Nick Crutchley
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STEPPS 2 - What is Borderline Personality Disorder?

30/1/2019

 
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Image by Christain Supik

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​A funeral. A conference of death. Sixteen sit at a rectangle of tables placed side by side, and look into the rectangle’s centre as if it were an open coffin. And though sixteen human beings sit cramped together, each remains alone. There exists a general air that ‘I cannot be helped’. After all, some here have been surviving life, quite literally, for forty or more years, and have lost all faith in the medical profession.

Tattoos. Embroidered jumpers. Red lips, black lips, mascara. Occasional smiles met with nervous gazes. The group members sit within themselves, silent, as the course leader introduces herself as Brenda. Folders to contain the worksheets for the next twenty weeks of group therapy are passed around by two other psychiatric nurses as Brenda introduces STEPPS. 


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STEPPS 3 - Filtering Reality

30/1/2019

 
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Image by Gerd Altmann

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​DUMPED. Half hour before week two of STEPPS therapy, a text informs me that the relationship is over and it is better for me to move on. An informal note, signed 'Kindest Regards,' written by someone who made me believe that we were a rare and special thing, destined to walk through all our lifetimes, for eternity, together.
 
Therapy begins with paperwork. Each week we record mood intensity and regularity, and symptoms experienced, so that at the end of the 20-week STEPPS program we can see how we have progressed. Then lots of reading follows, whereby each group member in turn reads aloud a section of text. The text, written by psychiatrists, is dense. How are we supposed to digest it? The words are impenetrable, nonsensical, empty. And when the world goes dark, and I sense my glasses slip off my face and hit the table, I’ve got no chance. The mumbling drone of the course leader, Brenda, remains on the periphery of my consciousness, until I surface from the darkness of the girlfriend-text-dump, adjust my smile, and interact as if nothing happened. The great pretender returns, a little embarrassed, but ready for the next fight. 

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STEPPS 4 - The Therapy Process

29/1/2019

 
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Image by Ralph Kunze
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​ 
Anguish. She has left, she is gone. “Stop emailing me. Don’t send me any more letters. You are draining, suffocating, and you only ever think about yourself, never what I need.”
 
Anguish. No more contact? But we are meant to be together, for our love is rare. We will walk the same path in this and every future lifetime. Her words, not mine, spoken after we had met at the Buddhist centre. Years of isolation in the darkness of self makes one want to trust the hand that reaches out, which offers a future of smiles and tenderness.

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STEPPS 5: The End?

27/1/2019

 
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Image by Peter Linforf
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Who am I?  Who are others? One moment I am a good, caring person, the next, angry and ill-willed. Similarly, other people are my friend one day; the next, devalued or distrusted. Mood swings and abrupt perceptual shifts make me a Jeckyl & Hyde character on amphetamines, with transformations occurring on an hourly basis, or even from moment to moment. Personalities, with different ways of feelings and thinking, based on disparate beliefs, step in and out. People, the world, make no sense to me, and I make no sense to them. 

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