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Lost in the Mirror: An Inside Look at Borderline Personality Disorder
 
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Lost in the Mirror: An Inside Look at Borderline Personality Disorder [Format Kindle]

Richard Moskovitz

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Persons with borderline personality disorder (BPD) have often been abused physically, psychologically, or sexually; most are women. Moskovitz describes variations of the condition and how it affects patient, family, and friends. The sufferer may experience guilt, self-hate, suicide, self-mutilation, and other symptoms and signs, and Moskovitz provides several patient histories to bring BPD to life. No case is more considerable than that of Sara, which Moskovitz parcels out in segments at the ends of chapters--a tactic that first seems artificial and confusing but cumulatively makes a greater impression than it would if presented whole. Moskovitz is especially adept with analogies, using everyday situations to clarify his points rather than just adorn the text. He imparts that while there is no drug just for BPD, some drugs help with specific symptoms, and he dispenses practical advice to family and professionals as well as patients. William Beatty

Présentation de l'éditeur

Borderline personality disorder accounts for almost 25 percent of psychiatric hospitalizations in this country. Lost in the Mirror takes readers behind the erratic behavior of this puzzling disorder, examining its underlying causes and revealing the unimaginable pain and fear beneath its surface.

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Coming of age in the days of the Beatles, John F Kennedy, and Martin Luther King, a youthful sense of purity and immortality collided with a growing awareness that life can turn in the instant it takes for a bullet to leave a gun's muzzle and extinguish something cherished and good. An awareness that trauma shatters spirits as well as bodies led to a quest to help make sense of tragedy and to weave trauma and loss into an ever strengthening fabric of identity.

Nearly four decades as a psychiatrist has brought reminder after reminder of life's uncertainty and provided countless opportunities to bear witness to others' pain and to the remarkable capacity of the human spirit to emerge renewed from unfathomable misery. Out of this experience came a special interest in helping those least able to sustain the buffeting to recover their resilience, and a related interest in understanding how we remember and how the narrative of memory influences present day emotion.

My understanding of Borderline Personality Disorder grew out of my early experience as an inpatient psychiatrist working with those who had reached particularly desperate crossroads in their lives. LOST IN THE MIRROR: AN INSIDE LOOK AT BORDERLINE PERSONALITY DISORDER was written to provide these sufferers a model of what was happening to them that could help them find their way from chaos to serenity.

Accompanying others as they journeyed through their personal histories made clear to me that the retrieval and remodeling of memories made objective accounts of the past impossible and that the narratives that resulted must be taken as stories designed to make sense of experience. Each time a story is told, it changes a bit. And as the narrative is filtered through the therapeutic relationship, there are opportunities to mold it in ways that can heal. The ability of a therapist to influence how experience is remembered can be powerful and carries with it considerable responsibility to do no harm.

CAROUSEL MUSIC integrated my understanding of the complexities of remembering within the context of the narrative of therapy. While framed as an entertaining novel, it is also designed as a guide for therapists and patients to understanding the ambiguity of the personal narrative and finding ways to validate its essential elements. And it provides a balanced account of the controversy surrounding the validity of recovered memories that prevailed toward the close of the last century.

Now retired after 36 years as a trainee, teacher, and clinician in psychiatry, my attention turns to aging and mortality. Passing the Beatles' apocryphal 64, the beginning of the last chapter of life, brings with it the full realization of no longer being among the youngest adults on the planet and certainly not immortal. Bringing meaning to this stage of life is a different kind of challenge that can be particularly sweet if met successfully.

Aging also brings me back to musing about how memory works. Because of the span of our experience, the changes that have occurred in the narrative of our lives from the repeated retrieval of memories, and the changes that evolve in the capacity of our brains to process knowledge as we age, the lens through which we perceive our histories becomes clouded much as the lenses within our eyes. Some of us experience more clouding than others and we have not yet found the neurological equivalent of cataract surgery that can restore the clarity and color to our thoughts.

These concerns have fueled an interest in understanding the state of research in Alzheimer's and other neurodegenerative diseases and seeking ways to facilitate the prevention and cures of these diseases. They have also piqued my interest in exploring new themes in my writing as I take up pen again after a long intermission in my creative process.

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Amazon.com: 4.2 étoiles sur 5  57 commentaires
173 internautes sur 179 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 Fantastic, Gentle, Caring, and Informative 13 mai 2001
Par Patty E. Fleener - Publié sur Amazon.com
Format:Broché
I am the webowner of "Borderline Personality Disorder Today".

