Misinterpretation and Misunderstanding in BPD – Step 2 (slide set 2)

**The ideas contained in this post are the opinions of the writer and communicated without reference to supporting documentation. Any uses of “she” or “he” in the communication of ideas are not intended to covey sexual bias. Breakaway MHE Disclaimer

Author: Peter Miller

One of the best ways to become more mindfully aware of your functioning is to self-reflect on the ways things have happened in the past. As you can in see the slides below, it is possible to break down life events into smaller parts and therefore become a witness to “how things happen.” More specifically, we can learn to witness how we interpret life events, and how emotions and behaviours inevitably follow our interpretations.

When someone is struggling with Borderline Personality Disorder (BPD), there is a strong tendency to very quickly and habitually interpret life events in particular ways – ways that induce feelings of guilt, shame, rejection, worthlessness, fear, and fear of abandonment, etc. For instance, a person with BPD may interpret an opposing opinion to mean that she is “stupid” (or low-worth) and even being attacked by the person voicing the opposing viewpoint. Without noticing thoughts and emotions, and therefore having no reliable way to reduce the intensity of the emotional experience, a person with BPD may instantly become defensive/reactive.

BPD reactions are commonly aggressive or passive-aggressive (rather than assertive), and quite often this will result in ongoing struggles to be in relationships. In other words, the things that are said and done to solve the problems of the day do not work well to solve anything. Passive-aggressiveness may include such things as underhanded/judgmental comments, and aggressive responses may consist of anything from shouting to hitting. Either way, the ineffective response stems from the sensed need to protect oneself and “run away from” or “push away” the emotional experience.

The inability to be a witness of the thought, emotion and body process as it is happening is much of the problem in BPD. Learning how to “SEE” what is happening gives a person much more power to adjust how she responds, and therefore, dramatically improves the odds of getting along with others and dealing with problems wisely.

One of the tragedies of “not being able to see” what’s happening when its happening (internally) is that things are often said and done that don’t help with getting along with others or solving problems. These are the impulsive reactions/behaviours that a person with BPD usually regrets having done after they have happened, and that very often resulting in guilt and shame feelings. These are also the reactions that those not suffering from a mental health condition may use to inappropriately label, judge, and condemn those who honestly can’t see what’s happening in moments of difficulty.

A fundamental reality for everyone to consider here is that things internally/mentally/emotionally can AND DO happen so quickly (without awareness) that the ability to choose an effective response in life situations is much reduced, if not wholly impaired. Imagine how many misunderstandings between people and broken relationships have happened because of this reality!

It can be very humbling, both for individuals suffering from emotional regulation conditions (like BPD) and for those who are in relationships with them, to realize that things are going poorly because they have not understood how people can be blind to themselves. Quite often both the individual suffering and those she relates with do not know how to work through painful emotions in communication skillfully, and therefore, don’t have a way to “turn on the lights” and “see what’s happening.”

Not knowing how to work through emotions in communication usually means not knowing how to listen and validate. Validation can be a powerful skill for the suffering individual to practice on herself to help calm emotions, as well as a powerful way for a caring other to assist a suffering person calm emotions. Validation is best applied proactively (before things start becoming a problem) or as soon as it becomes apparent that emotions are getting hard to handle. It works much better than criticism, admonishment, or punishment for “turning on the lights” to begin noticing thoughts and emotions, and then to respond more effectively.

I invite you to review two blog articles I have written on the topic of validation to help you understand how it works to ease the suffering of BPD… ARTICLE 1, ARTICLE 2.

There are much learning and practice that needs to happen for a BPD condition to be adjusted, and likewise, for interactions with others to be improved. Speaking from my own experience with Borderline Personality Disorder, the best outcomes in life are possible when the suffering person is working regularly to help herself develop an ability to self-reflect. Self-reflection includes practicing mindfulness and inserting yourself into these diagrams. When those around the suffering person are developing an understanding of what is happening when it is happening and how to provide a helpful response, that helps the self-reflection process as well.

BPD is very much an interactional disorder, meaning that healthy interaction patterns with self and others have not yet been developed. That being said, patterns can be changed, and life experiences can be improved. On the other hand, mental health learning like this can be ignored, and the natural consequences of self-destruction and relationship destruction can remain ongoing.