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Borderline personality disorder (BPD) - Coggle Diagram
Borderline personality disorder (BPD)
行為模式
Urge - 有 Urge 先會 ➡️ SC 潛意識 [provoking event for unresolved feeling / need]
Impulse - 強烈衝動 ➡️ 做左先安落
Obsession - control 唔到 ➡️ 又要去做 （食sleeping pill食到喊，有guilt feeling)
Abuse - 自己可以 Control
Addiction - control 唔到 (愈墜落，愈快樂) no guilt feeling
3 Points:
Tolerance point
Break point
Confuse point
自殺型態：[1. intimacy hunger, 2. abandoned trauma, 3. reject trauma]
報復型 - 透過傷害自己去傷害他人 (visible self-harm)
內疚型 - 用死贖罪 (major depression case) ~70% invisible
逃避型 - related to 死亡文化
剔手 = Subjective的期望
It is a process (完整自己）expression for herself / himself
用刀剔自己 （代表有人壓迫我，傷害我）
剔落去 （代表自己 有人傷害）令
包紮傷口 （有人保護我，錫返我）
❌ 不剔手，而是令佢唔需要再剔手
Self-Destruction功課
1.Construct 10 dialogue C/W on self-destruction
on client intimate others
Locate a
self destruction act
Self defeating
Self damaging
Self harm
Suicide
& describe its
【Frequency，Duration，Intensity】
& Related
【Process，Details，Content，
Persons，context】
Group of symptoms:
Type 1: Symptoms of Personality Structure (Symptom 1, 2 & 3)
Type 2: Symptoms of Full Energy Destruction (Symptom 4, 5, 6 & 8)
Type 3: Symptoms of Low Energy Destruction (Symptom 7 & 9a, 9b)
Frantic efforts to avoid real or imagined abandonment
unstable & intense IR (interpersonal relationship)
identity disturbance, unstable self-image / sense of self
self damaging behavior
recurrent suicidal behavior
affective instability
chronic feeling of emptiness
difficulty controlling anger
severe dissociative symptoms
4Anger
4ness
4D
4 ness:
helplessness
loneliness
aimlessness
meaningless
4D:
depersonalization
dehumanization
de-socialization
derealization
4 Anger:
towards self
towards others
towards world
towards life
BPD 形態
藉著你，將一生的怨憤去發洩出來
精神病 - 是一個 mental state
care figure, 2. dare figure, 3. give figure
穩定人際關係 ➡️ 先可以過佢知世界上有人可以 Trust
ABT
1. ATH -
attachment hunger
2. AbA -
abandoned anger
3. ABF -
abandoned fear
4.TC -
intimacy crisis
Instability 關係，情感，自我形象 ➡️ 最重要treatment (stable) 穩定性
BPD treatment : CARES
一陪，二錫，三反省，四出真我
雖生欲死 ➡️ 有冇能力融雪
理解BPD：
Past + Present + Future【痛苦相加】
行為在情境中
Frequency, Intensity, Duration
創傷【never forgive / forget】de-power 要將 anger ➡️ re-power
Cut trauma linking, 然後要排走 -ve feeling, 等佢再有空間容納
BPD來自冷漠家庭：
1.well-educated 父/母 or 2. controlling 父母 & emotional distance 父/母
Projection / Displacement:
裝到滿左 ➡️ : 扔去其他人度【有power issue】
Anger 好少獨立存在：
Anger 包 inferiority
Anger 包 inferiority
Anger 包 Loneliness
