76. Treating the Pathological Female: Why the Current Model Fails

76. Treating the Pathological Female: Why the Current Model Fails

Most treatments for Borderline Personality Disorder focus on emotional dysregulation. The goal is to reduce distress, self-harm, anxiety, and crises. But that misses the mark.

In this episode, I argue that modern psychiatry has adopted a model of Borderline Personality Disorder that is incomplete. By focusing almost exclusively on suffering, it neglects the maladaptive strategies harm others.

I also examine the striking contrast between how psychiatry approaches Borderline Personality Disorder—predominantly diagnosed in women—and Antisocial Personality Disorder, diagnosed predominantly in men. Why do we define one disorder primarily by the patient's suffering and the other by the harm inflicted on others? And what has this double standard done to treatment?

In the second half of the episode I outline what I believe a more realistic treatment model would look like.

If you've ever wondered why Borderline Personality Disorder remains so difficult to treat, this episode offers a very different way of thinking about the problem.

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Episoder(85)

#73. Psychopath or Sociopath? Reacting to Dr. Ramani and Her Anti-Male Bias

#73. Psychopath or Sociopath? Reacting to Dr. Ramani and Her Anti-Male Bias

What is the real difference between a psychopath, a sociopath, and antisocial personality disorder? In this episode, I respond to Dr. Ramani's claim that "psychopaths are born and sociopaths are made"...

11 Jun 18min

#74. How to Recognize Female Narcissism

#74. How to Recognize Female Narcissism

In this episode, I break down the red flags of narcissism in women and why female narcissism is often much harder to recognize than male narcissism. Women are taught from very early on to speak the la...

11 Jun 23min

#75. Does Motherhood Make Women Sick?

#75. Does Motherhood Make Women Sick?

Postpartum depression is real, and in some cases it can be severe and even dangerous. Mothers who are struggling deserve compassion, support, and proper care. But what happens when a normal, difficult...

11 Jun 14min

#72. Is Feminism an Intrasexual Competitive Strategy? | Dr Dani Sulikowski

#72. Is Feminism an Intrasexual Competitive Strategy? | Dr Dani Sulikowski

Is feminism really a movement for equality or could it be something else entirely? Evolutionary psychologist Dr Dani Sulikowski joins me to discuss if feminism may be best understood as a form of intr...

4 Jun 1h 4min

#71. The 3 Mechanisms Behind Female Grievance

#71. The 3 Mechanisms Behind Female Grievance

In this episode, I look at the mechanisms behind female grievance culture: externalizing blame, turning victimhood into identity, and rewarding antagonism through therapy-speak and social media. I arg...

1 Jun 18min

#70. How Feminism Changed Women's Psychological Makeup

#70. How Feminism Changed Women's Psychological Makeup

For decades, feminist literature has claimed that feminist identification is associated with better psychological well-being in women. But what exactly was being measured and did those measures tell u...

25 Mai 20min

#69. Preventing the Pathological Female and the Role Feminism Played

#69. Preventing the Pathological Female and the Role Feminism Played

Prevention matters because once these patterns are learned, they are extremely difficult to undo. I am not convinced we can confidently call them curable. This is a practical look at what could make a...

17 Mai 33min

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