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The way I read that abstract, they saw shrinkage in some areas

of the brain. It doesn't say anything about whether the

shrinkage is the cause or the effect of having BPD. Do parts of

their brain shrink because they don't put them to good use, are

their behavioral issues caused by starting life with brain

structure differences, or is something else causing the brain

structure changes as they age, resulting in increased symptoms?

My own opinion is that most people who have BPD are either born

with it or with a susceptibility to developing it. Extreme

trauma while growing up may have similar results but I don't

think that explains most cases of BPD. However it happens, I

don't believe they choose to have BPD.

As for whether or not to hold them accountable, I think that

worrying about that just leads to prolonging the emotional pain

of dealing with them without changing anything for the better.

The way I see it, they have the ability to make choices, but

their ability to make the right choices is broken. The saying

about computer data - " Garbage in, garbage out " seems to apply.

Their emotions feed garbage in to their brain, causing garbage

to come back out in the form of aggressive and nasty responses.

The more emotional they get, the more garbage is fed in. So on

one level you can blame them for their individual choices, but

on another you can't blame them for having BPD to start with.

People with brain deficits of various sorts can and do learn to

work around their deficits with a lot of work and training. The

few people who actually seek and get treatment for BPD show that

they can learn to do a lot better than most of our nadas and

fadas do. The fact that I seem to have trained my nada to behave

much better when she's with me also points towards at least some

of them being able to learn to make better choices. I harbor no

illusions that my nada understands why it is wrong to do and say

certain things, but she has learned not to do and say them

around me. That feels like training a pet. My cats don't

understand why they should stay off the kitchen counters, but

they understand that they will be punished if I catch them

there.

At 01:52 PM 01/01/2011 climberkayak wrote:

> " Reduced anterior and posterior cingulate gray matter in

>borderline personality disorder. "

>

>From: http://www.ncbi.nlm.nih.gov/pubmed/15993861

>

>

>If it really were all due to brain structure abnormalities that

>makes it even trickier for me to approach the issues with my

>nada as a KO especially re forgiveness. I mean does she really

>know not what she does? The cingulate gyrus:

>

> * Coordinates Sensory Input With Emotions

>

> * Emotional Responses to Pain

>

> * Regulates Aggressive Behavior

>http://biology.about.com/library/organs/brain/blcingyrus.htm

>

>

>And that's what they do....their emotions are out of whack,

>they can't handle the smallest amount of emotional pain without

>aggression being triggered. And yet, most can put on a good

>face in public so some control is possible so then do we hold

>them accountable?

>

>

--

Katrina

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You have just asked one of THE core questions RE bpd.

Me personally, I think the answer is very gray and fuzzy.

I think that the person with personality disorder cannot help it that their

perceptions of reality and their interpretation of reality (cognitive

distortion) are skewed, in the same way that a color blind person can't help it

that their brain can't perceive the world in anything but tones of gray.

However, I do think that most of the time the high-functioning person with

personality disorder *can* control how and when they react to their negatively

skewed perceptions and interpretations. My nada's hair-trigger temper at least

used to be under her conscious control, most of the time.

When I was growing up my nada virtually never acted out in public, she would

wait until I and/or my Sister and/or my dad were alone with her before she would

unleash her rage at us. Reining back her emotions was an act of pure will that

she chose to do when it suited her; she greatly desired to appear " perfect " in

public. She *chose* to act out only when there were no witnesses, and she chose

only to act out against those who could not or would not fight back: against her

children and her husband, and sometimes against her own older sister.

Only under extreme stress and in her late middle age did I start seeing my nada

" lose it " in public. Her little gatekeeper / her willpower / her executive

function appears to have started deteriorating in her 60's.

So its just not as straightforward, simple, or black-and-white as " Yes they can

help it " or " No they can't help it " in my opinion.

Thanks for the link, the more hard-core, organic, neurological, biological,

genetic, scientific research on the conundrum of bpd, the better as far as I'm

concerned.

