读了一个非常草的新闻，提到马斯克的前女友Amber是Borderline Personality Disorder。
突然好奇Borderline Personality Disorder是啥意思呢？
Borderline personality disorder (BPD) is a personality disorder characterized by a long-term pattern of intense and unstable interpersonal relationships, distorted sense of self, and strong emotional reactions.
Wikipedia将BPD也称作是 “emotionally unstable personality disorder”.
There is an ongoing debate about the naming of the disorder, especially the suitability of the word borderline—the term originally referred to borderline insanity, and later to patients on the border between neurosis and psychosis, an interpretation of the disorder now considered outdated and clinically inaccurate.
neurosis 和 psychosis 分别是什么。
Neurosis (pl: neuroses) is a term mainly used today by followers of Freudian thinking to describe mental disorders caused by past anxiety, often that has been repressed. In recent history, the term has been used to refer to anxiety-related conditions more generally.
The term "neurosis" is no longer used in condition names or categories by the World Health Organization's International Classification of Diseases (ICD) or the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM).
Imagine a person's emotions are like a car's braking system. For most people, the brakes work as expected. They can slow down their feelings and reactions to handle life's challenges smoothly. For someone with BPD, it's as though the brakes aren't working correctly. They might experience emotions more intensely and for longer than others. It's like trying to navigate a car without being able to slow down effectively: turns become more challenging, reactions can be abrupt, and sometimes, there might be accidents.
BPD is characterized by nine symptoms according to the DSM-5. To be diagnosed, a person must meet at least five of the following:
- Frantic efforts to avoid real or imagined abandonment
- Unstable and chaotic interpersonal relationships, often characterized by alternating between extremes of idealization and devaluation, also known as "splitting"
- Markedly disturbed sense of identity and distorted self-image
- Impulsive or reckless behaviors (e.g., uncontrollable spending, unsafe sex, substance use disorders, reckless driving, binge eating)
- Recurrent suicidal ideation or self harm
- Rapidly shifting intense emotional dysregulation
- Chronic feelings of emptiness
- Inappropriate, intense anger that can be difficult to control
- Transient, stress-related paranoid or severe dissociative symptoms
Splitting (also called black-and-white thinking, thinking in extremes or all-or-nothing thinking) is the failure in a person's thinking to bring together the dichotomy of both perceived positive and negative qualities of something into a cohesive, realistic whole. It is a common defense mechanism wherein the individual tends to think in extremes (e.g., an individual's actions and motivations are all good or all bad with no middle ground).
Schizophrenia = 統合失調症的症状之一是Psychosis = 精神病。
- Borderline Personality Disorder 这个名字取的不好。真的。