I wanted to talk about this book, as it is helping me process some of the stuff that has come up this week for me. It may be interesting as well, in light of the conversations that I have participated in (here) in the past few days.
This is the first thing that struck me:
"Once we make a diagnosis, we tend to selectively inattend to aspects of the patient that do not fit into that particular diagnosis, and correspondingly overattend to subtle features that appear to confirm an initial diagnosis. What's more, a diagnosis may act as a self-fulfilling prophecy. Relating to a patient as a "borderline" or a "hysteric" may serve to stimulate and perpetuate those very traits"
I knew there was something just niggling at me/bugging me these past few days. And I may still very well be confused about the process and all, since I'm so new, but...
I can't help but think that sometimes therapists put us in a box that we cannot escape from. I feel trapped by it. No other words I can think of to describe it.
For example...oh, hell, let's pick on anger again.. I ran across a few posts today in Facebook that I found interesting. One poster was "pissed off" about certain political issues at the national and local levels. She is intelligent and articulate, and is somewhat of an activist. I could not help but think that what is a "cause" to her, is now just a "trigger" for some of us in therapy. ??
I was told that I have a few "borderline" traits- (anger and black and white thinking) but that I'm primarily "depressed"- due to suppressed anger. Now what?
Before therapy, and even before I came here, I would have thought nothing of having a little bit of righteous indignation about certain issues. Geez, "everybody" does it, it would seem. I certainly have a heightened awareness now about how much anger and irritation I see on the internet. And I generally don't go looking for it, as I'm too busy with school and work. But I'm grateful for the "hide" feature on FB!
Now I feel like I'm "BAD" if I were to express anger like a "normal" person. I almost wish I could go back. Does that make sense? Or does the majority of the population need therapy for BPD? Seriously!
Some of you may know that I'm pissed off at my therapist, about how he confronts me during our talks. But to his credit, he does not believe in treating according to diagnosis. He knows that I'm complex and full of contradictions and both of us are intelligent enough to be comfortable with uncertainty (most of the time)and our own tendencies... (we are both quite stubborn)
And I'm glad that part of me finds the statement that I made above about being "BAD" for getting angry ...kind of ridiculous. I want to own my anger and irritability. They are mine, and part of being human, and I refuse to disown them. If I thought that my anger was "bad".. well, hello black and white! Of course, this doesn't mean one acts on their anger all the time. (You guys are too smart for me to state the obvious, I know) But I have not seen yet anyone mention anything about discernment in regards to anger. Anyone? I'll poke around, or I would love to hear in another post!
So do some of you think that a diagnosis has the potential for creating a problem where perhaps none existed? It's kind of like being labeled the "smart kid" or the "dumb kid" of the family- you take that role on, and become it.
I am going to keep reading this. I used anger as an example, as it seems to be a theme this week. (Can we just blame it on the moon??) The basic idea behind this chapter is to treat the patient like a WHOLE person, not a diagnosis, or (in my case) several.