边缘性人格障碍，操纵vs诚实

女孩，我懂。BPD太难了。我不知道什么是真实的，什么只是我的非理性。我刚被诊断出患有BPD，我和前男友正努力想要复合，我觉得我没有朋友，也无法掌控现实。当我遇到困难的时候，我觉得没有人可以求助。

我不知道如何对我或我脑子里发生的一切做出反应。但你肯定明白。
我只希望你和那些人一样盯着她。我感到孤独。非常非常孤单。就像我想一个人呆着，但又不孤独。我做的事情有一半是潜意识的，如果我解释不清，人们就不会理解。所以我在这些帖子、评论和理解我的人里吐露心声。无论距离多远，我都能感觉到一种联系。给我理由。
我感谢你们每一个人，因为你们就是你们。
不管我们对自己有多可怕，我们对彼此都是圣人。

非常有趣的

你听起来既无知又粗鲁。我有BPD，对这种疾病了解很多。你知道“操纵被定义为深思熟虑的思维过程。不是行为，而是思想。一个有认知的，精明的，巧妙的....计划，将一个计划、一个想法付诸行动，并使这个想法成为现实。”操纵是一种反应，而不是反应。操纵被定义为一个思维过程，而不是一个行为过程。行为只是产物。这种反应的产物，一种伪操纵，通常在具有边缘人格的个体感知即将到来的毁灭、灾难和被抛弃时被激活。 This hypersensitivity may stir up tremendous anxiety and helplessness. Most people with a borderline personality have not successfully moved though their early developmental stages and are fixated usually around 2 to 4 years of age. Impulsivity is a prominent behavior that is often misinterpreted as manipulation. A person with borderline personality may experience anxiety as helplessness since she cannot equate her notions to an adult on an equal level. In other words, the sufferer of BPD 'is in maddening, excruciating emotional pain and confusion.' Many psychiatrists portrays helplessness especially well since time becomes narrowed and pressured giving a sense of urgency to resolve the pain. This sets into motion a reactive reflex (pseudo-manipulation) to ward off anxiety with often-destructive consequences. These destructive measures amount to job loss or relationship failure due to poor strategies to resolve antithetical troubles, hardly an artful and shrewd manipulation of a mastermind. Also, many psychiatrists have a particular dislike for the word "manipulative" as commonly applied to these patients [borderline]. They point out that this implies that they are skilled at managing other people, when it is precisely the opposite that is true. Also, the fact that a person may feel manipulated does not necessarily imply that this was the intention of someone with BPD; It is more probable that the patient did not have the skills to deal with the situation more effectively. Rather than viewing themselves [individuals with borderline personality disorder] as someone who is attempting to manipulate, is attention-seeking, or is sabotaging treatment, individuals with borderline personality disorder learn to view themselves as driven by the disorder to seek relief from a painful illness through desperate behaviors which are reinforced by negative and distorted thinking. "A borderline personality has the ability to manipulate, however; it is not the principal process of artful cognition that leads to borderline-style behavior. If we are going to use the term ‘behavior’ then it is more parallel to defensive behavior. Most of the time a borderline adapts to defensive behavior rather than manipulative behavior. People with BPD have emotional reactions, or behaviors that are blunt, clumsy and ineffective efforts to have the BPD's needs met. There is an immense differentiation between primitive borderline defense mechanisms and skillful manipulation, the product of each, which is behavior." It is helpful to consider that often times a person that has borderline personality is a ‘mixed bag’ since co-morbidity traits in patients with borderline personality disorder is high. However, if borderline personality disorder is the principle personality structure, chances are they are poor manipulators. Manipulation is a deliberate and artful thought process, which is not a common trait found in the borderline personality. The borderline personality defense is closer a Reactive Defense Mechanism that operates as a knee-jerk retort flung into motion from a low threshold of impulsivity. Identifying the difference between manipulation and reaction to painful stimuli can help ameliorate the therapeutic stance.
所以也许你应该更小心你说的话，因为它可能是伤害和不体贴那些与精神疾病作斗争。谢谢你的阅读，我希望这对你有教育意义。：）

阿们。