-Annie

>

> " Reduced anterior and posterior cingulate gray matter in borderline

personality disorder. "

>

> From: http://www.ncbi.nlm.nih.gov/pubmed/15993861

>

>

> If it really were all due to brain structure abnormalities that makes it even

trickier for me to approach the issues with my nada as a KO especially re

forgiveness. I mean does she really know not what she does? The cingulate

gyrus:

>

> * Coordinates Sensory Input With Emotions

>

> * Emotional Responses to Pain

>

> * Regulates Aggressive Behavior

> http://biology.about.com/library/organs/brain/blcingyrus.htm

>

>

> And that's what they do....their emotions are out of whack, they can't handle

the smallest amount of emotional pain without aggression being triggered. And

yet, most can put on a good face in public so some control is possible so then

do we hold them accountable?

>

>

>

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You have just asked one of THE core questions RE bpd.

Me personally, I think the answer is very gray and fuzzy.

I think that the person with personality disorder cannot help it that their

perceptions of reality and their interpretation of reality (cognitive

distortion) are skewed, in the same way that a color blind person can't help it

that their brain can't perceive the world in anything but tones of gray.

However, I do think that most of the time the high-functioning person with

personality disorder *can* control how and when they react to their negatively

skewed perceptions and interpretations. My nada's hair-trigger temper at least

used to be under her conscious control, most of the time.

When I was growing up my nada virtually never acted out in public, she would

wait until I and/or my Sister and/or my dad were alone with her before she would

unleash her rage at us. Reining back her emotions was an act of pure will that

she chose to do when it suited her; she greatly desired to appear " perfect " in

public. She *chose* to act out only when there were no witnesses, and she chose

only to act out against those who could not or would not fight back: against her

children and her husband, and sometimes against her own older sister.

Only under extreme stress and in her late middle age did I start seeing my nada

" lose it " in public. Her little gatekeeper / her willpower / her executive

function appears to have started deteriorating in her 60's.

So its just not as straightforward, simple, or black-and-white as " Yes they can

help it " or " No they can't help it " in my opinion.

Thanks for the link, the more hard-core, organic, neurological, biological,

genetic, scientific research on the conundrum of bpd, the better as far as I'm

concerned.

-Annie

>

> " Reduced anterior and posterior cingulate gray matter in borderline

personality disorder. "

>

> From: http://www.ncbi.nlm.nih.gov/pubmed/15993861

>

>

> If it really were all due to brain structure abnormalities that makes it even

trickier for me to approach the issues with my nada as a KO especially re

forgiveness. I mean does she really know not what she does? The cingulate

gyrus:

>

> * Coordinates Sensory Input With Emotions

>

> * Emotional Responses to Pain

>

> * Regulates Aggressive Behavior

> http://biology.about.com/library/organs/brain/blcingyrus.htm

>

>

> And that's what they do....their emotions are out of whack, they can't handle

the smallest amount of emotional pain without aggression being triggered. And

yet, most can put on a good face in public so some control is possible so then

do we hold them accountable?

>

>

>

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Share on other sites

You have just asked one of THE core questions RE bpd.

Me personally, I think the answer is very gray and fuzzy.

I think that the person with personality disorder cannot help it that their

perceptions of reality and their interpretation of reality (cognitive

distortion) are skewed, in the same way that a color blind person can't help it

that their brain can't perceive the world in anything but tones of gray.

However, I do think that most of the time the high-functioning person with

personality disorder *can* control how and when they react to their negatively

skewed perceptions and interpretations. My nada's hair-trigger temper at least

used to be under her conscious control, most of the time.

When I was growing up my nada virtually never acted out in public, she would

wait until I and/or my Sister and/or my dad were alone with her before she would

unleash her rage at us. Reining back her emotions was an act of pure will that

she chose to do when it suited her; she greatly desired to appear " perfect " in

public. She *chose* to act out only when there were no witnesses, and she chose

only to act out against those who could not or would not fight back: against her

children and her husband, and sometimes against her own older sister.

Only under extreme stress and in her late middle age did I start seeing my nada

" lose it " in public. Her little gatekeeper / her willpower / her executive

function appears to have started deteriorating in her 60's.

So its just not as straightforward, simple, or black-and-white as " Yes they can

help it " or " No they can't help it " in my opinion.

Thanks for the link, the more hard-core, organic, neurological, biological,

genetic, scientific research on the conundrum of bpd, the better as far as I'm

concerned.

