They are often baffled and appear at the mercy of their rapidly shifting rules. The only person more confused than the therapist is the patient. For example, during a therapy session with a patient with a Borderline Personality Disorder, the therapist may observe that at one point in the session the patient's verbalizations and behavior are governed by the rule, I must protect myself at all times. The patient may physically and emotionally pull back from the therapist, become combative, and retreat into a protective shell. At another moment the patient's behavior and verbalizations may be governed by the schema, I am weak and helpless and need a strong person to assist me. At that point they will become dependent and seek the

Types Of Cognitive Distortions

Cognitive distortions have been identified in patients diagnosed with personality disorders. Freeman et al. (1990, 2004) have identified dichotomous thinking as a primary distortion in patients with Dependent Personality Disorder. Layden et al. (1993) have identified several cognitive distortions used by patients with Borderline Personality Disorder. Similarly, use of cognitive distortions by patients with Histrionic Personality Disorder (dichotomous thinking, jumping to conclusions, and emotional reasoning), Narcissistic Personality Disorder (magnification of self, selective abstraction, minimization of others), and Obsessive-Compulsive Personality Disorder (magnification, should statements, perfectionism, and dichotomous thinking) have

Nurturant Supportive Affectionate Loving and Warm Parenting

When paternal warmth is concurrently investigated with maternal warmth, paternal warmth often merges as a more significant predictor of mental health and psychological adjustment problems than does maternal warmth (Rohner & Veneziano, 2001). Cole and McPherson (1993), for example, concluded that father-adolescent conflict, but not mother-adolescent conflict, was positively associated with adolescent depressive symptoms. Barrera and Garrison-Jones (1992) also concluded that paternal supportive behaviors were related to adolescent depression, whereas maternal support was not. Similarly, Barnett, Marshall, and Pleck (1992) and Rohner and Brothers (1999) found that the quality of relationship between offspring and fathers had a more significant impact than did the quality of relationship between mothers and offspring. Barnett et al. showed that the quality of son's relationships with their fathers, but not with their mothers, predicted adult sons' psychological adjustment, whereas Rohner...

Neurochemistry Of Aggression

Cerebrospinal fluid levels of 5-HIAA are decreased in patients attempting suicide and in violent criminal offenders. A stronger correlation has been noted between CSF 5-HIAA and suicidal behavior than suicidal ideation alone, suggesting that low CSF 5-HIAA levels are a marker not simply of depression and suicidal risk but also of a tendency to aggressive and impulsive behavior. Several studies in criminal and interpersonally violent psychiatric populations support this view. Lowered CSF 5-HIAA levels were found in samples of impulsive arsonists and impulsive murderers. In a group of soldiers with behavior problems, CSF 5-HIAA was negatively correlated with aggressive behavior, and CSF 5-HIAA was reduced in a group of borderline patients with aggressive and suicidal behavior.

Marsha M Linehan and Eunice Y Chen

Keywords dialectical behavior therapy, DBT, bulimia nervosa, anorexia nervosa, eating disorders not otherwise specified, binge eating disorder, borderline personality disorder Dialectical Behavior Therapy (DBT) is a multimodal cognitive-behavioral treatment originally developed to treat chronically suicidal individuals meeting borderline personality disorder (BPD) criteria. DBT is informed by Eastern mindfulness practices and behavior therapy, and is conducted within the frame of a dialectical epistemology. The underlying dialectic involves acceptance of clients in their current distress, yet aiding clients with skills to alter their dysfunctional behavioral patterns. The behavior change strategies it employs include methodical and iterative behavioral analyses of dysfunctional chains of behavior, the use of commitment strategies to engage clients in treatment, didactic strategies, exposure-based strategies to block avoidance and repetitive behaviors and reduce maladaptive emotions,...

