Al... I did notice that you misspell words like behavior and honor... you have a tic that makes you spell them "behaviour and honour".
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So... Happy Eastour.
As far as calling you "Al"... that's because I have a touch of damage to my brain, too. I was Googling my way to learning about memory, and discovered that names are stored in the tip of a person's left temporal lobe. I've always been bad with names, so mine must be damaged. I see that in a similar way to the hippo thing... I don't know if my problem is congenital or happened while playing sports as a kid... all I know is that I have it.
A friend of mine recently asked me how I refer to her, and pointed out to me that I usually pair WHAT a person is, with WHO they are... like "Bob the painter", "Jill the doctor", etc. I guess that's my coping skill to remember a name that I otherwise would forget.
So when I call you "Al"... it's because I can't remember your entire name.
For anyone who's interested, you might want to Google some memory stuff yourself. I've read that people with PDs "procedural" memory is unaffected... they never forget how to ride a bike, make love, cook, behave as the life of the party, etc. Realistically, there's only one way to ride a bike, so procedural memory seems to be a "black or white" memory to me... and that might explain a lot of the "black or white" thinking that PDs have, eh?
"Declarative" memory is broken down into "semantic" memory... the ability to remember names, definitions, grammatical syntax, etc. (Al appears to have intact semantic memory)... and "episodic" memory, which pairs an emotional memory with the episode that created it, like how you felt when you first kissed someone, how you felt when your boss hollered at you, etc.
My two cents (cute, eh?) on that, is that PDs have a problem with their episodic memory. A guy can be in bed with someone, squeeze her belly and affectionately say something like "I really love your baby fat"... and the lady's episodic memory might remember that as "He called me a lardass". As a "non", I've experienced that more than once....
I don't know much about DBT, although I did exchange one email with Marsha Linehan... she's a very nice person. But I think Linehan's forte is that she's been able to provide a "translator language" for people with PDs to cope with an off-kilter episodic memory, by translating it into a procedural memory... thereby allowing them to use the part of their memory that's unaffected.
(I'm a bit in left field with DBT... don't shoot me if this is wrong) I think the first dialectic is "There's nothing wrong with me; but I need to improve myself." That appears to be a contradictory statement; but in a "black or white" world, it actually becomes a "black AND white" procedure that procedural memory is able to handle. Most abstract thoughts are black AND white, so DBT seems to be a coping skill to create an abstract thought within someone's procedural black OR white memory.
I see it a bit as the way that I might call you guys (don't be offended) "Al the HPD", "Kontroller the fighter", or "Jamo the husband". I can't remember a name for it's own, so I pair it with something... maybe I'm translating my defective name memory into my procedural memory with a "name AND description"... creating a black AND white memory. My own form of DBT?
Jamo... thanks for the "hello", and the compliment that my stuff is "on the ball". It won't always be, and I hope nobody shoots me if something I say is "off" the ball.
The information is out there... or more accurately, the information is being discovered daily... a lot of books are going to be rewritten, courtesy of the new brain scanning stuff. I'll admit that a lot of what I might write will include my own conclusions; but I don't think anyone has the right guess yet, so we can all add our own and hope it's correct.
Like, I don't recall seeing any brain scan research on people with HPD... but I think it's reasonable to apply the information from BPD scans to other PDs. DSM-4 is often criticized for trying to categorize disorders too specifically... I think that's true; but I also think the categories aren't a bad thing, as long as they're kept in perspective.
My view is that all the Cluster B categories are fundamentally a problem with emotion regulation. That can be broken down further; but if I compare it to, say, someone with a herniated disk in their back... that too can be broken down further (sciatica, numbness, limping, pain); but that fundamentally ALL herniated disk patients share the same recognizable cause, although their symptoms will very slightly.
My own Unified Theory of PDs is that there MUST be a biological cause. My ex-BPD and ex-HPD don't keep repeating the same self-defeating mistakes in relationships because their diapers weren't changed promptly when they were babies. That would be like saying that you're limping today because you fell down in 2nd grade. PDs persist... just like bad backs persist... and we don't have a problem searching for a biological cause, like a herniated disk, for the cause of persistent back pain... why do we hesitate to accept a biological cause for persistant psychological pain?
I believe that new brain scanning technology is finally finding the biological cause for psychological pain.
And that's a great thing. Prior to X-Rays, the only thing a doctor could tell someone with a herniated disk was that they had "lumbago"; and then the person lived their lives in pain. They can't cure what they can't see. Once they could see it, they could heal it.
Remember Depression a couple of decades ago? All the psych docs could do was tell someone to think cheerful thoughts, eat an icecream, or "get over it". Using old brain scanning and blood tests for stuff like serotonin, they pretty much got lucky and stumbled onto some drugs that work to treat Depression.
So Depression used to be treated like PDs... "get over it".
Now Mike Wallace (60 Minutes) does TV commercials telling people that they can be successfully treated for it... the same way he is.
It's reasonable to believe that PD treatment will follow in those footsteps, and brain scanning seems to be opening lots of new doors for that to happen.
Kontroller... interesting bit about NPD perfection... I hadn't thought of that; but you're probably right on the money. I think it jives with my single cause, multiple symptom view of PDs. Ever notice that sometimes a cold makes your nose run, and other times it makes your nose get stuffed up? Maybe sometimes an off-kilter limbic system produces people who don't spell well... and other times it produces people who can win Spelling Bees.
Other than that, Happy Easter to everyone (I don't stand a chance of typing everyone's name that I've read here).
Or... if you talk funny... Happy Eastour.
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