

People with Personality Disorders Do This In Relationships
by Counseling and Wellness Center of PittsburghSeptember 8, 2020 borderline personality disorder, Bowen Systems theory, healthy relationships, narcissistic personality disorder, Personality disorders, Unhealthy relationships0 comments
People with Personality Disorders Do This In Relationships
Differentiation of Self: Learning to balance Self Needs with the Needs of Others
We can all agree that balance is a key component to healthy living. Sometimes it comes naturally, but more often than not, balance is really hard to maintain. One of the most difficult places to find balance is in our relationships. If we want to find balance, it is worth taking some time to think about the things we are trying to balance between. Being in relationships is like walking a tightrope. There are some people who have a pattern of relating where they have not developed coping strategies that help them work through strong emotions. These people, often personality disordered as defined by their rigidness and complex unhealthy ways of understanding themselves and others, cut off anyone who challenges or counters them. We are constantly balancing between our own individuality on one side, and our desire for a sense of togetherness on the other. Whereas emotionally healthy people welcome differences in others, personality disordered people have not moved beyond the immature way of viewing the world that understands not everyone is the same. Entering into relationships fulfills the human desire for a sense of belonging or togetherness. Once we are in a group or relationship, learning how to navigate around individual differences often proves to be quite difficult. It is easy to succumb to charged situations and react based on emotions rather than a thoughtful choice. ‘Differentiation of Self’ is the ability to interact with others while, at the same time, regulating your own emotions. Think of how narrow your world would become if your default was to run away from every person who you cared about who said or did something you didn’t like. This is however the reality that individuals with borderline personality disorder and sometimes narcissistic personality disorder create.
Think about a disagreement that is currently causing you frustration in one of your close relationships. You probably share commonalities with the person you disagree with, but at the same time your individual differences create tension. What do you do? If you are afraid of creating distance in the relationship you might just blindly agree with the person. You wouldn’t lose your closeness, but you would sacrifice some of your individuality. On the other hand, you could cut the person off emotionally, and distance yourself in the relationship. This would allow you to maintain your independence, but you would lose your closeness and possibly the relationship. Both of these responses are irrational and extreme, a product of all or nothing thinking that are often related to several personality disorders. Neither of these options are really healthy. Each is an escape in reaction to the emotional pressure of disagreement.
Differentiation of self is an idea that describes the ability to regulate your own emotional climate rather than getting drawn in or overwhelmed by the emotions of others. It also has to do with a person’s ability to interact with others without losing their sense of self. This is because a well differentiated person is able to hold the tension between their needs and the needs of others without becoming overwhelmed and acting purely on the strongest emotional push. Someone who is “well differentiated” is able to realize the difference between their own emotions, and the emotions of the people around them. Their choices are thoughtful, taking their emotions into account without being ruled by them. They are able to find peace even in difficult situations and respond thoughtfully in moments of pressure.
Think of individuality and togetherness like two sides of a coin that are distinct, but at the same time inseparable. One side has to do with our concept of self. It is the aspects of our personal life and experience that make us unique and different from others. On the other side, we have a desire to share similarities with others, and to be a part of a group. This is the desire for togetherness, or a sense of belonging. When we are differentiated, we have the ability to enter into a relationship and not lose ourselves. We are able to identify our own emotions and thoughts when responding to tension in a relationship, and we do not react to the emotions of others, but rather intentionally respond. We do not give up ourselves to be with someone, but rather we learn how to truly be ourselves with someone. Learning to regulate our emotions in charged situations is the skill that allows us to hold the balance between our needs and the needs of others. It is a necessary to be able to experience tension in order to have difficult conversations. Healthy relationships rely on our ability to express ourselves in a way that is authentic to ourselves, and at the same time sensitive to others. Being well differentiated protects you from getting uncontrollably pulled in by your own emotions or the emotions of other people. Ultimately, it allows you to enter into relationships fully, in a healthy way, without having to sacrifice your sense of self or losing your own identity.
