Recently this blog has been discussing the self. Elements of the self include things like identity, temperament, personality, etc. One thing to know is that personalities can be healthy or toxic, what scientists would call adaptive or maladaptive.
Psychodynamic psychology is the modern psychology stemming from the lineage of Sigmund Freud. And as the reader likely knows, some of the language of Freud remains commonplace to this day. For example, two personalities types people have heard of are narcissistic and obsessive, and in common language most people understand those two things to be negative. But in the world psychodynamic psychology, both narcissistic personalities and obsessive personalities can be either healthy or unhealthy. Yes you read that right, there literally is a thing called healthy narcissism. Believe it or not.
One thing that has changed is the words Freud used to describe the organization of personality. In Freud's time personality had three possible arrangements: neurotic, borderline and psychotic. Here there are two things to note. First, today being neurotic is considered a negative thing. But in Freud's time, neurotic was as healthy as a personality could hope to be. And second, in Freud's time borderline literally meant the space between neuroses and psychoses, between reality and delusion. So, any personality type could present with a borderline organization.
One thing that has changed is the words Freud used to describe the organization of personality. In Freud's time personality had three possible arrangements: neurotic, borderline and psychotic. Here there are two things to note. First, today being neurotic is considered a negative thing. But in Freud's time, neurotic was as healthy as a personality could hope to be. And second, in Freud's time borderline literally meant the space between neuroses and psychoses, between reality and delusion. So, any personality type could present with a borderline organization.
Largely because Freudian-like psychoanalysis is a long-term form of treatment, not many people do it. So, not many people are familiar with what Freud actually meant with his teachings. Enter into this void a new and common diagnosis called "borderline personality disorder," or BPD for short (admittedly the confusion is unfortunate).
Though I am taking small liberties here, let me give a brief summary of the likely origins of BPD. I will begin with the words of a fairly well-known man named Gabor Maté. According to Dr. Maté, all human souls require at least two things: authenticity and attachment. Though he doesn't include the human need for competence, what Maté is saying is in direct alignment with Self-Determination Theory. If you would like more information on Self-Determination Theory, please review this blog's recent posts. What Maté calls attachment the Self-Determination folks would call relatedness.
Being centrally important, it is not surprising to know much work has been done on human attachment. Starting in 1969, famed British psychoanalyst John Bowlby began laying out his attachment theory. And today, it seems clear most people are probably living with some level of "attachment injury," a psychological wound (aka trauma) resulting from a deficiency of attachment. And when that attachment injury is debilitating enough, we begin to speak of BPD.
The core symptom of BPD is a destructively strong fear of abandonment. And if you know anybody with BPD, you may know how profound and pervasive the suffering can be. Though there exists more than one way to treat BPD, today we will discuss a woman named Marsha Linehan.
Born on May 5, 1943 and raised in Tulsa, Oklahoma, Professor Linehan is becoming more and more well-known due to her development of a branch of psychology called Dialectical Behavior Therapy, or DBT for short. And, the evidence is mounting that DBT is an effective method for helping heal BPD.
Side note: I apologize for the use of multiple acronyms, but DBT is how most people refer to Linehan's method and BPD is generally how people refer to borderline personality disorder.
To the extent people utilize the DBT modality, most do it as a client/patient in counseling, coaching or therapy. That said, in 2020 Professor Linehan wrote a lovely and helpful autobiography titled Building a Life Worth Living. Regardless of whether or not you have BPD, the four core skills of DBT can be very helpful. They are: distress tolerance, mindfulness, emotion regulation and interpersonal effectiveness. One thing I love about DBT is, Linehan directly and explicitly acknowledges her main objective is teaching people the skills of effective living.
Why I am telling you all this? Well, it does seem to be the case that all human souls fundamentally require authenticity and attachment. As such, it also seems clear that a deficiency in either authenticity or attachment can lead to profound mental health challenges. And, the skills of effective living do seem to be a prerequisite for sustainably successful entrepreneurship and leadership.
This blog has recently spent time talking about identity and personality, and hopefully you can imagine their connection to authenticity. I have also begun introducing you to the work of Professor Liah Greenfeld, who has shown rather conclusively how deficiencies in identity formation can lead to things like schizophrenia, bipolarism and depression. And, as mentioned, it further seems clear that a deficiency in human attachment can lead to challenges like BPD.
So, am I saying any personality can be either healthy or unhealthy? And being one element of personality, am I saying an underdeveloped identity can cause mental illness? And, am I also saying insufficient human attachment can cause mental illness? Yes, that is exactly what I am saying. As I think we all know, life is complex. But, I don't believe that means it needs to be complicated.
We all need authenticity and attachment, and I think we know how to create both.