The Nullification of the Supply and Demand Relationship

Another form of demand creation is to create a syndrome for which the psychotherapist already has a treatment. Until recently multiple personality disorder (MPD) seemed to be increasing exponentially. Investigations by payors revealed that the number of patients ostensibly suffering from MPD was directly related to the number of therapists specializing in the therapy of MPD. Patients who had never shown a multiple personality in previous therapies suddenly developed the same when they began seeing a therapist who likes to treat MPD. Also, patients who changed therapists in the opposite direction (from one who specializes in MPD to one who does not) no longer complained of multiple personalities. The question is not whether MPD actually exists as a syndrome, but whether it exists in the sudden explosive numbers in which it was suddenly seen. It eventually became apparent that certain kinds of impressionable patients who want to please the therapist, and especially borderline patients,...

Thomas E Joiner Jr and Foluso M Williams

Dialectical behavioral therapy (DBT) also focuses on emotion regulation. According to the theory that forms the basis of this therapy, behavior patterns that comprise suici-dality, such as self-injurious behavior, parasuicidal behavior, and actual suicide attempts, have developed, in part, to regulate emotions that the person has not learned to regulate in a more adaptive way (Linehan, 1993). Part of the processes in DBT acknowledge the regulatory functions that these behaviors present to the client, while using other techniques, such as problem solving, to construct more effective and adaptive ways to regulate emotions. The expectation that self-injurious behavior will reduce the intensity of negative moods is addressed. DBT explicitly targets dysfunctional ways of mood regulation by enhancing mood regulation expectancies and skills. Various studies have found that DBT is effective in reducing parasuicidal behavior in clients with borderline personality disorder (Barley et al., 1993...

Nocturnal Dissociative Disorder

While prolonged nocturnal fugues occur in some patients, brief episodes are more common. Patients often have borderline personality disorder or anxiety disorders, and sometimes reenact previous assaults (Schenck et al., 1989b). Video polysomnography demonstrates a waking EEG during the episodes (Rice

Psychoeducational Format

Special psychoeducational group programs can be designed for groups of participants who have shared life issues. Many GCT programs develop written materials, often combined in a folder or notebook that is presented on admission to the unit program to help participants learn skills in an orderly sequence. Perhaps one of the best models for this is Mind Over Mood (Greenberger & Padesky, 1995) and Treating Borderline Personality Disorder (Freeman & Fusco, 2004). Social skills practice, assertive-ness training, and other behavioral skills can be introduced, practiced, and assigned as homework.

Characteristics of Manualized Interventions

The typical treatment manual that relies on cognitive-behavioral procedures is a loosely associated set of empirically sound procedures, but with little in the way of a conceptual core. Although it is not our intention to single any one manualized approach out of the larger set, one illustration of this state of affairs is dialectic behavior therapy (DBT), which has been developed specifically for borderline personality disorder. An examination of the skills manual shows that there are elements of social skills training (especially interpersonal assertiveness), mindfulness exercises, exposure for fear reduction, and cognitive disputation to name a few. This has all been neatly packaged in a user-friendly format specifically formulated for the practicing clinician. The results of this packaging have indeed been encouraging, and the popularity of this approach has been impressive. On the other hand, there is no conceptual feature that unifies these interventions, and the application for...

Clinical Case Formulation

Increasingly, clinical case formulation is being viewed by behavior therapists as a crucial contribution to successful treatment outcome. Recent volumes on clinical case formulation highlight the prominent role case formulation plays in treatment planning. However, appreciation for the importance of clinical case formulation in the behavioral paradigm is a relatively recent phenomenon. Behavioral models of clinical case formulation have focused on the identification of antecedent conditions and behavioral effects that maintain the target problem. Clinical case formulations have spanned a wide array of disorders and behaviors including transient tic disorder, delusional speech in schizophrenia, trichotillomania, obsessive-compulsive disorder, developmental disabilities, chronic cough, and borderline personality disorder.

Dimensions of Costs

There have been many studies of the cost-effectiveness for specific disorders or illnesses. A few selected topics are addressed here. These are anxiety disorders, affective disorders, physical illnesses, borderline personality disorder, substance abuse, schizophrenia, and general considerations.

Research Directions

L., Birchall, H., Damani, S., Gatward, N., McGrain, L., & Parker, L. (2003). A dialectical behavior therapy program for people with an eating disorder and borderline personality disorder description and outcome. International Journal of Eating Disorders, 33, 281-286.