Differentiation of self develops in our family of origin as we learn how to view ourselves as individuals, but also learn to maintain intimate relationships. It was first described by Murray Bowen, one of the pioneers of family therapy and the founder of Family Systems Theory. He discovered that in a healthy family, members develop the ability to have a sense that “I am my own person, but I am also a part of my family.” Ideally, the family is the place that we learn this skill of balance and integration. In learning about the similarities that unite me to my family members, I am able to have a sense of belonging. In learning about my own uniqueness, interests, and beliefs, I learn that I am also my own person. The challenge of the family is to teach this balance to children and cultivate a balance between our head and our heart. When we don’t learn this balance, we learn instead to be emotionally reactive.
Emotional reactivity is the key distinguishing aspect between people who are well differentiated or poorly differentiated. Differentiation of self is an ideal that we aim for and being aware of how we react to others is the first step in becoming more differentiate. Learning to manage our thoughts and our feelings has a direct result on how we are able to authentically enter into and navigate relationship. If we are not able to differentiate our thoughts from our feelings, then we become vulnerable to being overcome by the pressure of other people, or our own impulses in the present moment.
What can we do about it? None of us are as differentiated as we could be. In fact, even Murray Bowen said that he would not consider himself perfectly differentiated! We can all chose to be dedicated to growing in differentiation. It will benefit us, our friends, our families and especially our close relationships. It is easy to get caught up in the past, or the future, but the only thing we can change is right now. Differentiation begins with thoughtfulness and consideration of the present moment. Why don’t you try to do a quick check in with your emotions? Take a few deep breaths. Just notice, what is it you’re feeling right now? Has there been any strong emotions welling up as you read this post? Just try to notice those feelings, the more aware we are of our feelings, the less likely they are to overwhelm us. By simply paying attention to the present moment we give ourselves the chance to be more differentiated. Next time you are in a frustrating situation with someone try to do the same thing, just notice your feelings. Pay attention to what your emotions are telling you and listen to them while taking a few deep breaths. Rather than reacting to the situation, try to respond thoughtfully after checking in with your emotions. If your knee jerk response is to ‘cut and run’ every time you experience an emotional reaction in a relationship, notice this too and try to adopt healthy self soothing techniques instead of running away from inevitable heightened emotions that come from having close relationships. The key to change is always and only in the present moment. By paying attention to the present moment we allow ourselves to truly enter into what is going on around us, without being swept off our feet. Relationships are difficult and require a lot of work. By paying attention to our emotions, we can learn to enter into relationships in a deeper, more meaningful way. Differentiation of self is what allows us to truly be ourselves in an authentic way, and at the same time meaningfully enter into relationships with others.
By: John Paul Dombrowski- Counseling and Wellness Center of Pittsburgh in Canonsburg.

Counseling and Wellness Center of Pittsburgh
Citations:
Foose, K. (2018, February 07). Differentiation of self through the lens of mindfulness. Retrieved September 07, 2020, from https://ct.counseling.org/2018/02/differentiation-of-self-through-the-lens-of-mindfulness/
Baney, D., 5, J., 3, O., 28, E., & *, N. (2015, September 14). Differentiation of Self. Retrieved September 07, 2020, from https://drbaney.com/category/differentiation-of-self/
Eight Concepts. (2017, November 22). Retrieved September 07, 2020, from https://thebowencenter.org/theory/eight-concepts/
Kerr, M. E., & Bowen, M. (1988). Family evaluation: An approach based on Bowen theory. New York: W.W. Norton.
Nichols, M. P., & Davis, S. D. (2019). Family therapy: Concepts and methods. Hoboken: Pearson.
