A neurobiologically informed approach to a very difficult-to-treat disorder.
This book addresses one of the fundamental, understudied issues of borderline personality disorder (BPD): dissociation and a lack of sense of self. Exploring dissociation from developmental, neurobiological, and behavioral perspectives, Russell Meares presents an original theory of BPD, offering new insights into this debilitating disorder and hope for recovery.
BPD is not a new phenomenon, but much about it remains unclear and controversial. Meares’s three-stage treatment emphasizes the failure of synthesis among the elements of psychic life, the need for both personal and social development, integration of unconscious traumatic memory, affect regulation, hallucinosis, stimulus entrapment, paranoid states, and ultimately, restoration of the self. Mental health professionals working with patients suffering from symptoms of BPD will find an invaluable theoretical grounding for treating the difficult—and varied—symptoms of BPD.
Foreword by Allan N. Schore
1. Introduction: The Borderline Experience
2. From Hysteria to Borderline: A Brief History
3. Self Disturbance as the Core of Borderline Personality Disorder
4. "Le Moi est une co-ordination"
5. A Failure of Neural Co-ordination in BPD: A study of P3a and P3b
6. A Neural Network for the Matrix of Self
7. Dissociation in Borderline Personality
8. Fusion and Disconnection: The Paradoxical Structure of Dissociative Experience
9. The Expectational Field, Reversals and Other Aspects of Disintegrated Relatedness
10. The Polysymptomatic Nature of Borderline Personality
11. Emotional Dysregulation
12. Somatization and Stimulus Entrapment
13. A Malady of Representations: Dysautonomic Aspects of BPD
14. Paranoid Ideas and Delusion Formation
15. Is BPD a Particularly Right Hemispheric Disorder?
16. Towards Cohesion: An Analogical Relatedness