sixcarbchiligorl
kiwifarms.net
- Joined
- Mar 18, 2018
I was reading Merek Manuals for Professionals and came across an interesting passage linking Munch (aka Fictitious disorder) to Borderline PD.
Patients may have prominent borderline personality features and are usually intelligent and resourceful. They know how to simulate disease and are sophisticated regarding medical practices. They differ from malingerers because although their deceits and simulations are conscious and volitional, there are no obvious external incentives (eg, economic gain) for their behavior. It is unclear what they gain beyond medical attention for their suffering, and their motivations and quest for attention are largely unconscious and obscure.
Patients may have an early history of emotional and physical abuse. Patients may also have experienced a severe illness during childhood or had a seriously ill relative. Patients appear to have problems with their identity as well as unstable relationships. Feigning illness may be a way to increase or protect self-esteem by blaming failures on their illness, by being associated with prestigious physicians and medical centers, and/or by appearing unique, heroic, or medically knowledgeable and sophisticated.
What do you think?
I think that makes perfect sense. I believe most parents are more apt to dote on their children, or at least give them more attention, when they are ill. Parents take off work, stay home with the kid, make them special meals, continously check in on them, put on their favorite movies or spend time with them. If a child experiences this sort of thing with an otherwise too-busy parent, it makes perfect sense to me that it would be something they would either consciously or subconsciously seek out later in life. The trauma of an illness or someone else's illness is "enough" to trigger BPD.
Many people with Cluster B personality disorders also self-sabotage and have simultaneous fear of both failure and success. Being sick, sicker, or sickest absolves them from that. They are given passes for things that other people their age should have accomplished - degrees, relationships, houses, children, etc. Because of their lack of identity or problems with identity, their identity becomes that of someone who is chronically ill or a rare case or whatever else. If they had a true illness and got better, they'd not know who they were anymore, and so it would make sense to look for or create another illness.
I find the first paragraph a little incongruent with the second, though. "It's unclear what they gain beyond medical attention ... and their motivation and quest for attention are largely unconscious and obscure" but the final sentence illuminates most of that. What they gain is a reason (chronic illness) to blame all of their shortcomings on. They gain an identity from being a patient or a fighter, survivor, or mysterious medical case. They gain attention, love, support, pity. People are less likely to abandon someone if they're chronically or critically ill. They can vy for attention any time they need to. They manipulate others whether they mean to or not.
I don't think all people with BPD have malingering issues, obviously. I also don't think all people with MS or MBI have BPD. But they do both certainly fall in the same realm of mental illness.