Home page of BPDFamily.com, online relationship supportMember registration here
December 18, 2018, 01:48:32 PM *
Welcome, Guest. Please login or register.

Login with username, password and session length
Board Admins: Harri, Once Removed, Radcliffwendydarling
Senior Ambassadors: Flourdust, Mutt, Turkish, Woolspinner2000
Ambassadors: Bnonymous, Cat Familiar, CryWolf, Enabler, Feeling Better, formflier, Insom, Merlot, Mustbeabetterway, Only Human, RolandOfEld, spero, WTL, Yellowpearl, zachira
  Help!   Groups   Please Donate Login to Post New?--Register to post Here  
Poll
Question: As someone who listened to this audio, how do you rate it.
Excellent - 0 (0%)
Good - 0 (0%)
Fair - 0 (0%)
Poor - 0 (0%)
Total Voters: 0

Pages: [1]   Go Down
  Print  
Author Topic: AUDIO | The Dialectal Dilemma in BPD - Amy Tibbitts, LSCSW  (Read 330 times)
Skip
Site Director
***
Offline Offline

Gender: Male
Person in your life: Ex-romantic partner
Posts: 8107


« on: March 27, 2014, 05:51:55 AM »


Date: Nov-2013Minutes: 13:09

The Dialectal Dilemma in BPD | Amy Tibbitts, LSCSW

In this 12 minute audio Amy Tibbitts, LSCSW discusses the day to day struggles of a person with Borderline Personality Disorder (pwBPD) and the basic principles behind Dialectical Behavioral Therapy. This is a very helpful presentation for anyone trying to understand the mindset and behavior of someone suffering with Borderline Personality Disorder.  It also helps with the understanding of how we, as family members, affect pwBPD.

Tibbitts explains that family members without mood disorders themselves  know that emotions are simply emotions and that they do not need to  responded to them. This is not so clear to a person with a mood disorder.

The speaker goes on to explain that family members also know that when they want to fulfill a goal, emotional responses need to be "put on the shelf" so they can continue with the task at hand. For someone with Borderline Personality Disorder this can be extremely challenging.

The Dialectal Dilemma - logic in the face of emotion is not helpful


Tibbitts describes what she calls the "dialectal dilemma". The dialectal dilemma is the invading feeling that results when applying logical thought to emotional responses at the time of the response. When this is done by the person having the response or by others it results in a very invalidating and very upsetting experience.

An alternative and the principle behind dialectical behavioral therapy is for the pwBPD to have cognition (recognition when an emotional reaction is in the extreme) and then substitute an alternate behavior - doing something different and more constructive with the emotional reaction.  The emotion is not denied.  The reaction to others is altered.

Three Characteristics Common with Borderline Personality Disorder

Three characteristics are common in people suffering with Borderline Personality Disorder are heightened sensitivity, extreme reaction/arousal, and slow return to baseline.

Heightened sensitivity - A person with Borderline Personality Disorder has a high sensitivity to emotions and feelings - both their own and of others.

Extreme reaction and high arousal - Extreme reactions and high arousal often makes it difficult to think through issues and act in an appropriate way.

Slow return to baseline - These reactions last longer and this in turn can the heighten the reaction to subsequent events and stimuli.

Biosocial Theory

The struggles with Borderline Personality Disorder are impacted by both biology and by the social environment.

Biological factors - Being tired, hungry, stressed, or under the influence are all conditions that exacerbate the struggles of Borderline Personality Disorder. This is why people with the disorder do not do well in crisis situations.

Social factors - Being in an environment that denies or minimizes emotional experiences (independent of whether they are valid or not) adds to the difficulties. Specific examples include indiscriminately rejecting the validity of feelings, punishing the pwBPD for their emotions, escalation of emotional situations, or oversimplification of the task of solving problems at hand.

When these factors become extreme it often leads to suicidal ideation, or parasuicidal ventures, or even suicide.

BAmy Tibbitts, LSCSW, is the founder and director of the Lilac Center in Kansas City, MO. She has been providing Dialectical Behavioral Therapy (DBT) in a private practice setting since October of 2000. Ms. Tibbitts is a 1997 graduate of the University of Kansas and holds a master’s degree in social welfare. She underwent clinical training at Wyandot Mental Health Center. Prior to opening her private practice, Amy provided clinical services at Johnson County Mental Health Center. She is currently authoring a book on Dialectical Behavioral Therapy.
Logged

doreah
Fewer than 3 Posts
*
Offline Offline

Person in your life: Family other
Posts: 1


« Reply #1 on: November 19, 2018, 03:52:42 PM »

It helped me a lot! Thanks.
Logged

Only one thing I know for sure, I can get tired of this site. I still remember the first time I play giro d italia com. Btw, I read about it here. You can do it also.
Pages: [1]   Go Up
  Print  
 
Jump to:  

Links and Information
CLINICAL INFORMATION
The Big Picture
5 Dimensions of Personality
BPD? How can I know?
Get Someone into Therapy
Treatment of BPD
Full Clinical Definition
Top 50 Questions

EDITORIAL DEPARTMENTS
My Child has BPD
My Parent/Sibling has BPD
My Significant Other has BPD
Recovering a Breakup
My Failing Romance
Endorsed Books
Archived Articles

RELATIONSHIP TOOLS
How to Stop Reacting
Ending Cycle of Conflict
Listen with Empathy
Don't Be Invalidating
Values and Boundaries
On-Line CBT Program
>> More Tools

MESSAGEBOARD GENERAL
Membership Eligibility
Messageboard Guidelines
Directory
Suicidal Ideation
Domestic Violence
ABOUT US
Mission
Policy and Disclaimers
Professional Endorsements
Wikipedia
Facebook

BPDFamily.org

Your Account
Settings

Moderation Appeal
Become a Sponsor
Sponsorship Account


Powered by MySQL Powered by PHP Powered by SMF 1.1.21 | SMF © 2006-2018, Simple Machines Valid XHTML 1.0! Valid CSS!