Mental Health Dictionary - Letter B

Uploaded 6/29/2023, approx. 3 minute read

Okay, so the letter after A happens to be B. It's a mental health dictionary, the letter B.

Now I've opened a new playlist on the channel, surprisingly called Mental Health Dictionary. I'm going to upload there, I'm going to add all the various letters, A, B, C, D.

You see, I know the alphabet, and when it's all done, I'm going to issue a single video compilation of all the letters so that you can download it and have your own personal Wackenin Mental Health Dictionary.

Okay, my name is Sam Vaknin, I'm the author of "Alignant Self-Love: Narcissism, Revisited." I'm a former visiting professor of psychology and currently on the faculty of SIAS, and straight to the letter B. That is, if I find it.

Okay, here we are. Blocking, halted, frequently interrupted speech to the point of incoherence indicates a parallel disruption of thought processes. The patient appears to try hard to remember what it was that he or she was saying or thinking as if they lost the thread of conversation.

And the big one, borderline personality disorder, also abbreviated as BPD, a controversial mental health diagnosis in the cluster B of personality disorders, the erratic, dramatic cluster.

Borderlines are characterized by stormy, short-lived and unstable relationships matched by wildly fluctuating labile self-image and emotional expression, unstable affect.

Some scholars suggest that BPD is merely Emotionally Disregulated Complex Post-Traumatic Stress Disorder, Emotionally Disregulated Complex Trauma.

Borderlines are impulsive and reckless. Their sexual conduct is frequently unsafe. They binge eat, gamble, drive or shop carelessly and/or are substance abusers. There is recklessness present.

Borderlines also display self-destructive and self-defeating behaviors such as suicidal ideation, suicide attempts, gestures or threats and self-mutilation or self-injury.

The spectre of abandonment provokes anxiety in the borderline as do feelings of engulfment or enmeshment.

Borderlines make frantic and usually counterproductive efforts to preempt or prevent both conditions, abandonment and engulfment.

Codependent acts are followed by idealization and then by an abrupt devaluation of the borderline's partner and this is known as approachavoidancerepetitioncompulsion and splitting.

Borderlines have pronounced mood swings, shifting between dysphoria, sadness or depression and euphoria, manic self-confidence and paralyzing anxiety, irritability and then indifference.

Borderlines are often angry and violent, usually getting into physical fights. They throw temper tantrums and have frightening rage attacks.

Under stress, some borderlines become briefly psychotic or develop transient paranoid ideations and ideas of reference, the erroneous conviction that one is the focus of derision and malicious gossip.

Dissociative symptoms such as amnesia, derialization and depersonalization are common, losing stretches of time or objects and forgetting events or facts with emotional content.

Borderline Personality Organization Scale (BPO) a diagnostic test developed in 1985. It sorts the responses of respondents into 30 relevant scales. It indicates the existence of identity disturbance, primitive defenses and deficient reality testing and that is all for today in the letter B.

Looking forward to the letter C which follows even in my world the letter B.

To be or not to be, that is the C section.

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Signs of SWITCHING in Narcissists and Borderlines (Read PINNED comment)

Professor Sam Vaknin discusses the phenomenon of switching in dissociative identity disorder, borderline personality disorder, and narcissistic personality disorder. He explains that switching is a common regulatory mechanism in these disorders and is triggered by stress, anxiety, and environmental cues. Vaknin describes the signs of switching, including emotional dysregulation, changes in body posture, and dramatic shifts in identity and behavior. He also emphasizes the impact of switching on relationships and the need for partners to adapt to the changing identities of individuals with these disorders.

How To Recognize Collapsed/Covert Personality Disorders

Professor Sam Vaknin discusses the concept of Occam's Razor in science and proposes that all personality disorders are a single clinical entity. He delves into the covert states of various personality disorders, such as covert narcissism, covert histrionic, and covert borderline, and their characteristics and behaviors. He also touches on the collapsed states and the transition between different states in each overlay. Additionally, he mentions the collapsed histrionic and the covert antisocial personality disorder.

