Posted by Dinah on March 4, 2007, at 12:19:20
In reply to Re: hmm, well - » one woman cine, posted by Larry Hoover on March 4, 2007, at 12:01:45
I thought it was widely agreed that personality disorders had links to more Axis I type problems.
That OCPD and avoidant personality disorder were defenses against anxiety. And that schizoid and schizotypal were almost definitely brain based. And I personally agree with Linehan's conceptualization of borderline personality as mood instability coupled with slow return to baseline, which almost has to have a biological component. Plus, there's the physostigmine challenge.
I was talking to a neurologist the other day who was explaining to me that the brain has only a limited number of responses to an injury or insult to the brain. It makes sense to me that people have only a limited set of behavioral responses to anxiety, mood disorders, etc. And what behavioral responses any given individual uses might be related to that person's culture, more immediate environment, and genetic qualities (what they're *good* at).
Admittedly, habits and habitual ways of responding are hard to change, even if you change the underlying reason they originally came into being. And also, these particular behavioral clusters almost seem to push the anxiety or depression out of conscious awareness so that people may be unlikely to seek help, and certainly may be unlikely to give up something that has worked so well for them.
I think the Axis II diagnoses tend to reduce compassion in some providers though. I'd like to see it replaced with an acknowledgement of the underlying vulnerability and the cluster of behavioral and cognitive techniques that people use to deal with the underlying biological vulnerability.
If that makes sense. I've got headache.
poster:Dinah
thread:737579
URL: http://www.dr-bob.org/babble/social/20070223/msgs/738210.html