[Thunderwolf]

Very good discussion thus far. The last two posts by members echo my own thoughts.

[Thunderwolf]

Originally Posted by CRNASOMEDAY25

a better question is can these "personality disorders" be prevented and how do they develop? I've dealt with someone with at least one disorder and I want to know if it's genetic.

I really like this post...gets to the meat of the matter. I mentioned in the previous BPD thread (that got closed) about my take on Personality Disorders as Developmental Disorders of Personality. This post here captures the essence of the point that I was trying to make there. Personality and Personality Disorders do not happen in a vaccuum....they develop and become what they are.

[hsieh]

warzprayer says they have only seen one bpd helped by traditional therapy. so to mercyteapot - why are unsuccesfull traditional therapies paid for over and over again? why not spend money on something new - that might work? somebody talked about child abuse. if child abuse is the prob then it should be labeled child abuse syndrome - not borderline personality disorder. i think if a patient is labeled as child abuse syndrome they are going to get better help. people naturally want to help somebody suffering from child abuse syndrome. and as far as treating child abuse - remember the movie i think it was called stand by me about a principal in philadelphia who went into a bad school and told the kids you may come from a slum but i'm not going to allow you to behave like you come from one. i'm not joking about africa or the amazon. i came to this conclusion after making several friends from africa. and let me remind people again ADDRESS THE SUBJECT NOT THE MEMBER MAKING THE POST. THIS IS TO DISCUSS AND DEBATE THE SUBJECT NOT PUT EACH OTHER DOWN.

[Hellllllo Nurse]

My best friend (RN) is highly skilled and patient in dealing with borderlines, bipolars, schitzophrenics, etc., but she can't start an IV, and can barely take VS. Once, we were out together and were verbally accosted by a person w/ serious psych issues. I freaked, but she calmed the person right down.

I am great with clinical skills, assessments, multitasking and so on, but I absolutely cannot deal with psych pts. I guess that's why my friend is such an awesome psych nurse, and I'm an awesome clinical nurse.

[cardiacRN2006]

Originally Posted by hsieh

ADDRESS THE SUBJECT NOT THE MEMBER MAKING THE POST. THIS IS TO DISCUSS AND DEBATE THE SUBJECT NOT PUT EACH OTHER DOWN.

Sorry, you can't have it both ways. You can't be so insensitive and over the top, and then critisize US for calling you out on it.

[mercyteapot]

Originally Posted by hsieh

warzprayer says they have only seen one bpd helped by traditional therapy. so to mercyteapot - why are unsuccesfull traditional therapies paid for over and over again? why not spend money on something new - that might work? somebody talked about child abuse. if child abuse is the prob then it should be labeled child abuse syndrome - not borderline personality disorder. i think if a patient is labeled as child abuse syndrome they are going to get better help. people naturally want to help somebody suffering from child abuse syndrome. and as far as treating child abuse - remember the movie i think it was called stand by me about a principal in philadelphia who went into a bad school and told the kids you may come from a slum but i'm not going to allow you to behave like you come from one. i'm not joking about africa or the amazon. i came to this conclusion after making several friends from africa. and let me remind people again ADDRESS THE SUBJECT NOT THE MEMBER MAKING THE POST. THIS IS TO DISCUSS AND DEBATE THE SUBJECT NOT PUT EACH OTHER DOWN.

hsieh, you're not a moderator, are you? I'm not sure it is appropriate for you to be telling the rest of us what is and is not acceptable, and the ''shouting'' most certainly is not appreciated. Traditional treatment is paid for over and over because it is not always ineffective. At this time, it is the best that is available to offer to patients with BPD. May I just say that whatever the shortcomings of standard BPD intervention, it certainly makes far more sense than this talk about sending American citizens to countries that often are the subject of travel advisories to ''heal themselves'' or whatever it is that you think your brainchild will accomplish. Not gonna happen, no way, no how.

[Thunderwolf]

Moving forward with thread.

[rn/writer]

Originally Posted by hsieh

ADDRESS THE SUBJECT NOT THE MEMBER MAKING THE POST. THIS IS TO DISCUSS AND DEBATE THE SUBJECT NOT PUT EACH OTHER DOWN.

While the above guideline is correct, it is not the place of non-moderators to issue moderating messages. If you see violations taking place, please report the problem posts and leave the moderating to the mods. Thanks.

[rn/writer]

Hsieh does have a point about focusing on the issues and not the particular poster.

I'm not sure if I understand what you are trying to say, hsieh, but let me give it a try.

I think you are saying that in other countries, cultures, and circumstances that are, for lack of a better term, less user-friendly, there are fewer resources available for enabling. It's hard to have a power struggle over staying in the day room when, a) there is no day room, and b) there are genuine concerns about having food, clothing, and a roof over one's head.

The survival behaviors needed for anyone to deal with these "distractions" are much closer to borderline traits than behavior that is socially acceptable in tradtional society. Borderlines don't stand out so much when boundaries have already been eroded by poverty and other stressors. In addition, borderlines who find themselves motivated by real issues like getting enough to eat see immediate rewards and consequences for their functional or non-functional behaviors. Street life and raw nature are far less amenable to manipulation or prone to enabling than exhausted relatives and psych wards.

Is this summation anything close to the points you are trying to make?

[mercyteapot]

Originally Posted by rn/writer

Hsieh does have a point about focusing on the issues and not the particular poster.

I'm not sure if I understand what you are trying to say, hsieh, but let me give it a try.

I think you are saying that in other countries, cultures, and circumstances that are, for lack of a better term, less user-friendly, there are fewer resources available for enabling. It's hard to have a power struggle over staying in the day room when, a) there is no day room, and b) there are genuine concerns about having food, clothing, and a roof over one's head.

The survival behaviors needed for anyone to deal with these "distractions" are much closer to borderline traits than behavior that is socially acceptable in tradtional society. Borderlines don't stand out so much when boundaries have already been eroded by poverty and other stressors. In addition, borderlines who find themselves motivated by real issues like getting enough to eat see immediate rewards and consequences for their functional or non-functional behaviors. Street life and raw nature are far less amenable to manipulation or prone to enabling than exhausted relatives and psych wards.

Is this summation anything close to the points you are trying to make?

That would explain the lack of BPD in the third world. hsieh is taking things a step further, though, and is trying to sell the idea of sending westerners with BPD into these nations for treatment. Shall we also send people with morbid obesity to these nations? After all, there's not much of that in the third world either.