Loving Someone with Borderline Personality Disorder

September 15, 2011

Borderline personality disorder (BPD) is a lesser-known psychiatric diagnosis associated with serious forms of self-harm. BPD is also especially stigmatized, perhaps even among therapists. Manning, a clinician and apostle of leading BPD expert and dialectical behavior therapy originator Marsha Linehan, here addresses the concerns of friends and relatives of persons with BPD. First, Manning presents a biosocial theory of the disorder and suggests helpful responses to borderline behavior. She then explores the behavioral dynamics characteristic of BPD, including self-invalidation, lack of problem-solving skills, apparent competence, emotional dysregulation, and inhibited grieving. Specific scripts for encounters and detailed case examples are presented. The final section instructs readers on handling their own emotions and assessing the danger of self-harm and suicide and the need for hospitalization. The book ends with a brief overview of professional treatments for BPD. VERDICT This hopeful yet realistic book is an indispensable tool for managing relationships with persons who have borderline personality disorder. Research based, clearly written, and practical, this guide to a complex disorder is highly recommended.--Antoinette Brinkman, M.L.S., Evansville, IN

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