Autism, Borderline, Narcissism: Some Similarities And Differences

Professor Sam Vaknin discusses the polythetic problem in modern diagnostic psychology, where comorbidities, or multiple mental health issues, are diagnosed in the same individual. He explains that the Diagnostic and Statistical Manual (DSM) has not yet recognized that there may be only one personality disorder, which is a form of complex trauma or CPTSD. Vaknin also discusses the similarities and differences between autism, narcissism, and borderline personality disorder, noting that both narcissists and borderlines experience separation insecurity and create shared fantasies with intimate partners. However, borderlines distance themselves due to overwhelming anxiety, while narcissists devalue and discard partners to separate from a maternal figure.

Introverted, Shy, or Schizoid?

Professor Sam Vaknin discusses the differences between shyness, avoidant personality disorder, schizoid personality disorder, introversion, homophobia, social anxiety, and anxiety disorder. He explains that mental health practitioners often conflate these constructs because they rely on observable phenomena rather than etiology and psychodynamics. He then focuses on the difference between introversion and schizoid personality disorder, stating that introverts are deliberate, slow, guarded, paranoid, and skeptical, and are never impulsive. The professor also notes that anxiety plus impulsivity equals psychopathy, while anxiety plus avoidance equals introversion. Finally, he distinguishes between shyness, introversion, and other related personality traits, emphasizing that these personality traits have distinct motivational forces and lead to different personal and peer reactions.

Pseudoidentities in Cluster B Personality Disorders: Spectacle and Simulacra

Professor Sam Vaknin discusses the concept of pseudo-identities in Cluster B personality disorders. He explains the differences between primary and secondary psychopaths and the transitions between overt and covert states in these disorders. He also delves into the concepts of identity confusion, identity disturbance, and identity diffusion, drawing on the work of various scholars and researchers in the field. Additionally, he explores the ideas of simulacrum and spectacle in relation to identity development.

Psychopath or Trauma Victim? Autistic or Schizoid? Borderline Anyone?

Professor Sam Vaknin discusses the difficulty in distinguishing between psychopathy, autism, schizoid personality, and PTSD or complex PTSD during intake interviews. All four conditions present similarly, with reduced affect display, reticent self-disclosure, and idiosyncratic use of language. However, there are some differential diagnostic signs, such as attitude to sex and intimacy, deceitfulness, and devaluation of others. It is crucial for clinicians to apply these differential diagnostic criteria to avoid misdiagnosis and potential harm to patients.

Covert Borderline, Classic Borderline - Psychopaths?

Professor Sam Vaknin discusses the proposed new mental health diagnosis of covert borderline, which is more typical of men. He compares and contrasts the covert borderline with the classic or dysregulated borderline. Both types have mood lability and emotional dysregulation, but the classic borderline dissociates from emotions, while the covert borderline rationalizes emotions and becomes a primary psychopath. Many anti-racism activists are covert narcissists and covert borderlines who obtain indirect attention and self-gratification through their activism.

EPCACE: Between PTSD and CPTSD (Trauma in Adulthood, Late Onset)

Professor Sam Vaknin discusses the diagnosis of Enduring Personality Change After Catastrophe Experience (EPCACE) and its differentiation from Complex Post-Traumatic Stress Disorder (CPTSD). He argues that EPCACE should not be subsumed under CPTSD, as the reactions to the diagnostic issues are not the same. He suggests that EPCACE should be reconceived with a set of diagnostic criteria that incorporate symptoms such as somatization, self-harm, and sexual dysfunction. He also believes that diagnoses such as masochistic personality disorder, sadistic personality disorder, and negativistic, passive-aggressive personality disorder should not have been eliminated.

What We are Getting Wrong About Mental Illness: Diagnostic Manuals are BROKEN

Professor Sam Vaknin argues that the current diagnostic manuals for mental health disorders, such as the DSM and ICD, are flawed and should be restructured into three parts based on the three phases of life: childhood, adolescence, and adulthood. He believes that mental health disorders should be categorized as brain abnormalities, relational/societal disorders, and innate disorders. Vaknin also questions the validity of antisocial personality disorder as a mental illness, suggesting that it may be more of a tool for social control rather than a proper clinical entity.

Covert Borderline: Narcissist or Psychopath (Primary, Secondary) ( Differential Diagnoses)

Professor Sam Vaknin discusses the concept of covert borderline personality disorder, a diagnosis he proposes based on extensive literature. He explains the differences between covert borderline, narcissism, and psychopathy, emphasizing the complex and overlapping nature of personality disorders. He also delves into repetition compulsion and the cognitive style of covert borderlines. Vaknin advocates for a unified approach to understanding and categorizing personality disorders.

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