Trait Eight – Pathological personality traits in negative affectivity – Separation insecurity: Fears of excessive dependency and complete loss of autonomy. (DSM5)

In my search of the literature, I found one article that indirectly dealt with fear of dependency and loss of autonomy by alluding to it as part a subtype associated with dependent personality disorder . According to this article, discouraged borderline is marked by noticeable clinginess and a passive follower type of mentality. While on the outside this person might just seem indecisive or weak-willed, they normally experience internal turmoil about their lack of leadership and bitterness toward those around them. This type of borderline disorder in a person often leads to self-harm in the form of self-mutilation or even suicide.

This diagnosis is seen more in women than in men. Perhaps due to possible disturbed estrogen levels or part of systematic sexism. However, some research suggests that this tendency affects men and women equally, but women are more likely to seek treatment or to be officially diagnosed as BPD.

Descriptors of discouraged borderline includes excessive dependence upon others. They are often compliant and easily swayed by others, even when it goes against their own desires. They have low self-esteem, feel continuously insecurity, and appear to be vulnerable. They may feel hopeless, helpless, powerless, and depressed. There may be a reliance on fantasy or substance abuse as a means to escape.

The cause is thought to involve many different life factors. These include PTSD, childhood trauma or neglect, a smaller hippocampus or amygdala, genetic predispositions involving genes DRD4 and DAT and chromosome 9, neurobiological factors like estrogen levels, family and social stability levels, and negative social experiences as a child. People with the disorder often have other illnesses including major depression, anxiety disorders, eating disorders, substance abuse, or antisocial personality disorder. People suffering from this BPD trait make up a large chunk of suicides on an annual basis. So if you or someone you know is at risk for suicide because of this trait, it is important that you get help as soon as possible.

Psychotherapy is the primary method used for managing and treating discouragement BPD. Depression and anxiety are among the two most common conditions that can be treated with medicine while the patient is treated for general BPD with psychotherapy. Antipsychotics might be used to reduce anger or suicidal tendencies as well as impulsivity, psychotic paranoid symptoms, anxiety, and depression. It is important to understand that these medications cannot treat BPD, but that the treatment of concurring conditions can help clear the way for a more successful treatment of BPD through psychotherapy.

Grieving

And the blues begin again.
A sad song, a sad, sad song,
Begins to play at the back of my mind,
That colors everything it touches
With the soft brush of silent despair.

And the storm begins to build,
The feelings billowing into gigantic anvils.
I sit there absorbing the storm’s vibrations,
Hoping to break the dam,
And release its redemptive waters,
But the crying on the outside will not begin,
While the crying on the inside will never stop.

Lawrence J.W. Cooper

Poet Laureate, Comox Valley