The outcome is a state of mind in which there is failure in the integration of consciousness, a disconnection that fluctuates in degree from mild and barely perceptible to severe and florid, manifest in sharp and shifting changes in mood, relatedness and behaviour. The condition cannot be understood simply in terms of a single individual, as an isolated entity, but as an aspect of the function of a larger organism that includes the social world. It is in the sphere of interpersonal relations that much of the DSM syndrome of BPD is defined’.
Through the development of analogical relatedness via the proto-conversation, I will describe a phasic approach to the borderline patient, and emphasise the importance of becoming aware of, and understanding dissociation and the many forms in which dissociation may present.
In therapy we are constantly struggling with the paradox and tension between firmness/rigidity and flexibility. The first provides the requisite clarity and stability that generates safety, the second provides for the possibility of change. Boundaries are important in a variety of ways in all therapies. Within the Conversational Model boundaries are seen as central to the notion of self and its development. Without developing the capacity to distinguish between inner and outer there can be no self and thus there can be no distinction between self and other.
The relationship between borderline personality disorder (BPD) and traumatic attachment and abuse in childhood is documented in numerous studies around the world. Over seventy per cent of these patients reported a childhood history of emotional abuse – that is frequent experiences of being shamed or humiliated, being frustrated by being given mixed messages, being put in impossible situations, having their thoughts and feelings denied.
We announce our arrival in the world as separate individuals with the cry. The cry, and the environmental response to the cry, determines the initial atmosphere in the consciousness of the neonate.
We tend to think that dream theories started with Freud and Jung. In fact a number of dream pioneers had published on the topic in the late 1800s’ Europe. I spent the last months reading one of
This talk puts forward some ideas towards an answer to this question. The discussion involves observations from two pioneers of dream research, Maury and Hervey de Saint-Denis; a dream of Jung, commented