Learn MoreWe Raise Them To Be Good Girls
by Stephanie McCrackenJanuary 8, 2015 counseling, feminist, mindfulness, personal growth, psychotherapy, wisdom0 comments
We raise them to be good girls, to nod politely during fine conversation strung on during respectable hours with respectable people. We raise them to be pillars of hope, encouraging others in their struggles, we hug them and cradle them from the womb to teach them that they too should hug others, pearls of sweat always wiped away before becoming visible, to be the tirelessly devoted caretaker. We raise them with their kitchen play sets and plastic burgers and fries to prepare, toil, to serve those near and dear, insistently offering heaps and dollops of crème fraichely flavored affectionate nurturance. We raise them to banter upon the midnight keys of the baby grand, to cajole the audience with a fine melody, high five you little entertainer, pat, pat upon your severely strewn locks all wrapped up in an impeccable bow, “you are such a good girl.”. Oh, indeed, she hears you, her tiny countenance aglow with your praises, forming a map, a how-to manual which will beckon the praises of all of the others, a lifetime of others. A heavily laden back drop of nodding, and “yes sir” and “yes ma’am”, discipline and structure abounds her omnipresent formative years, she will please and she will shine.
This little essay is for all of those good little girls, turned to women that must learn how to say “no sir” “no ma’am” here is the boundary that draws the distinction between you and between me. Sometimes she must say “no” and nod “no” for nobody else other than her, and her own self-interest, and sometimes she must walk away still being a “good girl” because as she is learning her obligation is to nurture herself, too. Here is to the good girls who have traded in their bright-eyed baby dolls and longed instead to sit in solitude, sometimes for hours on end, to strewn together words upon words which offer semblance to their own pale logic. This is for the good little girls who leave those plastic frying pans, those dull golden rubber buns left to acquire a lifetime of mold. This is for the little girls that are too busy collecting grasshoppers and salamanders, head to toe crusted in mud, smelling not like perfume and soap but like straw and finely decomposing fall leaves, yes little girl “we love you too”. This is for the little girl come lady who screeches out an alarming melody, a protestation, a vigorous “No! I don’t want to wear your dresses, I won’t be a good little girl, I want to listen to crickets and cicadas and feed the goats in my denim jean coveralls, someday I want to be the CEO and walk about with ease in a simple pair of flat shoes meant for utility!” For the little girl that doesn’t want to smile and nod, on some days she wants to stomp and to curse a big “fuck you world!” She wants to say it and not fall from her imagined place of grace, clinging to all of this sturdy awareness, panicking that she has careened over the invisible line, teetering on becoming a very bad girl indeed. Yes, good and bad and all of these startling dichotomies, black and white pervade in a world of pastels, blues and greys, there must be something beyond the stark definition, the deft appraisal, and no girl wants to be tossed to the bad girl side when it comes to such grossly serious matters. Even with messy hair, smeared mascara, no mascara, when we have stayed up too late, when we can’t wake up in the morning, when we have allowed cruel words and actions to rush passed angrily contorted lips, we still want your love. When we have shattered our picture perfect with heaps and doses of vapid reality, we still want your love, we still want to be a good-girl turned woman, a woman worth loving, to you, and we want to fill up our own hole that reeks of neediness, the irrational desire for your love which we know needs to be sustained by our own self-love, a love that remains beyond these tendencies of fluctuating moods, beyond good-girl and bad-girls, the place of total acceptance, the point of compassion for our own humanness, yes, right there, that space of self-nurturance, maybe we are good-girls turned woman after all.
In care and warmth,
Stephanie McCracken MSPC
Psychotherapist ; Reviving Minds Therapy
1010 Western Avenue Pittsburgh Pa 15233 Suite 100
412-322-2129
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On the Border and Crossing The Line, Recovering from a Close Encounter of Another Kind
by Stephanie McCrackenJune 9, 2014 counseling, couples counseling, couples therapy, psychology, Uncategorized0 comments
For any of you who have felt yourself a part of a relationship which was dizzying in its highs and staggering in its lows, no matter how brief or long, your head very well may be feeling woozy in recalling the rapidity of its pace. While there are indeed many personality types and pathologies which can lead themselves to destructive cycles in the interpersonal domain, we will today briefly explore Borderline Personality Disorder and what this kind of encounter may mean for someone who is attempting to heal and recover in its wake. Much literature has focused on the trait of borderline personality disorder as it relates to women yet in recent years clinicians have noted that there may be a growing number of males who meet the diagnostic criteria for the disorder.
