So many dickheads in this thread. It's embarassing. OP, this is why you don't listen to people on the internet.
Quote:
Originally Posted by SGT RJ
Whatever, dude, I'm pretty comfortable with my statements and your personal experience with people with BPD who managed to get better with simply intelligence and insight (as you claim) is far, far more dangerous than my stating that someone who actually has BPD needs therapy to make significant improvement.
So, I did some more reading. It is clear that I you are an absolute dickhead who should not be saying anything about the subject. This is your statement:
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Originally Posted by SGT RJ
1)So is she in therapy? If not, you need to understand this will not get better.
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Originally Posted by SGT RJ
nothing will change without some sort of treatment.
What you said is nonsense. You are stating that things
a) Are extremely unlikely to be true and
b) You have no evidence for
This is from a study summary cited by the National Institute of Mental Health:
Quote:
BPD has long been regarded as a chronic, unrelenting disorder — a sentence to a life of misery. Unfortunately, this misconception has contributed to pessimism within the mental health field regarding treatment response. Recent research findings have done much to disconfirm this notion. It is now recognized that BPD has a less stable course than previously expected, with several features of the disorder diminishing over time (Gunderson, 2011; Leichsenring et al., 2011).
Subtext: You're an idiot who doesn't know what you're talking about.
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Another 10-year longitudinal study (Gunderson, Stout, McGlashan, et al., 2011) also found high rates of remission among patients with BPD. At ten years, 85% of patients no longer met any more than two diagnostic criteria for at least 12 months (defined as remission in the study). Only twelve percent of patients experienced relapse. Although remission of BPD was achieved more slowly in comparison to patients with major depression, the frequency of relapse was less than for patients without BPD (e.g. major depression). Such findings provide encouragement for those who suffer from BPD, their families, and mental health care providers.
Subtext: You're an idiot who doesn't know what you're talking about. So these people were all on therapy? Well, no:
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At present, little is known regarding the mechanisms of recovery and remission in BPD. Temperament may partially influence the gradual decline of symptoms (Zanarini et al., 2007). Situational changes, such as improved interpersonal relationships and reduced psychosocial stress, may also contribute to a reduction in symptom intensity (Gunderson et al., 2003).
Review your statements above that she will not get better without therapy, and realize they have no scientific basis.
You have conclusively proven to be an idiot holding forth on a topic where you haven't even read the basic research, and merely absorbed the unscientific folk wisdom and blurted it forth as if it was fact (and even held to it when challenged to provide a study).
This is someone's life you're messing with. Know what you're talking about before you speak.
Remission rates are good. From another well cited study, although "most" of these were in therapy (the study oddly doesn't qualify how many):
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RESULTS: Of the subjects with borderline personality disorder, 34.5% met the criteria for remission at 2 years, 49.4% at 4 years, 68.6% at 6 years, and 73.5% over the entire follow-up. Only 5.9% of those with remissions experienced recurrences.
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If the diagnosis is accurate, which I can't know because I've never met her, I'm pretty damn comfortable saying she's one of the 99 that needs therapy rather than the unicorn that can do it on her own. I could have phrased that as "if she's not in therapy, there's a really remote chance she could make significant improvement on her own (with a ton of hard work, mind you), but the odds are significantly in favor of her needing therapy to make any significant/long term gains", but guess what? I didn't feel like qualifying the statement
Monstrous fail. You are majorly wrong on all the bolded points.
Is therapy likely to help above baseline? Absolutely, and probably significantly. It's a great idea, although little research been done on therapy vs normal untreated remission (which is probably significant as it is in most other non psychotic disorders). Are these statements true?
Quote:
Originally Posted by SGT RJ
1)So is she in therapy? If not, you need to understand this will not get better.
Quote:
Originally Posted by SGT RJ
nothing will change without some sort of treatment.
Quote:
there's a really remote chance she could make significant improvement on her own (with a ton of hard work, mind you)
No, they are complete bull****, and you are idiot for a) believing them b) saying them and c) continuing to say them after you were challenged for evidence.
Please don't become a therapist, at least without becoming a bit more humble about what you know and don't. You can do real damage to people by holding forth authoritatively on things you have no clue about.
Last edited by Truthsayer; 10-24-2013 at 01:57 PM.