PSYCH 212 Lecture Notes - Lecture 74: Dsm-5
Document Summary
The term borderline originates from a psychodynamic term for being in between psychologically immature and psychologically mature: For those in the borderline part of this continuum, their grasp of reality is mostly correct (except under high stress) -- not psychotic. Yet their identity is chaotic and their defenses are less mature/healthy. Bpd as a diagnosis evolved from general features of those in the middle of this continuum of psychological health: Those with bpd are unable to tolerate unconscious conflicts. Particularly conflicts between love and hate (affection and aggression, liking and disliking) for the same person. This includes love and hate towards themselves. To cope, they use defenses that focus solely on one side of a conflict, as though the other does not exist. Splitting: view something as entirely good or entirely bad; see one side but not the other. This lack of integration makes them unstable. Poor bonds with caregivers bad attachment.