I’ve been reading again. This time I found two articles discussing sexual behavior in those with a Borderline Personality.
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Impulsivity is represented by: greater sexual preoccupation, earlier sexual exposure, more casual sexual relationships, a greater number of different sexual partners, promiscuity, and homosexual experiences.
In reading this article I was amused that they described patients as “suffering” from promiscuity. Really? Because getting laid a lot really sucks. I was also fairly angry that it stated “patients with BPD exhibit heightened sexual impulsivity as well as a vulnerability to homosexual experiences”. Vulnerability to homosexual experience? As if it’s a bad thing? This article was written by a close minded bigot as far as I’m concerned. Clearly I’m not heterosexual. Frankly, I’m more vulnerable in heterosexual relationships than I am in homosexual ones. This makes me really furious that there would be such anti-homosexual sentiment in a recent medical publication. It’s 2011 for fraks sake! I think what they meant was ‘being more open to homosexual experiences’.
The items for the current study relating to sexual impulsivity were as follows: 1) the Personality Disorder Questionnaires** item referring to casual sexual relationships: “I have done things on impulse that can get me into trouble…[such as] having sex [acts of a sexual nature] with people I hardly know”) and (2) Self Harm Inventory item 11: “Have you ever intentionally, or on purpose,…been promiscuous [i.e., had many sexual partners]?”.
Yes, and yes. Surprise. Now does having done these things mean you are one step closer to having a Borderline Personality Disorder? Not even close. Don’t forget you still need at least a couple more impulsive traits and 4 other DSM-IV diagnostic criteria. You may just enjoy sex. Congrats. More power to you.
Promiscuous: I certainly am. I don’t seem to manage casual sexual relationships though. I’ve had many that I intended to be as such, but they always seem to progress and evolve into something long term so they’ve never ended up being truly casual. Even my promiscuity involves being in relationships of a significant duration. Sooo, what? I’m not as slutty as the stigma would have you believe.
Anyways, through all the technical jargon and statistics in these articles the general conclusion was this: The prevalence of these behaviors was approximately doubled among those with Borderline symptomology. The data supports the concept that a substantial minority of patients with borderline personality disorder evidence casual sexual behavior as well as promiscuity and thereby supports the inclusion of this criterion in the assessment of Borderline Personality Disorder.
These studies only compared those with Borderline impulsivity to those without a borderline diagnosis. I’d be curious to see how this compared to other personality disorders or personality types that were marked by impulsive behavior.
When I found these articles I was expecting something more along the lines of explaining and understanding why this phenomena is greater in those with BPD. Instead they were more a clinical study to justify the diagnostic criterion. So next I think I want to: Look at the study that provides counter evidence. Understand the ‘why’ behind this kind of behavior.
Going from my own personal experience I’m not going to argue their findings. I can’t. I have no reason to. The whole point of this blog is to be honest about my journey through this disorder after all and frankly, I’m not really ashamed of anything I’ve done in this arena. Have I had a lot of partners? Compared to some, sure. Am I impulsive and promiscuous? Well, yes. Am I preoccupied by thoughts of sex? Definitely. Does that mean everyone with a Borderline Personality Disorder is? Not at all. However, now that we’ve determined that this is a valid diagnostic criteria, let’s look at why we crave this kind of attention. I know I have theories already.
My final question: How can two articles about BPD and sex be so bloody freaking boring. Yeesh.
** PDQ-R32 or PDQ- 48