6 responses to “The myth of the “Manipulative Personality Disorder”: taking the blame out of the illness”

  1. Very useful information, to help understand the borderline personality and recognize the emotional trauma contributing to the emotional disorder, including adverse childhood events.

  2. I really enjoyed reading this, and it will definitely help we re-adjust my approach with certain patients. Thank you.

  3. This is a well-written, very helpful article and will have an impact on my care of patients as a physician psychotherapist.

  4. I absolutely agree with the article.
    I had another thought, that of the inheritability of these behaviours, emotional dysregulation / personality disorder.
    In my practice I had a woman who met all the criteria for BPD. She had been adopted shortly after birth when her mother died. Her adoptive family were wonderful people, she was nurtured, treated identically to the other children and other adopted children. They paid for law school, etc.
    Being clever, later she managed to track down her natural father. She had had no contact with him ever. She introduced him to her “family”. He was manipulative, volatile ,self-centred and only seemed happy when he was causing trouble. Who do you think he is like – I asked? OMG, and this was the start of her agreement to enter therapy, with which she has done well.
    Paradoxically a colleague had four children, all of whom were treated identically. Number three, for no known reason, had BPD /emotional dysregulation on steroids. Go figure!

  5. Thank you for this well written article, Joanna. I will file it and likely revisit it the next time I notice reactivity in my response to someone with BPD.

  6. As a Director of the Borderline Personality Disorder Society of BC … I thank you very much for this article, and for the approach you are using with your patients. Stigma surrounding BPD is still rampant throughout the health care system – developed and/or perpetuated by teachings within the medical curriculum. It is well past time these teachings are revised to reflect current, more effective approaches that benefit both the patient and the physician, as your article so aptly demonstrates. Thank you.

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