Brottmålsadvokat Henrik Olsson Lilja skjuten i Stockholm 6/9 -19. Länkar i trådstart.

Citat ur boken
"I hate you—don’t leave me : understanding the borderline personality / Jerold J. Kreisman and Hal Straus (2010):

Missbruk, besöker barer

" BPD and chemical abuse are frequently associated. Nearly one-third of those with a lifetime diagnosis of substance abuse also fulfill criteria for BPD.
And over 50 percent of BPD inpatients also abuse drugs or alcohol."

"Drug dependency may be a substitute for nurturing social relationships, a familiar, comforting way to stabilize or self-medicate fluctuating moods, or a way to establish some sense of belonging or self-identification."

"During periods of intense loneliness and emptiness, the borderline will go on drug binges, bouts with alcohol, or sexual escapades (with one or several partners), sometimes lasting days at a time. It is as if when the struggle to find identity becomes intolerable, the solution is either to lose identity altogether or to achieve a semblance of self through pain or numbness."
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Promiskuisitet

" To escape the loneliness, the borderline will flee to singles bars, the arms of recent pickups, somewhere—anywhere—to meet someone who might save her from the torment of her own thoughts. The borderline is constantly searching for Mr. Goodbar."

" Promiscuity often reflects a need for constant love and attention from others,in order to hold on to positive feelings about oneself. The borderline typically lacks consistent, positive self-regard and requires continuous reassurance.

A borderline woman, lacking in self-esteem, may perceive her physical attractiveness as her only asset and may require confirmation of her worth byengaging in frequent sexual encounters.
Such involvements avoid the pain of being alone and create artificial relationships she can totally control.
Feeling desired can instill a sense of identity. "

" Difficulties with relationships may result in private, ritualistic thinking and behaviors, often expressed as obsessions or compulsion."

" Rather than embracing Descartes’ “I think, therefore I am” principle of existence, they live by a philosophy closer to “Others act upon me, therefore I am.”

" Because the borderline finds solitude so hard to tolerate, she is trapped in a relentless metaphysical loneliness from which the only relief comes in the form of the physical presence of others.
So she will often rush to singles bars or other crowded haunts, often with disappointing—or even violent—result. "
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Yrkesliv

"Though borderlines have extreme difficulties managing their personal lives, many are able to function productively in a work situation—particularly if the job is well structured, clearly defined, and supportive.

Some perform well för long periods, but then suddenly—because of a change in the job structure, or a drastic shift in personal life, or just plain boredom and a craving for change—
they abruptly leave or sabotage their position and go on to the next opportunity."

" Borderlines are often very intelligent and display striking artistic abilities; fueled by easy access to powerful emotions, they can be creative and successful professionally."

" On the surface a borderline personality can be very difficult to identify, despite the underlying volcanic turbulence.
Unlike many people afflicted with othermental disorders—such as schizophrenia, bipolar (manic-depressive) disease,alcoholism, or eating disorders—
the borderline can usually function extremely well in work and social situations without appearing overtly pathological."

" But a highly competitive or unstructured job, or a highly critical supervisor, can trigger the intense, uncontrolled anger and the hypersensitivity to rejection to which the borderline is susceptible. The rage can permeate the workplace and literally destroy a career."
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Förhållande till sjukdomar

" Many borderlines complain of frequent or chronic minor medical illnesses,leading to recurrent doctor visits and sick days."

"The borderline may focus on his physical ills, complaining loudly and dramatically to medical personnel and acquaintances, in order to maintain dependency relationships with them.

He [or she, min anm] may be considered merely a hypochondriac, while the underlying understanding of his problems is completely ignored.
Somatization disorder is a condition defined by the patient’s multiple physical complaints (including pain, gastric, neurological, and sexual symptoms), unexplained by any known medical condition."

" Manipulativeness is manifested through physical complaints and hypochondriasis, expressions of weakness and helplessness, provocative actions, and masochistic behaviors."
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Borderlineilska, främst mot närstående

" Along with affective instability, anger is the most persistent symptom of BPD over time.
The borderline’s outbursts of rage are as unpredictable as they are frightening.
Violent scenes are disproportionate to the frustrations that trigger them.
Domestic fracases that may involve chases with butcher knives and throw dishes are typical of borderline rage."

" The rage, so intense and so near the surface, is often directed at the borderline’s closest relationships—spouse, children, parents. Borderline anger may represent a cry for help, a testing of devotion, or a fear of intimacy—
whatever the underlying factors, it pushes away those whom the borderline needs most."

Splitting

Lovers and mates, Mother and fathers, siblings, friends, and psychotherapists may be idolized one day, totally devalued and dismissed the next.

Either the idol is banished to the dungeon or the borderline banishes himself in order to preserve the “all-good” image of the other person.
This type of behavior, called “splitting,” is the primary defense mechanism employed by the borderline."

"One day, she can admire “Good Joe” without reservation,perceiving him as completely good; his negative qualities do not exist; they have
been purged and attributed to “Bad Joe.”

" To compensate, he caroms back and forth from clinging dependency to angry manipulation, from gushes of gratitude to fits of irrational anger. He fears abandonment, so he clings; he fears engulfment, so he pushes away."

"borderlines are provoked to rage uncontrollably against the people they love most."

" The world of a borderline, like that of a child, is split into heroes and villains."
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