It is very important to remember that study results are just that - results based on the sujbects studies and results can be skewed, manipulated, and misinterpreted. Even if somewhat accurate and I think to be more sure of what they claim they need much wider numbers of study subjects, what a study finds does not necessarily make it so in everyone's experience. If you haven't been studied how do you know if you would have fit the conclusions of any give study. What is first troubling to me about this study is that the term "remit" is used. What is meant by that?
If you have Borderline Personality Disorder, they still don't want to tell you what getting well really is and means. "Remit", in my opinion, is some next-to-meaningless term. There are more people writing books and some professionals, albeit in vague language talking about recovery from BPD being much more possible now. Yet they continue to use a word like "remit". I know myself, I recovered from Borderline Personality Disorder in 1995 and it had nothing to do with remission. I also don't agree that I had "lingering social functioning". What do they even mean by that. I think there is a distinction to be made here between what they, Gunderson et al, mean by "remit" versus what I know and mean recovery actually is having achieved it and lived it all these years.
From the study: "Symptoms of borderline personality disorder (BPD) often remit over a 10-year period, but patients continue to experience severe and persistent impairment in social functioning. That was the finding from a follow-up of patients with BPD in the Collaborative Longitudinal Personality Disorders Study, a report of which appears in the August Archives of General Psychiatry. The analysis found that the 10-year course of BPD is characterized by high rates of remission, The report extends and confirms previous reports about the long-term course of BPD, which have suggested that therapies for the disorder tend to work well for the most acute symptoms—such as self-harm and emotional dysregulation—but do little to address impairments in social functioning."
Firstly, I take issue with the idea that BPD symptoms just remit. As if they just get better without treatment. If some traits or symptoms can get somewhat better for some people over time without the process and work of therapy and/or BPD Coaching with someone like myself, then I can see that other issues would remain because the underlying unfinished and unhealed and unaddressed childhood woundedness of abandonment that results from insecure bonding, unmet needs, and/or neglect, abuse, and trauma, and that causes emotional arrested development would remain untouched and would still be actively in play. So, this remission sounds rather surface. Also, in my over 10+ years as a BPD Coach it has not been my experience that people with BPD report to me that as they get older they experience any such remission. In fact, quite the opposite. BPD, left unaddressed and untreated usually worsens for those diagnosed with it as they get older. I have, and have had, many clients with BPD well into their 40's, 50's, 60's and beyond that report getting worse - not better. Where's the remission? I hope they aren't basing this notion of remission on the "biology of BPD" because as many professionals also argue, not just my personal opinion, BPD has but a biological component but is not a biological disorder or a brain disorder. It is a psychological disorder born out of early childhood woundedness and therefore there can be no miracle of aging that shifts biology enough to "remit" the symptoms of BPD without treatment and/or coaching. It doesn't make sense. So they claim that the "report extends and confirms previous reports about the long-term course of BPD..."
If one is give adequate and competent knowledgeable and comprehensive treatment (and this can be received via my BPD Coaching in and of itself or in tandem with therapy as well) to people with Borderline Personality Disorder it will help them make tremendous strides and shifts in much more than "acute symptoms - such as self-harm and emotional dysregulation" which equally means increasing awareness, shifting, changing, and healing in social functioning and relating to one self and to others. Is it just me, or do you notice how little sense many of these studies actually make. Where's the actual proof in the pudding? There really isn't any because of the nature of and often biased agenda of most studies in the first place. There is no there, there.
Publishing this study, in my estimation, like so many others, seems to be an attempt at justifying psychiatry and at maintaining its ever-growing (biopsychiatry) strangle-hold on the hopes of those with BPD that they can actually recover. I do not find, from my own recovery experience, or the recovery process of my clients, that what this study says is accurate at all. It doesn't connect the dots. It isn't logically cogent. One point does not logically follow or fit with the next point and the fact that it begins with the idea of BPD as something that will remit in time, versus the reality that BPD can be recovered from with the expert and effective BPD Coaching like I offer and/or competent therapy with a therapist that is an expert in BPD and that believes you can get well wreaks of Big Pharma's behind most studies agenda. It seems to send out a truly unproven conclusion - BPD will remit in 10 years - and also it seems to simply ignore what recovery from BPD really is, means, and entails.
I can assure you that in my 16 years of having been recovered from BPD, a) It has nothing to do with remission b) underlying aspects of BPD do not exist in my life and this can be proven and has been substantiated in my case right down to the biological level and I certainly have not contined post-recovery to experience "impaired social functioning". This type of "science" which really isn't definitive at all continues to be churned out by professionals as justification for what? Do they know what they are really doing?
Can they even begin to contemplate a recovery model for BPD when it seems they are too interested in Big Pharma money? Psychiatric drugs aren't helping people with BPD find a way to have symptoms remit or helping them recover - quite the opposite they are holding them hostage to biospychiatry and intense on-going pain and suffering that is the result of Big Pharma and its biopsychiatrists working in tandem to hold people with BPD hostage to BPD - not help them recover. More of us that have recovered, we are the experts in what that means and how it is achieved - NOT the professionals who either have never had BPD or the ones who still have it and don't even get treated or recover themselves. Beware of money-making political footballs in mental health and don't believe every (or really any) study that you read.
They are self-serving documents by professionals and for professionals. They do not have the best interests or the actual reality, and hope for recovery of those with BPD at heart or in mind. By the way the professsionals that disagree wtih the biology ie - "brain disorder" biopsychiatry notion of BPD and there are many, such as Dr. John Breeding, Dr. Niall McLaren and Dr. Dan L. Edmunds to name a few, have a very difficult time often just getting their work published. The professional journals don't publish them because they are not truly really scientific. Science requires scrutiny, evidence, to be tested and re-tested in ways that replicate similar evidence. By denying those professionals that diagree with many of these studies and the geneisis of them even having the opportunity to question and debate the science of or methodology for these studies one can only conclude that these studies are being insolated from the regular avenues of real science because they won't be able to be replicated or proven upon scrutiny and because they are in fact pseudo-science to begin with. They are simply not reliable or provable.
It is so important to remember that psychiatry knows much less than it lets on. Stop just trusting a psychiatrist because he is one. What does it mean in this Big Pharma psychiatric medication pushing world? What can it possibly mean beyond the control psychiatrists seek to have over the masses to market their medication to and make money from? It is not a system or a profession that truly has the humanity, and the actual getting well of those with Borderline Personality Disorder at the heart of its agenda. In fact, is that even a part of that profession's agenda? They perpetuate the negative and continue to refuse to explain or map out recovery or even lend it credibility by continually firing out these "studies". Studies are just not proven science. At best they are theories floated out there with power, lack of ethics, and often hidden agendas attached.
© A.J. Mahari, December 4, 2011 - All rights (except quotes from study) reserved.
Source of Study: Psychiatric News | October 07, 2011 Volume 46 Number 19 page 19-25 © American Psychiatric Association Clinical and Research News Written by Mark Moran
Ten-Year Course of Borderline Personality Disorder: Psychopathology and Function From the Collaborative Longitudinal Personality Disorders Study
