the core of BPD relates to dysfunction in close relationships, where attachments/bonds seem constantly strained, even fractured. A person with BPD tends to have totally unrealistic expectations of others--she demands too much devotion, service, attention and sacrifice from others. Since her demands are unrealistic, she feels constantly aggrieved, upset, disappointed, slighted, bossed around, whatever. At the smallest indication of "abandonment"--for example, you have to end a visit with her because you need to get home, make dinner and go to bed early because you have an appointment first thing the next morning--her over-the-top emotions take over. I think it comes down to negative thinking patterns, intolerance of distress and total impulsivity that induce her to lash out, usually at the very people who are doing everything in their power to please her.
I suspect that, deep down, she knows she's being unfair and mean, but her emotions are simply too overwhelming, and she's too impulsive. She never learned how to calm herself down and think before unleashing her knee-jerk reactions. She's upset, and in that moment she is compelled to let out her negative emotional energy, not unlike a toddler who is upset about getting a blue cup instead of a red one. She just doesn't care if she makes a scene and hurts you in the process--all that matters is her own pain, frustration and powerlessness in the moment. Maybe, once she has calmed down, she might regret what she did. But that's when I think the "magical thinking" and "victim mindset" take over, and she re-interprets events to make herself out to be a victim. When she's the victim, you're invariably the offending party, which always puts you on the defensive. And then you go about walking on eggshells, lest you provoke another outburst, all the while wondering why she's perpetually displeased, despite going above and beyond to try to make her happy. And then you wonder, why she's all take and you're all give, it's just not balanced, let alone natural, especially in the context of a mother-daughter relationship, where conventionally the mom is supposed to nurture the child, not the other way around. More than anything you want to love her, and yet her behavior is terribly unattractive, as well as harmful to you, and this cognitive dissonance is utterly confusing. You too crave closeness, but she makes it too painful for you. It's no wonder you're in distress.
This. This. Could. Go. In. A. Book.
Though my situation isn't exactly the same, I can relate to wanting desperately to love and support a family member, only to encounter ugly behavior from her. How do I love someone who takes and takes, all the while blaming me and hurling venom my way? Well I think I can take the venom, because I know that it's not about me, it's BPD. But what's harder for me to take is how cruel she is to my husband and the rest of the family. How do I try to reconcile preserving the integrity of the entire family? Do I "defend" her actions and say, it's not her fault, it's BPD, just ignore it? Do I say, she doesn't mean any of the hurtful things she is saying and doing, even after years of therapy? At what point is an adult responsible for herself, even if she has mental illness? I mean, BPD can't be an excuse for all negative behaviors, can it? To say that BPD is at fault (and not the person) is like giving up, isn't it? On these boards I sometimes see the concept of "radical acceptance," but does that mean accepting that a person with BPD is basically mean-spirited and unable to control themselves ever, and it's not possible to have a healthy "attachment" with them? Honestly it's confusing to know what to do, let alone what to think. And then I wonder, what is love to a pwBPD? Will she ever have a meaningful relationship/"attachment"? Or maybe it would be better to live alone? I just don't know.
To me, radical acceptance is accepting the person for who they are, and dropping all expectations. End Stop.
No, I don't believe that gives them any excuse for bad behavior. Yes they are responsible for their own actions. Yes they have a disease, and yes they alone have the power to acknowledge it and accept there is a problem. No, it's not our job to fix or caretake. Just like an alcoholic needs to reach their bottom, and find the inner strength to make change, the autonomy to become aware and "grow" as a person, also stays with the person with the BPD. NotWendy always talks about 12 step programs. As long as the loved ones around them participate in the dysfunction and "enable" the behaviors to continue, we are giving them the power to continue hurting us with their behavior. As caretakers, it feels wrong to set boundaries for ourselves (we all seem to struggle with intense feelings of guilt which keep us enabling their bad behavior) and we are stuck in a loop of dysfunction and abuse.
Yes, the hurtful things they say are the disease talking. And yes it is rational to separate the disease from the person with it, so that the hurtful things don't feel so personal to us. But it doesn't change the fact that it's not ok to say those things in the first place. They are mean, unkind, and destructful to relationships and social groups such as families. As adults, they have to own that (with children it's different). It is never ok to be mean and abusive. BPD might explain the behaviors and abuse, but not excuse it. So no, I wouldn't "defend" her actions. That would be enabling. In fact, when she says all those nasty things, she probably means them in that moment, so no, I wouldn't say "she doesn't mean them" (because she does). Instead I would say something like " ________ needs some time to calm down right now. Let's give her some space to do that". I agree that BPD can't be an excuse for all negative behaviors.
On these boards I sometimes see the concept of "radical acceptance," but does that mean accepting that a person with BPD is basically mean-spirited and unable to control themselves ever, and it's not possible to have a healthy "attachment" with them?
No. For me radical acceptance means acknowledging and accepting their illness and all it's implications, and also that it is not in my control to change them or their illness. They have to do that. And I also radically accept how difficult that is. But Marsha Linehan did it (and developed DBT), and many are able to overcome or grow out of it. It is possible.