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Borderline Personality Disorder Children Burdening Parents Or Parents Burdening Children

I had a telling experience while trying to get a paper published about how the parents of offspring with borderline personality disorder (BPD) give their adult children a lot of double messages (The instrument I used and the results of the study are described in a previous post). The experience indicated that the peer review process by which other practitioners review an article for scientific merit and accuracy may sometimes be more political than scientific.

At the time, I belonged to, and was the treasurer for, a research group in psychiatry in the field of personality disorders that had editorial control of a journal, the Journal of Personality Disorders (JPD).

For the purposes of gaining more financial support for their organization and its research, this group of researchers had been cultivating very close relationships with two "support groups" for the parents of people diagnosed with BPD - Treatment and Research Advances National Association for Personality Disorders (TARA), and the National Education Alliance Borderline Personality Disorder (NEA-BPD). 

As readers of this blog must know by now, my take is that the disorder is produced and maintained by certain ongoing repetitive dysfunctional interpersonal interactions with patients' families-of-origin members, particularly with primary attachment figures like parents. My paper showed that adults with the disorder reported frequent ongoing double messages from their parents and other attachment figures. The results proved to be highly, highly significant: BPD patients reported significantly more contradictory responses than did both patients with other psychiatric disorders (p=.004) and "normals" (p=.003). And this was with a small sample size that makes the results even more impressive. 

Nonetheless, the JPD turned down it down. Flat out rejected it. That the article had merit was evidenced by the fact that it was subsequently accepted for publication by a mainstream psychiatry journal, Comprehensive Psychiatry, with a broader readership. 

I cannot prove it, of course, but I suspect that the reason the paper was rejected was because the group was cultivating the relationship with the parent support groups and did not want to take any chances on alienating them.

Further evidence for my suspicion took place a short time later, when I was one of the peer reviewers for a paper for the JPD by some other authors. This paper detailed what was said when the authors interviewed the members of the parent support groups about their "burdens" in having to deal with an adult child with the disorder - as if the parents had nothing to do with the child's problems in the first place.

Research has consistently shown that a history of severe physical and/or sexual child abuse is one of the most frequently-seen risk factors for the disorder - although not all such parents of people with BPD had been physically or sexually abusive. A significant minority of them in fact exhibit a rather virulent version of highly over-involved, so called "helicopter" parenting.

Not only are these parents over-involved with their offspring, but they also feel they are burdened by them. And according to this study, by their own admission! This is the source of a borderline-ogenic double message, "I'm obsessed with you, but I feel that you are big burden." If children believe that their parents need their children to be burdensome, then that is what the children will become. Far be it for a child to deprive a parent of a cherished role.

After a while, it becomes difficult to tell who is doing what to whom to cause burdens, because the adult children and the parents feed into one another's dysfunctional behavior simultaneously. I refer to this phenomenon as dialectic causality.

My review of this other paper pointed out that the members of the support group who had been interviewed most likely fell into the over-involved rather than the abusive category of borderline-ogenic parents. After all, parents who had, for example, sexually abused their children were highly unlikely to join a parent support group (except perhaps the False Memory Syndrome Foundation, which would support them in their denial). 

Therefore, I recommended that the authors should mention that the sample they interviewed was highly likely to be a somewhat biased sample.

The paper was eventually accepted and published with almost no mention of this irony at all!

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Demystification The Forer Effect or WHAT THE HELL DO YOU MEAN IM NOT A SCORPIO

First, a thank you: I hit 100 followers last Friday, and a few of you have joined me since then. My babyblog is overwhelmed and a little dysregulated from all the excitement. At some point, when the blog calms itself and stops shaking, I will do some sort of nifty contest. Maybe when I get to 186 followers. Yes. We will have us a contest. Get ready. And--please keep up your intelligent, generous, and awesomely insightful comments. It has been so lovely reading your thoughts and opinions.

Now, a thing has happened. A week or two ago, there was a hubbub about astrological signs. I read an article that made my eyes bulge: despite my lifelong belief that I am a Scorpio, apparently, all this time, I have been a Virgo.



I used to feel sorta badass ...

Huh?

Scorpio traits: determined, forceful, emotional, intuitive, powerful, passionate, exciting, magnetic ... and on the down side: jealous, resentful, obsessive, compulsive, secretive, and obstinate.

It's considered a feminine sign.




And now ... not so much.



Virgo traits: modest, shy, meticulous, reliable, practical, diligent, intelligent, analytical. On the down side: fussy, a worrier, overcritical, harsh, perfectionist, and conservative.

Also a feminine sign.

Well, I'm still a girl, so there's that.

But whoa--Scorpio and Virgo. They're so different. I had always thought Scorpio fit me pretty well. But then, when I read the Virgo traits, I was like, "hey, that sounds a little like me, too."

Has anyone else had this sort of disorienting experience in the last few weeks?

If so, take comfort, my friends. We have been victims of the Forer Effect. Also known as the Barnum Effect. When we read descriptions we believe apply to us, we attribute high levels of accuracy to them. Even if they are SO general that they could apply to most of the population in some way or another.

The Forer Effect has been demonstrated in numerous research studies. The original study: this psychologist had his students take a personality test, then he gave them their results. They all rated the results as highly accurate. And then he revealed that he'd given them all the SAME personality description, and that personality description was not based in any way upon their test responses.

This is how psychologists punk people.

There are a lot of other reasons people find astrology persuasive, and if you really want to know more, you can find them here. Maybe they will make you feel better about having your astrological identity stripped from you.

And on the writing side, I think it shows the caution we should use in our adjective choices ... so much better to show the reader your characters' distinct personalities rather than telling the reader with these general personality descriptors, right? I have noticed that some writers try to do this in their query letters as a sort of shorthand to the agent: "Strong-willed, conservative so-and-so" or "Shy, self-deprecating other-person" ... but I've rarely seen it work.

So: are you still recovering from the Great Astrological Shuffling of 2011? Have you fallen prey to the Forer Effect? Or perhaps an evil, punking psychologist? And do you think my suspicion of personality adjectives is unfounded ?

Wow, my questions are random today. While I go in search of coherence, please check out Laura's post on self-evaluation.

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