Beyond Blue

Beyond Blue

Rethinking the Term, “Borderline”

posted by Beyond Blue | 5:30am Wednesday January 14, 2009

One of the best books out about borderline personality disorder is “The Siren’s Dance: My Marriage to a Borderline,” by Anthony Walker, a psychiatrist. The detailed descriptions of events will give you a strong appreciation for those persons who live with this mood disorder, or suffer from it on a daily basis.

In the book is an appendix about the term, “borderline.” The author writes:

The term borderline is a historical term that many people argue should be changed. These patients were first described in the 1940s by psychoanalysts who theorized that this is a form of pathology lying on the border between psychosis and neurosis. Some clinicians see it as the border between sanity and insanity. Nevertheless, the term is confusing and further has increasingly and unfortunately been used as a pejorative for difficult patients, in particular difficult female patients. In my opinion, a far better term would be self-destructive personality disorder, which would be the psychological equivalent of a autoimmune disorder. Others have proposed emotionally dysregulated personality disorder. 

Sadly, it is common–and wrong–to call any woman who is seen as manipulative, especially one who has emotional problems, a “borderline.” We have to be careful so as not to misuse the diagnosis. Also, at the end of the day, we all manipulate at some level, and manipulation alone is certainly not enough to make a BPD diagnosis.

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Comments read comments(11)
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Bonnie

posted January 15, 2009 at 12:18 pm


I am a 49 yr old single mom. I have suffered with BPD all my life .
I have repeatedly asked .. Ok I have BPD ..but where does it come from? I was not born with this disorder.. What happened to bring it on?



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Your Name

posted January 15, 2009 at 1:36 pm


What is “borderline personality disorder”? What are some of the symptoms? My wife has terrible mood swings and whenever we try to discuss them she insists that she is only reacting to something that I or our children (ages 20 and 16) have done. My journals reflect that every 15-30 days she has something to be angry and upset about and it reflects in how she responds to me and our children.



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Sue

posted January 15, 2009 at 2:04 pm


Women have no control over our “mood swings”. They are a part of life. Think about it…do you honestly think we enjoy this and actually choose to be this way? The one choice we do have is to come to know the Lord and find relief, guidance and comfort. Please be patient with your wife…it’s just the way that God made us. She may very well be going through the change of life. Research that, there is all types of therapies available. Pray and God will guide you!



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Cully

posted January 15, 2009 at 2:08 pm


Bonnie, your question is very important – not only to you but to your child – and it has probably been asked since the 1940s. I would hope that in this “day and age” therapists would all be working to answer it.
And the comment with no name points out something that is often rejected… those of us who live with people who have personality disorders are also victims. We aren’t the bad guys and we aren’t always to blame. If professionals can’t explain or cure their patients then how can non-professionals be held accountable?



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Your Name

posted January 15, 2009 at 6:41 pm


I always thought I was going “insane”, but recently I was diagnosed with BPD. My dad has it and I have a hard time dealing with him, but now I understand more than I did. I don’t like having these eractic mood swings, but when I’m not dealing with PMS, I do find hope. I was in couseling especially geared towards people who suffered from this. It is called DBT. It was very helpful. It guides you in understanding yourself and relating to others. It is a life-long battle and with Gods help and patiece towards myself, I feel very confident that everyday I will learn something profound (even if it’s something small) to encourage me not to give up. The biggest inspiration comes from the quote “One day at a time”. Good luck to anyone who knows someone who suffers from this and those who are dealing with this personally. You are not alone.



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Your Name

posted January 15, 2009 at 10:17 pm


I wish all of you well that are dealing with this issue. I felt a victim to this “disorder” myself with my ex-wife, and for the life of me could not figure out what I did wrong to cause these behaviors. Even after the divorce, brought about by her, there was one more suicide attempt, and years of treatment. For my health I did all I could to avoid contact with her as it appeared still that I was the cause of her irritation. In the midst of all this, my daughter was put into inpatient treatment for various mental disorders, very similar to my ex. Both are now in the DBT treatment program, and I am ever so grateful that my daughter seems to be doing far better. I won’t comment here on my children’s relationship with their mother, for obvious reasons. However, I think three very important things helped my daughter, for those of you with a child diagnosed with this. One, she is in the DBT treatment program. Two, she has developed an honest relationship with God and therefore herself, and three, she avoids contact with her mother. I realize that not all can have all three of those, but I do believe that if treatment is received, and all parties involved can have a closer relationship with God, the problem is much more easily resolved. This has been my observation, and is shared by her siblings, all of who have developed a sincere relationship with God. And no, I am not a bible thumper. I don’t believe clergy would be able to help with the disorder, at least they could not in our church. I’m talking about honesty. Patience all…… I know how you feel.



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Serginho

posted January 15, 2009 at 10:25 pm


Good timing…there was an article in a recent TIME magazine about BPD.
Here’s the link:
http://www.time.com/time/magazine/article/0,9171,1870491,00.html



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Mary

posted January 16, 2009 at 8:38 pm


Wow, Sue you need to enter the 20th (no, not 21st century). Women are not our biology. We are sooooo much more. I hope your journey leads you to some self-esteem.



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Leslie

posted January 18, 2009 at 4:01 am


Just a comment.
“Personality Disorder” means that a certain type of personality has been pathologized because their behaviors are uncomfortable to others.
The borderlines experience an overwhelming fear of abandonment… Abandonment in this context doesn’t mean left alone to rebuild their life – which majorly sucks but isn’t the End of the World. Abandonment means that who they are has been taken away from them. They have little “I” so they MUST be part of a “we.”
Borderline personality disorder is often confused with bipolar disorder, but they are totally different animals. According to the NIMH (as of April 2007), “While a person with depression or bipolar disorder typically endures the same mood for weeks, a person with BPD may experience intense bouts of anger, depression, and anxiety that may last only hours, or at most a day.”
Given that there are rapid-cycling bipolars, there has to be more to it than that.
It’s not entirely clear from this that the mood swings of Borderline Personality Disorder are reactions – overreactions perhaps – to immediate stressors. The mood swings of bipolar disorder are less related to individual events and more related to sustained stress.



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Your Name

posted January 21, 2009 at 3:02 am


Not all Borderlines are female. I am in the process of divorcing my undiagnosed BPD husband of 27 yrs. I first learned of BPD a year ago. Everything in my life fell into place as I read the symptoms, diagnostic criterion, and stories of others who had been married to a Borderline.
I wept as I realized that my husband’s aversion to mental health practitioners meant no hope for a future with him. He began acting out in threatening and destructive ways in May, and I filed for divorce with a restraining order in June.
Not untypically, he has vilified me and has made himself out to be the victim. He “cannot understand” why I got the RO or how I could “lie” about him and be “so cruel.” This after his written and verbal threats concerning his guns, and his threats (on tape) to “destroy [my] personal property and everything inside the house because it all belongs to [him].”
Long story short, BPD destroys relationships. Our 15 yr old daughter is so upset by her dad’s outbursts and unpredictability that she has hardly spoken to him since Nov.
Great resource:
http://www.bpdcentral.com/index.php
It’s sad when the people you love cannot be a part of your life.



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Jillie

posted January 23, 2009 at 1:24 pm


Thank you for bringing BPD out of the closet. There is so much attention and information on Bi-Polar and very little on Borderline. Being borderline is hard enough without all the stigma and taboo surrounding the name. Plus very few people seem to know much about my disability. Hopefully with information comes insight and understanding. I welcome future articles on Borderline Personality Disorder. Keep up the good work.



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