Josh Clark

They suggested it should be dimensional, which means that it exists on a spectrum.

So you can have a little bit of BPD, a lot of BPD, or right in the middle or whatever.

And that got rejected.

And now, so it's a categorical diagnosis where if you don't have BPD, you don't have BPD if you don't fit the criteria.

If you do, you got BPD.

Yeah, the only thing missing was a visit from St.

Michael.

I don't know if that was a descriptor of hers or not.

There's a huge but that follows that, though.

But?

But I am going to do what I can to change those things about myself.

So that is the basis of a type of cognitive behavioral therapy that she came up with called dialectical behavioral therapy.

And it's based in radical acceptance and the desire to examine and change how you interact with the world externally.

And it's basically the gold standard for treating a borderline personality disorder right now.

Right.

It is great.

I mean, like, for as bad of a stigma as BPD has, the idea that, like, it has a very high success rate of treatment is pretty encouraging.

So, Linehan's basis of, or her understanding or her definition of borderline personality disorder is that it's biosocial.

That people who have BPD are either genetically or biologically predisposed to having BPD.

But not everybody who has that predisposition is going to be triggered into developing BPD.