hello this is dr. grande today's
question is what is quiet borderline
personality find this video to be
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won't miss anything new now we talked
about borderline personality sorter of
course we're talking about a person a
suitor in cluster B of the personalities
in the Diagnostic and Statistical Manual
the DSM and in this definition in the
DSM we do not see any subtypes so we
talked about quiet borderline we're not
talking about a formal term or subtype
and we're not even talking about a
construct that's technically supported
by research we don't really find a lot
of information about quiet borderline in
the research there are some other terms
that are used inside of quite borderline
and certainly the argument can be made
that they're similar
for example the discouraged type we see
in Milan's subtypes of where that person
is order is fairly similar to what most
people think of when they think of quiet
borderline personality but we don't have
a formal definition for this term quiet
borderline so what I'm going to use here
to describe quiet borderline is somewhat
from the research but also from my
experience in seeing a number of
clinical presentations of borderline
personality disorder so you could think
of the quiet borderline personality
disorder type if you will as running on
a few different Continuum's so the first
one would be obvious too subtle
I would think of quiet borderline
personality as having many more subtle
characteristics as opposed to obvious
characteristics another continuum you
could use here would be externalizing
over to internalizing I think of quiet
borderline personality order as really
having more internalizing components as
opposed to external izing components
there are also a number of other
associated characteristics that I view
as being more consistent with this idea
of quiet borderline personality than
what I'll refer to as regular or typical
borderline personality so some of these
traits include the traits we see with
dependent person is order and avoidant
personality or so dependent and of
weight and traits
I've already
mention this tendency to have
internalizing behavior as opposed to
external izing a decrease in the level
of assertiveness so when we look at
these characteristics we start to think
of Milan's
subtypes of board line person a sorter
in particular the discouraged subtype
however I would argue that the Milan
subtypes we don't line up with quiet
borderline personality sorter because of
the self-destructive type also having a
lot of overlap another characteristic
here would be an increased likelihood of
being misdiagnosed I'll talk about this
more in a moment I view this as kind of
a serious issue with quiet borderline
personality
some of the potential other diagnoses
that we might see instead of borderline
personality major depressive disorder
persistent depressive disorder other
person a disorders including dependent
and avoidant as I mentioned and anxiety
disorders other associated features of
acquired borderline personality could
also be shame and self-hatred so again
this connects back with that
self-destructive type we see in Milan
subtypes also I think of quite
borderline personality with less anger
less aggressiveness and a higher desire
to avoid conflict there are a number of
concerns in terms of treatment with
quiet borderline personality
that would overlap with regular or
typical borderline personality and some
that seem like they're more related to
quite borderline personality now if we
look at the concept of self-harm this is
an issue for all of borderline
personality order now in terms of the
potential for misdiagnosis this seems to
be more of a risk with the
characteristics we see associated with
quiet borderline personality
so we look at this term quiet borderline
personality order one of the questions
that I get sometimes around this is is
it important is really important to have
a separate designation particularly one
that doesn't really have any research
behind it I believe this construct this
theory is important missing the
diagnosis of borderline personality
order is a serious issue raising
awareness and increasing research
interest in quiet borderline person
could help with misdiagnosing also it
could help to inform treatment planning
even though this term quiet borderline
personality is informal right now I
think it does merit further research so
we can have a better understanding of
what this presentation looks like I hope
you found this description of quiet
borderline personality be interesting
thanks for watching