Origins of the 4 BPD Subtypes

[Music] hi my name is dr. Daniel Fox and I'm a licensed psychologist in the state of Texas and today I thought I would do my video from my Woodlands office in The Woodlands Texas so today what I wanted to do is I wanted to talk about the etiology or the origin of those for borderline personality disorder subtypes and I hope that that you find it interesting and we'll also talk about sort of at the end the value that awareness of our origins and backgrounds can be helpful when we talk about working with and treating borderline personality disorder so let's get started so the first type that we're going to talk about is the impulsive borderline personality disorder type and what we find in these individuals backgrounds now it's also important to recognize that even though we're breaking these four subtypes up a lot of times there is overlap a lot of times just because we're going to identify a particular type like first we're going to do the impulsive type but it doesn't mean that that it causes one instance or several instances or experiences in someone's background does not guarantee or cause the outcome of borderline personality disorder or of a particular subtype what these are is that this is based on research and what this research says is that they these components or these experiences has a high probability of producing a particular outcome related to a subtype for example so with your impulsive borderline personality disorder subtype now these individuals their family environment tended to be very highly emotionally reactive so now if someone has that background it doesn't necessarily mean that they're gonna have borderline personality disorder it doesn't mean that they're gonna have an impulsive borderline personality sort of type but what it finds is that this instance associated with these other factors that I'm going to talk about in a minute that there's an increased probability of developing the impulsive borderline personality sorter subtype so I just want to make sure that that's clear that we're not talking about cause per se we're talking about factors related to outcome and that's really important because we talked about at the end about how we use our background understand our background to help ourselves today that it's important that we understand that about what that means our background and how that impacts us today okay all right so now we'll really get started all right so so we'll talk about the impulsive borderline personality sort of subtype and as I mentioned so that family environment tended to be highly emotionally reactive we also found that it was a very sort of diverse 'van vironment which created a tendency for a lot of variety and inability to tolerate boredom so all this novelty a lot of times you'll see folks are along that impulsive borderline spectrum that they tend to to have some histrionic type features which is another personality type and actually the histrionic Personality Disorder has been found to be on the borderline continuum so also when we talk about parental control with your impulsive borderline subtype we see parental control was very irregular very inconsistent it was often contingent right then reward was random right with positive reinforcement so when you did things that were good maybe they were recognized maybe they were ignored maybe you were punished or maybe you were rewarded so it's not consistent so you don't know what that outcome is going to be which makes your your behavior when we're very little very unpredictable and sometimes we carry that as adults and that can certainly factor into that impulsivity that we see with that borderline personality disorder subtype and then the last factor here specific for for this subtype is that there's rapid changes in parental standards of what is right and what is wrong so those those moral standards would say that now we know that a lot of our decisions change as we grow the way we see the world changes as we grow but there are certain things that we know which are right and which are wrong and what happens is these parental standards tend to change agreements tend to change so you don't really know where your foundation is where your footing is which makes things very uneven very unpredictable builds a lot of stress and a lot of anxiety inside the the individuals as they grow up and eventually for what we're talking about that these individuals develop that impulsive borderline personality order subtype so let's talk about the neck subtype which is your petulant borderline personality order subtype now the petulant subtype there's a lot of discontent and erratic behaviors which are derived from parental inconsistency so the parents are inconsistent right and so they failed to be treated in a moderately predictable manner so this individual never knows what to expect are they going to pick me up from school are they going to take if they're sports after school there's you're gonna take me to sports you're gonna leave me there if there's an invitation the parent may say to like a birthday party as a kid the parent may say oh yeah yeah we're definitely going to take you and then when it's time the parent says of course we're not going to take you and and then it becomes that that child's fall so and sometimes the the child can be doted on one moment and then chastised with little understanding as to why the next so you're you're a hero one moment and you're a zero the next but you don't really understand why or what's or what's going on so there's a lot of in predictable 'ti you don't know exactly what's going on a lot of inconsistency very erratic a lot of discontent emotions negative of parents serve as models of indecisiveness and unpredictability and that indecisiveness and imprint and unpredictability what happens is is that it causes the the child to again have that uneven footing okay and you bring a lot of that inward and that creates this wall which we're calling the petulant subtype the one that locks themselves up okay they're stuffers they stuff things in they hold it inside okay and you'll see that in the in background sometimes loyalty is variable and the child is often pulled between sides causing increased stress and pressure so if there's a divorce or a breakup with the relationship and the parents separate so which side are you going to go and they they could ask you know a five-year-old six-year-old to decide well who are you going to go with mom or dad who do you love more who do you care about and maybe the the child is is excited about a gift that they get from dad from their father and so they're excited so then mom becomes very jealous and agitated and then accuses the child of loving dad more and then punishes the child for liking the gift so with that what we find is that that can create the petulant type of borderline personality disorder now the next type is the self-destructive type now in this family environment it tended to be very volatile for what's called that fledgling borderline personality sort of individual okay so you see that it starts to build some of those early experiences because of that volatility and these individual be recipients of abuse in some cases they learned that the value of self is very limited and that emotions are to be held in and not expressed so again a lot like the petulant you hold it in but what happens is is that it starts to build in this individual and build and build and build until it becomes this destructive explosion and instead of going necessarily outward a lot of times it'll go it'll go inward and by inward I mean it can be severe depression severe anxiety now all of these subtypes can have that as well but with this