Aspergers Vs Borderline Personality Disorder?
SeriousGirl
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When I think of BPD, the term "Drama Queen" comes to mind. I think all the talk of suicide stems from their love of playing the role of victim. They enjoy the sympathy and attention. They will even sabotage their lives over and over again to make sure they will become a victim so they can never be responsible for their own mistakes or happiness.
I could see Mary Newport (Mozart and the Whale) as a combo of Aspie and BPD on the surface. But she finally does take some responsibility and I don't think a true BPD ever would.
I could see how the behaviors of a BPD could be mistaken for AS, but the root cause of the behavior is entirely different.
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Rjaye,
Occam says, that hits the nail on the head.
What I see most about WP is the variation of view by age.
Nutbag and I say the same things, the pre anything era,
then there is the psycobabble era, Give it a rest!
Then comes the pill based generation,
and lastly some happy, bright, well adjusted youngsters.
I chose one from group one, real stuff works, take care of yourself.
I chose one from group four, all people are different, enjoy it.
I always laugh(right before I start to cry),about psychology being defined as a science.Science is only as legit as the scientific method used and the scientist using it.The "scientist" currently are unable to decide if they are philosophers or behaviorist and the result has been a kind of schizophrenia in the professionals.People are NOT their behaviors....their behaviors are their brain wiring,brain chemistry and their interpretation of these forms of information based on previous experience.Then all these variables are placed in a blender and mixed with current social and cultural expectations.The ensuing formula is then strained through the filter of the "diagnoser",which is further influenced by the prejudices of the clinic/hospital/co-workers the diagnoser
workes for.
When I had my first run in with the psychiatric community,I was diagnosed with depression by a Freudian schooled psychiatrist (who later lost his licence for having sex with a client).I really dont know why I wasnt DXed with BPD....I had some classic traits...I use to cut but never told anyone about it and hid it from my parents.I had one overdose attempt which failed.I had only two relationships(4,5,6 grade)and the other relationships I tried lasted less then 6mths to a year.I worshipped my boyfriend and within a year,couldnt stand the sight of him.I snuck out of the house to go to parties where I would get drunk to black out and then have unsafe sex.(I thought they were in love with me and become obsessed with them afterwords,until the next guy)I didnt have rages that I let anyone else see.....I would take long walks alone and do my crying when others couldnt mock me(mom).
So,maybe I wasnt enough of a drama queen?I did learn to lie to my parents....tell them I was making friends,but didnt lie to others(I didnt talk to others)
When I went through CD treatment at 26,the psych I saw seemed genuinely confused by me.He said he saw behavior that was similar to BPD but that my thinking behind the behavior(internal motivation)appeared to be the oposite of BPD.This was in 1990 and there was no AS DX then.I have a lot of respect for him because he admitted to not knowing what was going on with me.I think my 10 years of drinking complicated the DX because I appeared "social".....put myself in social situations but had no friends....just a long string of male relationships that started out as obsessions and ended in my complete indifference of them.
I always justified the change on feeling as a fear of rejection caused by my being adopted.I did feel that I was unlovable and had a long history of family relationships(bio and adopted family that kicked me out),to justify this fear.It did bother me that I could be reacting so irrationally.....why dump someone when your greatest fear is being abandoned by them?I assumed my lack of logic was due to some deep psychological motivation,which often defies "reason"......lol.Makes much more logical sense that I ended the relationships because my obsession with the object was no longer fulfilling.After all,I never justified my changing "favorite authors" because the author would reject me....it was because I had learned everything they had to teach me and I needed to find another one for cerebral stimulation....duh.
To reiterate....behavior does not define a person.There are to many variables in the human process to easily catagorize them.I think that really pisses psychiatrist off and makes them a generaly hostile population...they scare me a bit.
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Whoah. This sounds EXACTLY like someone I know.
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Interesting discussion. I wish I could respond to each in turn. I think Sophist's post is pretty much the closest to a good summary discussion on the current state. One must keep in mind several things:
1. The amount of information known about the brain is surprisingly limited
2. AS is a recent diagnosis and most practitioners are not familiar with it
3. The DSM-IVTR is being rewritten as we speak
4. NT's, who are writing the DSM-IVTR will never understand spectrum disorders and so you can't really expect any degree of exactness
5. There are many psych disorders that occur AS A RESULT of being on the spectrum, depression and anxiety being two very common ones.
6. Narcissism and borderline are personality disorders, not mood or development disorders.
That being said,
I have worked professionally with many borderlines, and I can think of no type of person that I could identify less with. They are attention-seeking, dishonest to everybody including themselves, very difficult to be around. I also have a lot of experience with people diagnosed with NPD, and they are similar to borderlines - very egocentric and dishonest, in a way that gives you the creeps. I have seen nothing of spectrum traits among all these people I've worked with. People with personality disorders, including sociopaths and psychopaths, are generally noticeably aberrant.
I guess it pains me a little to think of us, who already have enough to contend with, thinking that we might also have aspects of a personality disorder. My point is that, despite maybe having certain behaviors that are also associated with a personality disorder or two, does not necessarily make you have a personality disorder as well.
I think many diagnoses have overlaps and crossovers it probably all correlates with minor brain dysfunction. I've been diagnosed with AS but for a long time I considered myself to have BPD I suppose I will never know for sure, I can identify with the feelings of emptiness, self-destructive behaviour and changeable identity!
Indeed, and the need for other's approval and not wanting to be alone etc. to such an extreme degree does seem rather like something that should ever really be mistaken for autism.
I have one friend with BPD and she's a more quiet type but the manipulation, the drama etc. is all there, and since a lot of the manipulative attempts go way over my head she seems to try it a lot less with me than with anyone else.
