Josh Clark

That's another clue that some people point to, that it's not, we're mistaking it somehow.

And I don't want to, like, overstate that school of thought.

It is widely considered...

like an accepted diagnosis, borderline personality disorder is.

So I don't want to make it seem like the cracks are in the facade, it's about a cromal any day now.

My point is people make some pretty good points about how well we understand it or how well we're defining it and we're possibly missing some component of it.

Yes.

Yeah.

No, I think that's exactly right.

But I mean, again, if we come to this place where even if a BPD is the center of a giant Venn diagram of a bunch of different disorders, and we're mistaking that center overlap of all of them as its own thing,

If you zero in on that group and they have a 50 times higher rate of suicide than the general population, again, that is worth zeroing in on, you know, as its own thing.

And like you said, dialectical behavior therapy is focused initially on individual sessions that are aimed to control that behavior suicidality.

Yeah, so they were either neglected or just kind of...

Saddled with emotionally unavailable parents who just weren't really there for them, didn't go to their dance recital kind of thing.

Never went to a single one.

Excessive control.

It sounds very Freudian, but I saw one classic example is an absent father and a domineering mother.

And it's like, how many times have you guys trotted that one out?

But apparently it really does have a screwy effect on people as a kid.

And then also if your parents or parent had a mood disorder themselves or misused substances, that would probably have affected their parenting as well.