Finally I got a copy of Dr. Moskovitz's book "Lost in the Mirror," I sat down and cried shortly into the first chapter. It was the very first time that someone understood me and not only that, it was as if the author had his arm around me through the entire book.
Lost in the Mirror is so beautifully and gently written and it was also the first time that I realized that I was not miserable because I was a bad person which is what I had always thought.
The magic of "Lost in the Mirror" is the mixture of the tremendous clinical experience and knowledge the author has (he is up to date with the research), with his very gentle, warm and caring personality.
I have heard from many family members how helpful this book has been for them.
Dr. Moskovitz brings you right up to date with his second edition in regards to treatment. He discusses the latest about psychotropic medication, EMDR and DBT.
It is important to know that the BPD is treatable and that you can get better.
34 internautes sur 36 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 This Book Is a Gift to the World 8 avril 2003
Par Susan Rose Blauner - Publié sur Amazon.com
Format:Broché
I discovered LOST IN THE MIRROR three weeks ago. For the first time in my life I am reading someone else's words about borderline and exclaiming, 'Yes, that is what I've had to deal with all these years!' Had I known about this book in 1998, I might not have overdosed for the third time. After seventeen years of therapy I now live a healthy life. Still, LOST IN THE MIRROR has things to teach me. Through it, I'm developing a deeper understanding of how and why I respond and react to intimate relationships with all-or-nothing thinking. I am learning about dissociation. To anyone living with borderline personality disorder, and their families and friends, please know that there is a way out. LOST IN THE MIRROR can help you find it. ...
29 internautes sur 33 ont trouvé ce commentaire utile 
3.0 étoiles sur 5 Emotionally relieving - little practical application 12 avril 2001
Par Un client - Publié sur Amazon.com
Format:Broché
i'm only half-way through this book, but every time i pick it up i feel a tremendous sense of release. as someone who has been diagnosed with bpd i find this book very comforting, as the author is immeasurably kind in describing the borderline personality. as another reader has said, this book provides an excellent (though contrived and somewhat patronizing) overview of extreme bpd but does not address less-extreme, more functional forms of the illness. i would recommend this book for people who are suffering from bpd and are looking for a compassionate and soothing voice, though not for bpd's looking for practical behavior modifying skills and/or bpd's looking to start treatment.
15 internautes sur 16 ont trouvé ce commentaire utile 
5.0 étoiles sur 5 Incredible and sensitive INSIDE perspective on BPD 31 août 2007
Par Patrick D. Goonan - Publié sur Amazon.com
Format:Broché|Achat vérifié
I have a graduate education in psychology and biochemistry. I also have a deep interest in comparitive religion and "meaning making." In other words, I follow a multi-dimensional approach to understanding any phenomenon and I think this is necessary to capture the full depth of reality. This sets the context for my review.

I was very impressed by Lost in the Mirror and I couldn't put it down. It is a well-organized, thorough, balanced and sensitive approach to BPD as it is experienced from the inside. I think this inside perspective is particularly valuable to BPD sufferers and those that are close to them. It can help engender understanding, compassion and support as it helps loved ones make sense of the contradictory behavior, stormy emotions and other symptoms that accompany this disorder.

In some of the reviews below, Dr. Moskovitz is criticized for being overly empathetic for the BPD victim rather than the people on the receiving end of rage or acting out. I have been on the receiving end myself and I must say that I don't agree with this characterization. However, I have personally struggled with my own anger, confusion and feelings of disorientation.

The way I have made sense out of the above situation in my best moments is by trying to understand the inside perspective as it is presented in this book. I recognize at a deep level that both the BPD person is hurting and that others in their life are also hurting. I didn't get from reading Dr. Moskovitz that the person with this disorder is not responsible or completely off the hook, nor did I get a sense that he is bashing them for their behavior. It seemed like a balanced perspective to me.

There are two books that I think are "must haves" on BPD. One of them is this volume and the other is Sometimes I Act Crazy: Living with Borderline Personality Disorder. There are also many other great books on this topic, but these two together seem to give the most concise, thorough and deep treatment.

I particularly liked the way this book developed the topic and used just enough case history type content to bring the concepts alive. I also appreciated the powerful metaphors and great examples. Without sacrificing content, the author made a lot of difficult to understand material accessible to anyone. This is no easy feat with a disorder like BPD.

While I do admire this book very much, I also think it is important to have another perspective. I have found that with a topic like BPD, there are likely to be blindspots in any account. Therefore, I feel it's crucial to look at this terrain from as many perspectives as possible. Even with my psychological background, I must admit it was and is very difficult to get my arms fully around this complex disorder that causes so much suffering.

I wrote this review late at night partly because I feel this could be such a helpful book to so many people. I wanted to share with everyone who is seeking answers that this a unique and important contribution on this topic. I hope you find it as helpful as I did.
19 internautes sur 21 ont trouvé ce commentaire utile 
4.0 étoiles sur 5 good resource 24 avril 2003
Par fezabel - Publié sur Amazon.com
Format:Broché
I read this book after being 'officially' diagnosed with BPD. I found it extremely easy to read with short chapters and good examples of real people. I didn't like the rather simplistic approach to medications and treatment options and the assumption that recovery without a professional is impossible. I think a bit more about how to help oneself in recovery would have been very nice.
I recommend it for Borderlines as well as significant others and loved ones of Borderlines.
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