高功能边缘性人格障碍患者的特征性表现

mostly higher-functioning, invisible BPs
Higher-functioning, invisible BPs, in contrast, tend to have these
characteristics:
1.High functioning, invisible borderlines act perfectly normal much of
the time—at least to people outside the family. They hold jobs and
appear to have no trouble with the usual activities of daily living,
which makes them “high functioning.” They usually show their other
side only to people they know very well. That’s why family members
say these people bring to mind Dr. Jekyll and Mr. Hyde.
2. They cope with their pain by acting out, projecting it onto someone
else—for example, by raging, blaming, criticizing, making accusations,
becoming physically violent, and engaging in verbal abuse.
Unlike conventional BPs, they usually don’t project vulnerability
(think Marilyn Monroe or Princess Diana).
3. Although these borderlines may feel the same shame and fear as
their less-functional, more conventional counterparts, their denial
is so complete that when they say, “There’s nothing wrong with me;
there’s something wrong with you,” they truly believe it.
4. These BPs may fiercely refuse to seek help unless someone threatens
to end the relationship. That’s why they are “invisible” to the mental
health community. They’re not included in the statistics about the
number of people with BPD, perhaps drastically lowering the actual
figure.
5. If they do go to counseling, it may well be because someone has
given them an ultimatum. Couples therapy is often not productive
because they use it to try to prove they’re “right” and their partner
is “wrong.”
6. Non-borderlines involved with this type of BP need to have their
perceptions and feelings validated. Friends and family members who
don’t know the borderline very well may not believe stories of rage
and verbal abuse. Many non-BPs told us that even their therapists
refused to believe them when they described the BP’s out-of-control
behavior.
（转自 《stop walking on eggshells》）