Invalidating environment borderline personality disorder
Linehan suggests that a particular consequence of this state of affairs will be a failure to understand and control emotions; a failure to learn the skills required for ’emotion modulation’.
Given the emotional vulnerability of these individuals this is postulated to result in a state of ’emotional dysregulation’ which combines in a transactional manner with the Invalidating Environment to produce the typical symptoms of Borderline Personality Disorder.
People with BPD often struggle with aspects of their life in an extreme way.
They tend to have issues relating to others, managing their emotions, dealing with distress in their life, and have a poor sense of self.
The child’s behavior may then oscillate between opposite poles of emotional inhibition in an attempt to gain acceptance and extreme displays of emotion in order to have her feelings acknowledged.
Erratic response to this pattern of behavior by those in the environment may then create a situation of intermittent reinforcement resulting in the behavior pattern becoming persistent.
In that moment of emotional deregulation, they will quite often go on to self harm as a way of regulating that emotion."To be diagnosed, people have to meet at least five of nine criteria.
Dialectical Behavior Therapy is based on a bio-social theory of borderline personality disorder.Patients with BPD frequently describe a history of childhood sexual abuse and this is regarded within the model as representing a particularly extreme form of invalidation.Linehan emphasizes that this theory is not yet supported by empirical evidence but the value of the technique does not depend on the theory being correct since the clinical effectiveness of DBT does have empirical research support.Using a student sample selected to have a wide range of BPD symptoms, we examined whether thought suppression mediates the relationship between these biosocial precursors and symptoms of BPD.Results supported the hypothesis that thought suppression fully mediates the relationship between invalidating environment and BPD symptoms.