Therapy Chat

349: Borderline Personality Disorder + Developmental Trauma with Dr. Janina Fisher

24 snips
Sep 23, 2022
Dr. Janina Fisher explores the link between complex trauma and Borderline Personality Disorder, highlighting trauma treatment strategies like TIST. She advocates for a compassionate approach towards trauma, emphasizing the importance of self-acceptance and integration for healing. The podcast also discusses the impact of COVID-19 on children and online training collaboration, offering resources for accessing Dr. Fisher's books and trainings.
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ANECDOTE

State Hospital Work

  • Dr. Fisher was hired by state hospitals to help patients diagnosed with Borderline Personality Disorder who weren't responding to traditional treatments.
  • These hospitals were a last resort for chronically suicidal and self-harming patients, many of whom had extensive trauma histories.
INSIGHT

Self-Destructive Behavior

  • Dr. Fisher theorized that self-destructive behaviors in trauma survivors are trauma responses, not a personality disorder.
  • She viewed these behaviors as a fragmented self at war with itself, driven by a fight response misdirected inwards.
ANECDOTE

Parts Work Success

  • Dr. Fisher used a structural dissociation model, teaching clients to see their impulses as "parts."
  • Clients quickly grasped this concept, recognizing their internal struggles as separate parts instead of a flawed self.
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