May 16, 2012

A Painful Mother’s Day – the Cards Not Written

Posted in Depression, Dissociative Identity Disorder, emotional pain, Family Members of Trauma Survivors, Prevention of Sexual Abuse, Self Injury, sexual abuse, Trauma tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , at 4:33 am by Kathy Broady


Last week, I couldn’t find the words to write about the struggles that so many dissociative survivors have on Mother’s Day.

In response to that, a dissociative survivor emailed me, and has given me permission to post their thoughts about the painful side of Mother’s Day.

Maybe you will relate to these difficult thoughts and painful feelings.

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Every year on Mother’s Day we as a society get inundated with movies about mothers, sappy Hallmark card Mother’s Day commercials, endless rounds of advertisements on ways you can show your mother that you love her by buying her something.  On Mother’s Day many churches do tributes to moms – handing out charm bracelets, giving out flowers, and preaching sermons about how families are wonderful things to have and how you need to be so thankful to your mother for raising you and putting up with you.  Mothers are celebrated as though motherhood is the be all and end all of existence.  It’s required that you show appreciate to your mom, grow up to be a fantastic mother, or show tribute to all the mother figures in your life.

But what if Mother’s Day is just full of pain?

What if just the thought of your own mom brings on fear and anxiety, or what if you have lost a child, or what if you are unable to have children, or what if you don’t even want children of your own?  What if while reading praises about other people’s lovely mothers just brings you to tears filled with jealousy or an aching in your heart?  Or what if thinking about your own mom doesn’t conjured up love, but perhaps obligation or hate or even terror?

This is side to Mother’s Day that just doesn’t get discussed very often.

If you’re blessed to have a good mother, that’s wonderful.  But not everyone wants to hear about it – especially on Mother’s Day.  The day brings up too many intense feelings, especially if you want to be a mom but cannot be, or your mother hurt you, or your mom has died.

There are mothers out there for whom you can’t find just the right Hallmark card.  “Thank you for being such a precious mom who I am so grateful for” just doesn’t cut it.  How about cards that say “You were never there for me.”  Or how about “Thanks for never stopping dad / your boyfriend / your brother from molesting me in the bedroom next to yours.”  Or what about “I know you never even wanted me.” Or perhaps, “I never even knew you.”  Instead of thankfulness and love and gratitude, there should be cards that express fear, anger, stress, and hurt.

Instead of spending Mother’s Day taking your mom out to dinner and to the spa, some people spend it curled up on the couch, just trying to survive the day.  Some spend the day trying to cope with flashbacks; giving into painful behaviors such as cutting or over-eating; feeling lost and very, very alone.  Some people spend the day aching over the grief for children they can’t have, for the mom they always wanted but don’t feel like they deserved.

What if Mother’s Day is one of the worst days of the year for you?

What do you do then while it seems that everyone else in the world is celebrating?

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Ouch.

Well said.  That is exactly the kind of emotional pain I was thinking about, but said so much better by this trauma survivor.  Their pain is palpable.

How do you relate to these words?

How would you answer these difficult questions?

How difficult was your Mother’s Day?

And what ideas do you have for Mother’s Day cards that haven’t yet been written?

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Copyright © 2008-2012 Kathy Broady and Discussing Dissociation

August 28, 2009

The Love / Hate Relationship for Borderlines

Posted in Borderline Personality Disorder, DID Education, DID/MPD, Dissociative Identity Disorder, mental health, Self Injury, therapy, trauma therapist tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , at 1:50 am by Kathy Broady


There are distinct differences between Dissociative Identity Disorder (DID) and Borderline Personality Disorder (DID).  There are many overlapping symptoms, and some therapists believe that all trauma survivors with DID are also BPD.  I, however, do not hold that perspective.

In my opinion, not all trauma survivors with DID are BPD.  However, I will guess that the greater portion of DID’ers are also borderline.  This makes the discussion of borderline behaviors an important topic for dissociative trauma survivors.

Borderline survivors are frequently characterized with black and white thinking, self-injury, impulsive behaviors, repeated crises, intense abandonment issues, suicidal behaviors, inappropriate anger, mood instability, irritability, paranoid thinking, an unstable self image, etc.  There are a wide variety of BPD behaviors that could be discussed over a series of posts.  I’ll save those topics for another day.

For this blog post, I want to focus on a particular aspect of BPD:  having a pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation. (see the DSM IV).

Unstable and intense relationships.