individual we see that these emotions start to build and when they build and they're not expressed then they can be self harming they can if things are going well they will they'll be very destructive Latian very destructive to those that are that are trying to help them Hey and those coping mechanisms are they're not really taught when when they're children how to deal with stress how to deal with anxiety how to support someone caring with someone it doesn't mean they can't be caring it doesn't mean they can't be supportive but they didn't learn those early models in which they can pull from hey those are internal working models internal early representations so the individual learns to harm themselves to to increase the likelihood their needs met so the final type is that discouraged or quiet a borderline personality disorder type now this type what you see is that sort of during that developmental period as they're children they're growing older that you see that they become overly dependent or attached independent a caretaker that discourages autonomy and exploration right and all these little kids and you know children it's normal for them to reach out they want to explore their environment they want to test their autonomy their sense of efficacy their sense of control over the environment over themselves these type of caregivers they want to squelch that they want to squash that they want to hold that back so they want to keep the child so close to them that the child doesn't build a sense of self-efficacy they don't build a sense of autonomy so they're they're shrouded now the home tends to also be very neglectful of the child's needs because it's the parent who's getting their needs met by being so scrolling and very engulfing of the child so the child gets a sense of neglect for their own needs their own needs aren't met their own interests aren't explored it's the parents that are being explored there tends to be a very permissive or authoritarian parenting style which is most common now there's three types of parenting styles permissive of course is that the child is allowed to do anything they want there is authoritarian and I almost I often think of authoritarian like a barbarian type of parent that's very rigid and very strict and then there is the authoritative parent which is the assertive parent appropriate parent that puts boundaries in place perspectives in place and things of that nature so for your skir egde or quiet subtype abord personality sort these these individuals parenting is mostly either permissive or authoritarian okay and the child is often seen in these cases as a burden they're in the way and often they're trusted with with little value and he or she does not develop a core sense of self and value so you might be thinking we'll wait so I'm connected to this parent all the time but yet I'm seen as a burden and in the way that's exactly right and if that sounds confusing that that's what happens during these individuals developmental period and as as my clients and we explore sort of the developmental experiences we we find that there's a lot of confusion and conflict that that we need we need to discover and resolve and and work through and so the reason why the purpose of sort of understanding our ideology right and where we come from is to assess the impact of the past on the present and this is something I do a lot with my clients most clients I see them for four years at a time and so we explore this and we really get into it and what we want to do is we want to develop or understand a trajectory for treatment and how it impacts how you live today how does your developmental your etiology perhaps of your disorder but all of my clients and I believe that everyone that that's diagnosed with any disorder is more than your disorder hey you are you and you may be someone who has either borderline personality or traits or borderline personality disorder but that's not who you are and I know sometimes it feels like that and sometimes a lot of my clients what we're working on is separating their conceptualization of self from the disorder that they are more than borderline personalities or they are more than bipolar disorder they are more than sexual abuse survivor that they're more than that it's who they are and it's separating that sense of self building their sense of encouragement self-efficacy and get it getting understanding of how that past experience built or was influential to where they are today and what I like to do also is sort of reconstruct how you live today and lessen the adverse impact of the past and how that's impacting you today okay so it is possible to overcome the experiences that you've had in your past it really is it just takes time and I know that it that it's difficult and sometimes the way individuals that are along a border line spectrum reads situations very rapidly and quickly and and they become ignited very quickly and it's hard to extinguish that that flame so the best thing to do is to put these factors in place and by these factors I mean factors that slow you down that give you a greater degree of response and that's exactly what what good treatment should do it should be self exploration while giving yourself a wider area to respond in instead of immediate stimulus and immediate response and that is what I spend a lot of initial sessions with my client and that's exactly what what we're doing is separating that initial ignition to liftoff yeah and the way that I do that is certainly without self exploration I do a lot of encouragement if I notice that in the in the in the videos and I hope you did because you should be encouraged we do a lot of mindfulness a lot of skill building and that there are keys to overcome the hurts of yesterday and make today and tomorrow even better and you can do it you really really can so I want to thank you for for your time today I hope you enjoyed the the change of setting add a little variety to it please leave any comments that you may have if you enjoy my videos please encourage other people maybe to to sign up and to subscribe and check them out that would be great I think this has been a wonderful benefit for me personally and a lot of a lot of people have written a lot of nice things that these videos are helpful and that certainly motivates me to continue to make them and know that that they're beneficial to folks who should know that this is that this is a treatable disorder that this is a disorder that you can learn to manage instead of it managing you so I want to thank you again for your time and I appreciate it very much and please take care bye bye

Channel: Dr. Daniel Fox

Views: 303,759

Keywords: borderline, borderline personality, borderline personality disorder, bpd, classic borderline, diagnosis, discouraged, dsm5, hope and borderline personality, impulsive, living with borderline personality disorder, mental illness, personality disorders, petulant, psychology, quiet borderline, self destructive, self harm, daniel fox personality, daniel fox personality disorders, bpd treatment, bpd symptoms, symptoms of bpd, symptoms bpd, mental health, bpd recovery, bpd disorder

Id: MH0Y_FPa16E

Length: 16min 5sec (965 seconds)

Published: Sat Mar 03 2018

Reddit Comments

[u/[deleted]]

I love this, thank you for this - It makes so much sense. For me I’m a mixture of Self-Destructive and Petulant. I can name memories and events in my life that helped form these, and overall being able to identify those traumatic events and connect them with something I struggle with now has helped greatly in the healing process.

[u/PdexpertPhD]

Thank you and that is an amazing compliment!! It means a lot.

[u/SarahLuvsU]

Great! Thank you.