Case Example

Job, problems getting along with people in general, frequent outbursts of temper, and intermittent suicide gestures. Initial evaluation confirmed that K., along with symptoms of major depression, suffered from borderline personality pathology. Although highly intelligent, with an advanced degree, K. described how she would always get into struggles with her supervisors because they were envious of her ability and highly critical of her. Both in professional and personal relationships, she would become enraged over perceived minor slights, either blowing up at the other person, or injuring herself with a knife or a razor blade.

General Studies

There are also a number of general studies that have shed light on the question of cost-effectiveness of psychotherapy. Gabbard and colleagues carried out a survey of the literature on the economic impact of psychotherapy published between 1984 and 1994. This review of 18 studies, 10 with random assignment and 8 without random assignment, found that 80 of the former and 100 of the latter suggested that psychotherapy reduces total costs. This review found that psychotherapy appears to be cost-effective, especially for patients with severe disorders, including schizophrenia, bipolar affective disorder, and borderline personality disorder.


This chapter opened with a fundamental theme of this book the importance of active, continuous alertness and awareness. A momentary distraction can cause problems. No matter how senior our status, how extensive our training, or how naturally skilled any of us may be, none of us is perfect. All of us have moments when we are tired, overwhelmed, rushing, or careless. James F. Masterson, a prominent therapist who has written extensively concerning borderline personality disorders, showed courage in writing about an instance in which he betrayed a patient's confidence because of a disconcerting event in his own life One morning I was late and dented my car as I parked in the office garage. A bit frazzled from the experience, I rushed into my office and admitted my first patient who asked me how another patient of mine was doing, calling her by name. I was startled because their appointments were at very different times. I wondered if they had met socially, or if he was dating her. Then I...

Client Factors

Investigators have sought to determine if some types of clients are more likely to become initially engaged in therapy than others. In 1992, Raymond Richmond found that clients who were younger, less educated, and members of minority groups were more difficult to engage. He also found that very disturbed clients who had been diagnosed as psychotic or who were prone to unusual thoughts, mannerisms, and hallucinations were more difficult to engage. Clients with suicidal intent were also less likely to return after their initial session. These difficult to engage clients were also less likely to have been self-referred. In 1998, Mark Hilsenroth and his colleagues found that clients diagnosed with antisocial or borderline personality disorders were also less likely than were other clients to return for therapy following the first session. In another study done in 1995 Hilsenroth and colleagues observed that clients who had uncooperative, hostile relationships outside of therapy were less...

William M Klykylo

There is extensive comorbidity among the affective disorders. Many researchers believe this is a manifestation of early appearance of disorders. For example, a patient who has recurrent depressive episodes may go on in time to develop full bipolar illness. More than 40 of patients with major depression can expect to have one or more nonmood psychiatric disorders during their lifetimes. These include alcoholism and substance abuse, anxiety disorders, eating disorders, and certain personality disorders such as borderline personality disorder. Affective disorders are often seen in association with somatoform and conversion disorders, although firm numbers for comorbidity are difficult to come by.

Wayne A Bower

It would seem that inpatient CT for disorders such as depression or anxiety are no longer feasible when the length of stay on a hospital unit ranges from 3 to 7 days. With this dramatic shift in the length of time a patient can remain on an inpatient service, how or where do you find the use of CT in this environment Also, what is the future for CT when considering inpatient work or research Additionally, given the models described in the early 1990s for CT, what might be the most effective use of these models The literature on inpatient treatment of psychiatric care gives some clues as to what the future may bring. Opportunities still remain to use CT with an inpatient population. Specialty units (either freestanding or within more general hospital units) that work with disorders such as obsessive-compulsive disorders, borderline personality disorder, or eating disorders (primarily anorexia nervosa) still maintain strong CT influences. Some specialty units are designed using the...

Official Download Link Escape Plan From a Borderline Woman

There is no place where you can download Escape Plan From a Borderline Woman for free and also you should not channel your time and effort into something illegal.

Download Now