While there are many typologies of the borderline character structure there will undoubtedly be an intensity to the initial meeting phase. For a woman meeting a borderline male it’s likely that she will be dazzled and showered with heaps of attention and affection, “at last a male who seems to thrive upon open emotional discourse”. Despite all of those enchanting words and the promise of the sort of intimate encounter that one has been eagerly waiting for, the Borderline male or female will inevitably change as soon as he or she detects that you have been won over. What was once Casanova like attention and praise will become brooding and coldness, likely even implacable possessiveness. The conundrums lies within the fact that the more closely one moves to the center of a borderline person’s inner constitution the more resistance that one will note. The borderline has a hallmark knack for stirring up fights and dramatic interplays which make them feel more alive, the function of the heated angst is to shield against the emptiness of their true center. A borderline likely has suffered some trauma or abuse in early childhood and the sustainment of true emotional intimacy is a most insurmountable task for this person. If this cursory note sounds like someone you or a loved one now or eventually it will be important to seek professional help and be careful. If you are in the process of leaving someone with Borderline Personality Disorder (or any other domestic abuser) this is the most dangerous time. The Borderline Personality will not respect or note boundaries or have any qualms about stalking or seeking to ruin a victim’s life. Their key note is abandonment and the game stakes have just begun increased for the borderline when a friend, lover, or casual acquaintance is attempting to diverge on life’s path. This often recreates a point of abandonment, abuse or neglect that the borderline had experienced in early childhood. The borderlines inability to come to terms with healthy boundaries and no means no mentality makes them a typical recipient of restraining orders and PFA’s.
Yet many people who are in a relationship with a person suffering from Borderline Personality disorder may not recognize the issue until months or even years into it, this is true even for intelligent and successful people who maintain such vivid memory of the courtship or fall victim to the Borderlines intense need to recouple after falling apart. If you were or are in relationship with a person who exhibits Borderline personality traits or a full blown disorder there is a chance that you too have had some trauma in your childhood or adulthood which puts you at risk to accept this kind of attachment. It can be significantly challenging to see the signs of the disorder as the Borderline is very skilled at using something clinicians call “Gaslighting,” for instance when this person goes into one of their episodic fight picking modes they will literally leave their victim with the feeling that it was their fault, they may cause a friend or partner physical, emotional, spiritual harm yet they will always leave their victim believing that they are to blame or even deny that anything even happened. The Borderline also may exhibit martyr like tendencies, spewing to all who will listen of how much they love their victim and how much they have suffered for their love, they can even make bystanders believe that the victim is the crazy one during their epic and frequent altercations. If you recognize yourself in either part of this description you may want to seek the help and advice of a psychotherapist or other mental health professional.
While diagnosing Borderline Personality Disorder is the domain of a psychological professional who has been trained to administer measures and tests, here is the DSM IV-TR criteria for achieving the diagnosis.
A pervasive pattern of instability of interpersonal relationships, self-image, and affects, and marked impulsivity beginning in early adulthood and present in a variety of contexts as indicated by 5 or more of the following.
1) Frantic efforts to avoid real or imagined abandonment.
2) A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation.
3) Identity disturbance: markedly and persistently unstable self-image or sense of self.
4) Impulsivity in at least two areas that could potentially be self-damaging. (Spending, sex, substance abuse, reckless driving, binge eating.)
5) Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior.
6) Affective instability due to a marked reactivity of mood (e.g. intense episodic dysphoria, irritability, or anxiety usually only lasting a few hours and rarely more than a few days.)
7) Chronic feelings of emptiness.
8) Inappropriate and intense anger or difficulty controlling anger (frequent displays of temper, constant anger, recurrent physical fights)
9) Transient stress related paranoid ideation or sever disassociate symptoms.
Keep in mind all of you singletons or those recovering from a whopping dating fiasco, that if something doesn’t feel right then it probably isn’t, if someone is moving too fast for your comfort then there may be something underlying all of that intensity and there is never any case in life which should permit a healthy person from recognizing that within life, love, and conversation, no means no just as well as yes means yes. J
In good health and love,
Stephanie McCracken MSPC
Offering Psychotherapy and Marriage Counseling
412-215-1986
Reviving Minds Therapy
1010 Western Avenue Pittsburgh Pa 15233
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