-Annie

>

> " Reduced anterior and posterior cingulate gray matter in borderline

personality disorder. "

>

> From: http://www.ncbi.nlm.nih.gov/pubmed/15993861

>

>

> If it really were all due to brain structure abnormalities that makes it even

trickier for me to approach the issues with my nada as a KO especially re

forgiveness. I mean does she really know not what she does? The cingulate

gyrus:

>

> * Coordinates Sensory Input With Emotions

>

> * Emotional Responses to Pain

>

> * Regulates Aggressive Behavior

> http://biology.about.com/library/organs/brain/blcingyrus.htm

>

>

> And that's what they do....their emotions are out of whack, they can't handle

the smallest amount of emotional pain without aggression being triggered. And

yet, most can put on a good face in public so some control is possible so then

do we hold them accountable?

>

>

>

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It's interesting that your mother lost control as she was older. I felt

my mother got worse with age too, but everything I have read says bpd is

supposed to level out and get better around the 40's. I think my mother's

worst times started in her late 30's, though.

In a message dated 1/1/2011 2:32:46 P.M. Eastern Standard Time,

anuria-67854@... writes:

You have just asked one of THE core questions RE bpd.

Me personally, I think the answer is very gray and fuzzy.

I think that the person with personality disorder cannot help it that

their perceptions of reality and their interpretation of reality (cognitive

distortion) are skewed, in the same way that a color blind person can't help

it that their brain can't perceive the world in anything but tones of gray.

However, I do think that most of the time the high-functioning person with

personality disorder *can* control how and when they react to their

negatively skewed perceptions and interpretations. My nada's hair-trigger

temper

at least used to be under her conscious control, most of the time.

When I was growing up my nada virtually never acted out in public, she

would wait until I and/or my Sister and/or my dad were alone with her before

she would unleash her rage at us. Reining back her emotions was an act of

pure will that she chose to do when it suited her; she greatly desired to

appear " perfect " in public. She *chose* to act out only when there were no

witnesses, and she chose only to act out against those who could not or would

not fight back: against her children and her husband, and sometimes against

her own older sister.

Only under extreme stress and in her late middle age did I start seeing my

nada " lose it " in public. Her little gatekeeper / her willpower / her

executive function appears to have started deteriorating in her 60's.

So its just not as straightforward, simple, or black-and-white as " Yes

they can help it " or " No they can't help it " in my opinion.

Thanks for the link, the more hard-core, organic, neurological,

biological, genetic, scientific research on the conundrum of bpd, the better as

far

as I'm concerned.

-Annie

>

> " Reduced anterior and posterior cingulate gray matter in borderline

personality disorder. "

>

> From: _http://www.ncbi.nlm.nih.gov/pubmed/15993861_

(http://www.ncbi.nlm.nih.gov/pubmed/15993861)

>

>

> If it really were all due to brain structure abnormalities that makes it

even trickier for me to approach the issues with my nada as a KO

especially re forgiveness. I mean does she really know not what she does? The

cingulate gyrus:

>

> * Coordinates Sensory Input With Emotions

>

> * Emotional Responses to Pain

>

> * Regulates Aggressive Behavior

> _http://biology.about.com/library/organs/brain/blcingyrus.htm_

(http://biology.about.com/library/organs/brain/blcingyrus.htm)

>

>

> And that's what they do....their emotions are out of whack, they can't

handle the smallest amount of emotional pain without aggression being

triggered. And yet, most can put on a good face in public so some control is

possible so then do we hold them accountable?

>

>

>

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Share on other sites

Does the difference in the brain exist from birth or due to abuse or some other

childhood trauma does the BPD repeat behaviors or shut off behaviors that result

in the failure of the brain to develop?

And why are some BPs able to seek help and recover and if they recover do these

areas in the brain change? Does more development occur in the cortex? If all of

this is the result of structural differences in the cortex then some researcher

some where needs to be developing psychotropic drugs to see if we can finally

come up with a pill to help. I have a son who is bi-polar he takes his

medication and he functions. The chemical imbalance in his brain responds to the

medication, however he has times when he forgets his meds then he says, " i'm

feeling spooky, no sense talking to me, Mom this is the bi-polar talking not me.

