Treatment regressions and ability to arouse

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treatment regressions; and ability to arouse inappropriately close or hostile treatment  relationships. DSM-IV criteria The DSM-IV gives these nine criteria; a diagnosis requires that the subject present  with at least five of these. In  I Hate You -- Don't Leave Me!  Jerold Kriesman and Hal  Straus refer to BPD as "emotional hemophilia; [a borderline] lacks the clotting  mechanism needed to moderate his spurts of feeling. Stimulate a passion, and the  borderline emotionally bleeds to death." Traits involving emotions: Quite frequently people with BPD have a very hard time controlling their emotions.  They may feel ruled by them. One researcher (Marsha Linehan) said, "People with  BPD are like people with third degree burns over 90% of their bodies. Lacking  emotional skin, they feel agony at the slightest touch or movement." 1. Shifts in mood lasting only a few hours. 2. Anger that is inappropriate, intense or uncontrollable. Traits involving behavior: 3. Self-destructive acts, such as self-mutilation or suicidal threats and gestures that  happen more than once 4. Two potentially self-damaging impulsive behaviors. These could include alcohol and  other drug abuse, compulsive spending, gambling, eating disorders, shoplifting,  reckless driving, compulsive sexual behavior. Traits involving identity 5. Marked, persistent identity disturbance shown by uncertainty in at least two areas.  These areas can include self-image, sexual orientation, career choice or other long-
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term goals, friendships, values. People with BPD may not feel like they know who they  are, or what they think, or what their opinions are, or what religion they should be.  Instead, they may try to be what they think other people want them to be. Someone  with BPD said, "I have a hard time figuring out my personality. I tend to be whomever  I'm with." 6. Chronic feelings of emptiness or boredom. Someone with BPD said, "I remember  describing the feeling of having a deep hole in my stomach. An emptiness that I didn't  know how to fill. My therapist told me that was from almost a "lack of a life". The more  things you get into your life, the more relationships you get involved in, all of that fills  that hole. As a borderline, I had no life. There were times when I couldn't stay in the  same room with other people. It almost felt like what I think a panic attack would feel  like." Traits involving relationships 7. Unstable, chaotic intense relationships characterized by splitting (see below).
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