My therapist thinks I have BPD, but there are several traits that I don't think apply to me at all, and others that seem like normal human behavior to me- who doesn't have a severe change of mood related to events? Did the entire country suddenly develop a personality disorder the morning of 9-11-01?
What seems like the most obvious difference to me is that BPD symptoms usually start after puberty, while AS signs start in early childhood. While some of my behavior as an adult could be labeled either way, I was more typically AS as a child.
It all seems like a confusing muddle to me, and there does seem to be a gender bias, with men more likely to be labeled AS while women get labeled as BPD. If they are going to be scientific about it, they need to come up with better definitions.
What seems like the most obvious difference to me is that BPD symptoms usually start after puberty, while AS signs start in early childhood. While some of my behavior as an adult could be labeled either way, I was more typically AS as a child.
It all seems like a confusing muddle to me, and there does seem to be a gender bias, with men more likely to be labeled AS while women get labeled as BPD. If they are going to be scientific about it, they need to come up with better definitions.
Yes,I also think there is a gender bias.Lets hope they fix that in the new DX manuel.They stress the importance of childhood when doing the DX(or are supposed to).I was DX...borderline BPD in 1990(before AS was in the manuel)He said that I had some of the behaviors of BPD,but the motives in BEHIND the behaviors seemed different then someone with BPD...Dont you think "motives" are more important then behavior.An example would be in "sexual promiscuity"....I was "used" for sex because I didnt lie myself and didnt realize that the guys were lying to me when they said they liked me.I used chemicals because socializing was so painful and confusing ,that it was the only way I could talk to people(and they seemed to like me a little better?).I think female aspies may also have more propensity to have a "people as object obsession",rather then a more male object obsession(though I had those as well)
I wonder if they hesitate to DX more females because it would mess with there 4 to 1 ratio of autism in males to females?
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I think there are differences in BPD and AS for example BPD people do not maintain attachements to people who are not present , so for example if you had BPD and your partner went away for a time to work it would be hard to maintain that feeling that you love them and that they love you. It feels like those you care about cease to exist when you ar not with them also you feelings for people are based on there current behaviour rather than the overall picture of how they behave. this is what causes the instability because a slight change in the other persons behaviour can cause you to go from love to hate and during the hate times you are unable to recall why you loved them. I am not aware that this tendancy is common in AS people.
bb natty
I think a lot of people misdiagnose themselves as being AS. The mind is a complex thing and so many types of 'disorders' can stem from learned behaviours or traumatic childhood experiences that can appear as AS traits.
Any AS professional will tell you it is not always straightforward to diagnose an adult with AS. We take on appropriate or inappropriate learning or coping abilities during life and it all becomes very complex.
SeriousGirl
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Joined: 17 Mar 2007
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Posts: 1,067
Location: the Witness Protection Program
I don't agree with your conclusion as disorders such as BPD are not developmental disorders and are on a different axis in the DSM than autistic disorders which are noticed in very early childhood and are due to neurological differences rather than psychological disorders.
Do psychologists diagnose personality disorders along with autism? I don't think so, although bi-polar and schizophrenia do exist with autism, but it is not that common.
There is a real danger in diagnosing oneself if one is having severe problems in life. Testing can spot neurological disorders pretty easily. A neuropsychologist does nothing but test for brain differences as opposed to thinking differences.
So the real question is: Does one have neurological differences, thinking differences, or a combination of both and how are they affecting each other? We are not objective, nor skilled, enough to figure this out by ourselves. The only way to really know is to undergo testing to see if you have brain differences as opposed to thinking differences. I don't think a therapist could sort this out simply by interview.
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If the topic is small, why talk about it?
My best friend growing up had BPD, and although of course it did significantly impact her social functioning and she did exhibit inappropriate social behavior, I don't think she really had any characteristics in common with someone with AS, except that she was extremely smart
Also, I don't get the PTSD connection either (maybe it can lead to BPD but isn't necessarily a cause of it?). My friend had a major history of mental illness in her family, so in her case, it was probably genetic. She was also bipolar by the way.
No, I dont see what Borderline has to do with Aspergers, I have been tested for both, and got no symptom of Borderline
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.5 These may be associated with episodes of impulsive aggression, self-injury, and drug or alcohol abuse. Distortions in cognition and sense of self can lead to frequent changes in long-term goals, career plans, jobs, friendships, gender identity, and values. Sometimes people with BPD view themselves as fundamentally bad, or unworthy. They may feel unfairly misunderstood or mistreated, bored, empty, and have little idea who they are. Such symptoms are most acute when people with BPD feel isolated and lacking in social support, and may result in frantic efforts to avoid being alone.
People with BPD often have highly unstable patterns of social relationships. While they can develop intense but stormy attachments, their attitudes towards family, friends, and loved ones may suddenly shift from idealization (great admiration and love) to devaluation (intense anger and dislike). Thus, they may form an immediate attachment and idealize the other person, but when a slight separation or conflict occurs, they switch unexpectedly to the other extreme and angrily accuse the other person of not caring for them at all. Even with family members, individuals with BPD are highly sensitive to rejection, reacting with anger and distress to such mild separations as a vacation, a business trip, or a sudden change in plans. These fears of abandonment seem to be related to difficulties feeling emotionally connected to important persons when they are physically absent, leaving the individual with BPD feeling lost and perhaps worthless. Suicide threats and attempts may occur along with anger at perceived abandonment and disappointments.
People with BPD exhibit other impulsive behaviors, such as excessive spending, binge eating and risky sex. BPD often occurs together with other psychiatric problems, particularly bipolar disorder, depression, anxiety disorders, substance abuse, and other personality disorders.
I have none of that
http://www.nimh.nih.gov/publicat/bpd.cfm
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