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[Suicidal behavior and borderline states in adolescence. Thoughts on a dependence problem]
1Service de psychiatrie de l'adolescent et du jeune adulte, Institut mutualiste Montsouris, Paris.
La Revue Du Praticien
|March 2, 1999
Summary
Suicidal behavior in borderline personality disorder may stem from a breakdown in family relationships, reflecting a desire for rebirth rather than death. This self-destruction can be a way for adolescents to cope with alienation.
Area of Science:
- Psychology
- Psychiatry
- Psychoanalysis
Context:
- Borderline personality disorder (BPD) is characterized by emotional instability and relationship difficulties.
- Suicidal behavior is a significant concern in individuals with BPD.
- Adolescent self-destruction is often linked to complex psychological factors.
Purpose:
- To explore the underlying psychological mechanisms of suicidal behavior in borderline patients.
- To understand the role of filiation and parental relationships in adolescent self-destruction.
- To investigate the concept of 'rebirth' as a driving force behind self-destructive acts.
Summary:
- Suicidal behavior in borderline patients may represent a disruption in the parent-child relationship (filiation).
- This behavior can be linked to unmet or conflicted parental desires, leading to a lack of investment.
- The self-destruction is interpreted not as a wish for death, but as a desperate attempt to achieve psychological rebirth and overcome filial alienation.
Impact:
- Provides a novel psychoanalytic perspective on suicidal behavior in BPD.
- Highlights the importance of addressing family dynamics and parental relationships in treating adolescent self-harm.
- Offers a framework for understanding self-destructive acts as a complex process of transformation rather than mere annihilation.