- On the Minnesota Multiphasic Personality Inventory (MMPI), ERD patients do not show a common profile. Personality traits appear to be a combination of histrionic, narcissistic, and antisocial personality.
The MMPI is one of the most frequently used personality tests in mental health. The test is used by trained professionals to assist in identifying personality structure and psychopathology. I don’t actually know much about this test so I’ll be sure to do more research on this in the future. However it doesn’t surprise me that BPD displays with a combination of personality disorder traits. Since personality disorders encompass all aspects of a person’s life, the environmental and emotional factors that are experienced often overlap. The very nature of BPD is a collection of problems that display together…
- Co-morbid conditions in BPD may also affect the ability to act responsibly.
BPD is not a single issue. There is no single thing that you can point to and say, yep, that’s BPD. BPD is often referred to as a ‘catch-all’ personality disorder because there are so many influencing factors. Rather than the type of symptom, are the number of proliferative psychiatric or medical symptoms that are diagnostically relevant. These multiple psychiatric symptoms appear to manifest as numerous comorbid Axis I and II diagnoses.
Axis I: Clinical disorders, including major mental disorders, and learning disorders
<!--[if !supportLists]-->- <!--[endif]-->Axis II: Personality disorders and mental retardation (although developmental disorders, such as Autism, were coded on Axis II in the previous edition, these disorders are now included on Axis I)
Axis I disorders - Clinical ( Mental ) Disorders are used to various disorders or conditions, as well as noting other conditions that may be a focus of clinical attention. Clinical Disorders are identified into 14 categories, including: Disorders, Childhood Disorders, Cognitive Disorders, Dissociative Disorders, Eating Disorders, Factitious Disorders, Impulse Control Disorders, Mood Disorders, Psychotic Disorders, Sexual and Gender Identity Disorders, , Somatoform Disorders, and Substance-Related Disorders. Other conditions, known as Adjustment Disorders, may also be a focus of clinical attention include-Induced Movement Disorders, Relational Problems, Problems Related to Abuse or Neglect, Noncompliance with Treatment, Malingering, Adult Antisocial Behavior, Child or Adolescent Antisocial Behavior, Age-Related Cognitive Decline, Bereavement, Academic Problem, Occupational Problem, Identity Problem, Religious or Spiritual Problem, Acculturation Problem, and Phase of Life Problem.
Axis II disorders -
Antisocial Personality Disorder.
Avoidant Personality Disorder.
Borderline Personality Disorder.
Dependent Personality Disorder.
Histrionic Personality Disorder.
Narcissistic Personality Disorder.
Obsessive-Compulsive Personality Disorder.
Paranoid Personality Disorder.
Personality Disorder Not Otherwise Specified.
Schizoid Personality Disorder.
Schizotypal Personality Disorder.
I’ve mentioned co-morbid symptoms before as I have a metric butt-ton of these: Clinical Depression, General Anxiety Disorder, Eating Disorder (Bulimia), Dissociative Disorder, Sleep disturbance, Sexual/Gender Identification ‘issues’ (I don’t find this to be an issue at all), and possibly substance abuse problems (alcohol). Not to mention the obvious DSM criteria that qualify me for the Axis II Borderline Personality diagnosis.
When there are so many issues, so many overwhelming features to BPD it’s not at all surprising that it’s difficult for someone with BPD to act responsibly. It’s a lot to keep in mind, a lot to try to reign in. These are not issues that can be flipped on and off like a light switch, easily kept in check. You don’t get to choose when your emotions affect you, or how they affect you. And this CAN happen at the flip of a trigger in almost any situation. All of these things contribute to what makes BPD so difficult to control, and that lack of control comes out when we don’t want it to.