I need to get my medication regulated again, so I can function. " In contrast

Fada says, " I don't need those pills they don't help. " Whether or not BPD is

caused by differences in the cerebral cortex or if BPD causes changes to occur

in the cerebral cortex as the person ages the bottom line is: NO KO asked for

the suffering they have caused, no KO deserves the abuse we have suffered at

their hands and even if the BP couldn't help it, that doesn't mean we deserved

it and its our lot in life to continue to take their abuse because their brains

are different and they can't help it. If my Fada was smart enough to know he was

" different " and " couldn't help it " then why wasn't he smart enough to know his

misery wasn't my responsibility. While I would welcome an organic explanation

and it would certainly aid me in the forgiveness process the bottom line is even

if there is an organic cause we better not accept it and stop there. We need to

start screaming for medical research to try to come up with something that is as

effective as the medication used to treat bi polars. Just because there may be

an organic cause for BP doesn't mean we should accept it any more than Jonas

Salk accepted polio!

>

> " Reduced anterior and posterior cingulate gray matter in borderline

personality disorder. "

>

> From: http://www.ncbi.nlm.nih.gov/pubmed/15993861

>

>

> If it really were all due to brain structure abnormalities that makes it even

trickier for me to approach the issues with my nada as a KO especially re

forgiveness. I mean does she really know not what she does? The cingulate

gyrus:

>

> * Coordinates Sensory Input With Emotions

>

> * Emotional Responses to Pain

>

> * Regulates Aggressive Behavior

> http://biology.about.com/library/organs/brain/blcingyrus.htm

>

>

> And that's what they do....their emotions are out of whack, they can't handle

the smallest amount of emotional pain without aggression being triggered. And

yet, most can put on a good face in public so some control is possible so then

do we hold them accountable?

>

>

>

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This is true: my own nada came from a very ordinary but loving, intact,

middle-class, socially responsible, mentally healthy bio-foo. Her own sisters

do not corroborate my nada's version of their childhood; nada claims she was

neglected and unloved by their mother and that she and her sisters were often

beaten by their father. My aunts are bewildered by these claims. My own

experience with my maternal grandparents is that they were simply nice people.

No yelling, no screaming, no raging, no hitting, no mind-f**king manipulative

games, no blaming, no favoritism. They were soft-spoken, physically

affectionate (in appropriate ways) and just... sweet and normal. I tend to

believe my own perceptions of my grandparents, and my aunt's memories. The only

adult I ever saw screaming in red-faced rage at anyone was my own mother, who

would sometimes get her older sister alone and hurl vicious verbal abuse at her

(I as a witness apparently didn't count) the same way she would scream at Sister

and dad and me.

Nobody *ever* stood up to my nada and told her to knock it off and act like an

adult. My nada had her own foo terrorized, it would seem.

I also tend to disbelieve my nada's version of her childhood because my nada

also claims that my dad would beat her (I never saw my dad raise his hand in

anger to anyone; when nada would goad him into a verbal fight with her, he'd

leave the house when things got really heated) and nada also claims that she

herself was the perfect mother and never beat Sister and me with the belt. That

is so very not true; Sister and I can corroborate each other's memories of

frequent angry rages and physical assaults we endured at our mother's hands up

into our teen years.

There are groups like ours for parents raising bpd children and/or who have bpd

adult children, and the posts there will break your heart. The parents who post

there for support are eaten up with guilt, wondering if something they've done

made their child so emotionally dysregulated, negative, manipulative, demanding,

unhappy, unmotivated and self-destructive. These parents do not sound like

abusive monsters to me, any more than my grandparents did.

So, me personally, I think that if a person is born with the temperamental trait

of abnormally extreme sensitivity, then even an average or normal home

environment would be perceived as invalidating and negligent or punitive, while

a more resilient, less sensitive infant/child could experience more sensory or

emotional assaults before emotional damage results. Its an interplay between

the genetic temperament (more sensitive, less resilient vs less sensitive, more

resilient) and the environment/parenting.

I lean toward genetics playing the larger role in determining whether a person

develops personality disorder or not.

-Annie

>

>

> I'm no expert, obviously, but from what I understand, BPD does not necessarily

have to be caused by abuse per se. It can be caused by a very sensitive child

having an invalidating environment, through genetics, etc... I've even read

about BPD's who had great childhoods. I think abuse is definitely a contributor

sometimes, but not necessarily all the time.

>

> Also, maybe the reason some get better and some don't is just the different in

their levels of functioning and their personalities. Just my guess. Perhaps

being put on the right combinations of medications with the right therapy can

help more than anything else.

>

>

>

>

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