This video looks at the features and descriptions of The Borderline Personality Disorder and specifically looks at Treatment planning.
Bob Cooke talks in detail concerning working with BPD which is now known,more commonly,as Emotional unstable Personality Disorder.
The Borderline Personality lives on the edge of Neurosis and Psychosis,in other words the border of the “light”and “dark”sides. The “light”side being reality, the “dark” side being out of touch with reality.
The Person diagnosed with a “Borderline” Personality disorder is often considered difficult to work with ,primarily because of their rapid ego shifts,and ‘Splitting”defences.
Making everything “Good”or “Bad” is how they see the world,including how the may define the Psychherapist and Therapy.
Often their way of “Contacting”others, and the Therapist is by attempting Psychologically to “Attack”,’Rubbish”or “Blame”others ,as well as their therapeutic process ,this often can make Psychotherapy difficult if near impossable.
In the above video bob talks about Eleanor Greenberg’s work on Treatment with the Borderline client.
She creates a Menomic, or general features list, which she states make up the personality of a client presenting with a Borderline Personality Disorder.
She has puts forward a way of naming the certain features of the Borderline client which she names as “MISERY”.
Each of the letters representing a general feature of the BPD.
I find this a useful way of remembering the specific features that Greenberg postulates.
Bob takes us through Greenberg’s profile and relates each of the characteristics of the BPD client To Treatment planning,and the difficulties the therapist might occur in the therapeutic journey
I wish I had found Greenberg’s writings in my early days of Clinical practice,as it would have helped inform me of some of the Clinical challenges,which lay ahead of me when working with this “population”.