People with borderline personality disorder may idealize potential caregivers or lovers [or therapists] at the first or second meeting, demand to spend a lot of time together, and share the most intimate details early in a relationship. However, they may switch quickly from idealizing other people to devaluing them, feeling that the other person does not care enough, does not give enough, is not “there” enough. These individuals can empathize with and nurture other people, but only with the expectation that the other person will “be there” in return to meet their own needs on demand. These individuals are prone to sudden and dramatic shifts in their view of others, who may alternately be seen as beneficent supports or as cruelly punitive. Such shifts often reflect disillusionment with a caregiver whose nurturing qualities had been idealized or whose rejection or abandonment is expected.
http://psychcentral.com/lib/2007/symptoms-of-borderline-personality-disorder

Ok, that’s a lot of psychobabble talk, so what does that mean?

This is when the BPD survivor alternates between thinking someone is wonderful – excellent – the very best, and then thinking that very same person is horrific – awful – horrible.  The BPD survivor will show or feel excessive attachment to a new person, and in a sense fall madly in love with this person.  They put this new person on a pedestal, believing the person to be more incredibly perfect and wonderful than they could possibly be in real life, and they crave constant attention and special recognition from their new perfect person.  (But don’t ask the BPD survivor to admit that. All too many BPD survivors deny their craving for more, more, more.)

But of course, no one can stay “perfect” for long.  The perfect person will inevitably do something that just doesn’t measure up.  Typically, the “errors” created by the perfect person are that they did not shower the BPD survivor with enough individual, specialized attention.  This is nearly always the fatal crime – just not doing enough to keep the attention-starved BPD person happy with unquestionable importance.  So, before they know it, the perfect person will suddenly become the hated target, responsible for all evils of the world.  And when BPD survivors swing from the feelings of intense positive adoration to the angry hateful place, they are willing to, and actually desirous of, utterly destroying the same person they once loved.

Does anyone remember the movie, Fatal Attraction?  That movie portrays a Hollywood version of the love-hate relationship experienced by borderlines.  Hollywood was extreme in their portrayal, of course, but the love-hate flip-flop is easily seen.

For trauma survivors with both BPD and DID, the love-hate flip-flop can happen quickly and easily.  Remember, as DID survivors, they are very used to switching and to containing opposite life perspectives in opposite extremes.  So, when the dissociative BPD feels abandoned by their treasured “good object” and becomes upset with them, the flip into hatred might not be that far away.

The abandonment can be experienced in any number of ways.  Being very sensitive to any rejection of intense connection they desire, simple things can be interpreted as huge emotional offences — for example, if the once perfect person sets limits by saying “no” to a specific request, or by not offering extra time, or by going away themselves. Even if the reasons for being away are valid, no reason is good enough – every reason still means they are left behind, and that is not acceptable.

Jealousy is frequently an intense motivator too.  When BPD survivors want a cherished relationship with their new perfect person, they have all kinds of jealous pangs if they believe someone else has a more treasured place than they do.   Instead of doing the work it takes to keep their own relationships in a positive place, they focus outwardly on relationships that belong to others, drowning in their jealousy and anger, and inevitably destroying the relationships they wanted to cherish.

For dissociative trauma survivors, the therapeutic relationship is an incredibly important relationship.  Developing and protecting this relationship is both central and crucial to the entire healing process.  DID’ers can spend years of time with their therapist, and cultivating the skills to keep this relationship in a workable, positive place is critical.

For BPD survivors, the therapeutic relationship is equally important.  However, these survivors often lack the skills needed to maintain positive long-term relationships, even with therapists.  Therapists very frequently become the target of the love-hate flip-flop dynamic.  Many therapists refuse to work with clients with BPD precisely because of this dynamic.

This love-hate borderline behavioral pattern should help to explain how any therapist can be the most dearest of therapists, and then a short time later, be the most hated. It’s a behavioral symptom of BPD. It doesn’t mean that the therapist is actually wonderful or horrible. It just means BPD survivor is acting out the black-white, love-hate, attachment-abandonment issue that is central to BPD.

When you know to look for it, you’ll see it happening all over the place in the trauma survivor population.

So when you hear someone attempting to destroy or bad-mouth someone else, consider the bigger clinical context of what this kind of behavior is about.

And please – work very hard to NOT do this to your therapist.  Your therapist will not likely become your worst enemy unless you make that happen.   Instead of destroying your cherished relationships, it is much better to protect them with all that you have.  Don’t believe lies.  Don’t tell yourself lies.  Remember who your therapist is and do not confuse your therapist with any other person (mother, father, perpetrator, etc). The disordered dynamics related to BPD are a complication, but they do not have to become an insuperable obstacle — you really can choose not to let these dynamics dominate your relationships, with your therapist or anyone else.

___________

By:

Kathy Broady LCSW

www.AbuseConsultants.com

www.SurvivorForum.com

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