Ep 17: BPD Part 5: Quiet Borderline: A Closer Look at Subtypes

Ep 17: BPD Part 5: Quiet Borderline: A Closer Look at Subtypes

Author: Dr. Rebecca Houvener, Psy.D. LCP December 17, 2024 Duration: 37:04
In this episode of the Personality Couch Podcast, we continue to explore the complexities of Borderline Personality Disorder (BPD), particularly focusing on the lesser-known subtype: Quiet BPD. We delve into the historical origins of the term 'borderline,' discuss the various subtypes of BPD, and highlight the differences between Quiet and Noisy BPD. The conversation also touches on the lack of recent empirical research on Quiet BPD and the cultural emergence of the term. We further emphasize the importance of understanding the internal versus external presentations of BPD symptoms and the implications for treatment. The discussion emphasizes the importance of recognizing the different types of BPD and the need for nuanced understanding in both clinical practice and societal perceptions. Chapters 00:00 BPD Name and Subtypes in History04:32 As-If Patients and Quiet BPD Connection11:09 Quiet BPD and Millon’s Discouraged Type14:44 Current Research on BPD Subtypes   15:52 Internalizing BPD   20:24 Externalizing BPD   25:42 Mixed-Ambivalent BPD31:30 Quiet BPD Today and Subtype Importance34:10 Summary and Closing References Cohen, C. P., & Sherwood, V. R. (1991). Becoming a constant object in psychotherapy with the borderline patient. Jason Aronson. Deutsch, H. (1942). Some forms of emotional disturbance and their relationship to schizophrenia. The Psychoanalytic Quarterly, 11(3), 301-321. https://doi.org/10.1002/j.2167-4086.2007.tb00257.x Gunderson, M. D. (2010). Revising the borderline diagnosis for DSM-V: An alternative proposal. Journal of Personality Disorders, 24, 694–708. Johnston, J. (2010). Being disturbed: Integration and disintegration in the patient and professional relationship. Psychoanalytic Psychotherapy, 24(3), 231-251. https://doi.org/10.1080/02668734.2010.502306 Millon, T. (2011). Disorders of personality: Introducing a DSM / ICD spectrum from normal to abnormal (3rd edition). John Wiley & Sons, Inc. Rosse, I. C. (1890). Clinical evidences of borderland insanity. The Journal of Nervous and Mental Disease, 15(10), 669-683. Sherwood, V. R., & Cohen, C. P. (1994). Psychotherapy of the quiet borderline patient: The as-if personality revisited. Jason Aronson. Stern, A. (1938). Borderline group of neuroses. The Psychoanalytic Quarterly, 7, 467–489. Wolf, K., Scharoba, J., Noack, R., Keller, A., & Weidner, K. (2023). Subtypes of borderline personality disorder in a day-clinic setting—Clinical and therapeutic differences. Personality Disorders: Theory, Research, and Treatment, 14(5), 555–566. https://doi.org/10.1037/per0000624

On the Personality Couch podcast, the subtle and often confusing tensions that shape our daily lives are brought into focus. Hosted by clinical psychologists Dr. Rebecca Houvener (“Doc Bok”) and Dr. Cheyenne Fisher (“Doc Fish”), this conversation moves beyond abstract theory to examine the real-world friction we navigate. Every other week, they take apart those puzzling interactions-the off-kilter feeling with a relative, the unexpected clash with a colleague-and trace them back to their roots in personality structure. Their dialogue is a practical exploration, offering listeners a framework to understand not just others, but their own reactions and patterns. You’ll hear detailed breakdowns of complex relational dynamics, all discussed with the clarity and nuance that comes from clinical expertise. The aim is to provide actionable insight, transforming confusion into comprehension. This isn’t about labeling people; it’s about deciphering the hidden language of human behavior that operates in our friendships, families, workplaces, and broader culture. By tuning in, you gain a shared vocabulary for the unspoken, making sense of the conflicts we all face but don’t always know how to address. The podcast serves as a guide for anyone looking to improve their connections and their own self-awareness, one conversation at a time.
Author: Language: English Episodes: 56

Personality Couch
Podcast Episodes
Ep 55: The Dark Schizoid  | When Detachment Turns Psychopathic [not-audio_url] [/not-audio_url]

Duration: 40:00
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the complex interplay between antisocial and schizoid personalities, highlighting their similarities, d…
Ep 53: Antisocial Personality vs Psychopathy | What's the Difference? [not-audio_url] [/not-audio_url]

Duration: 28:24
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) explore the complex distinctions between antisocial personality and psychopathy, delving into historical termin…
Ep 52: The 6 Antisocial Subtypes [not-audio_url] [/not-audio_url]

Duration: 44:46
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack the passive-parasitic and aggressive subtypes from history before jumping into Dr. Theodore Millon’s 6 s…
Ep 51: A New Psychoanalysis of Antisocial Personality Disorder [not-audio_url] [/not-audio_url]

Duration: 31:59
🎬In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) dive deep into the complex inner world of antisocial personality disorder, challenging the traditional DSM view…
Ep 50: Antisocial Personality: Everything I Learned is Wrong [not-audio_url] [/not-audio_url]

Duration: 41:58
In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack some of our difficulties understanding antisocial personality disorder in how it combines psychology, mor…
Ep 48: The 4 Attachment Styles and Avoidant Personality [not-audio_url] [/not-audio_url]

Duration: 23:28
In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack attachment and its relationship with avoidant personality disorder. We explore the four main attachment s…
Ep 47: Avoidant Personality | The 6 Subtypes [not-audio_url] [/not-audio_url]

Duration: 27:19
In this episode of the Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) dive into Avoidant Personality Disorder, exploring Dr. Theodore Millon's six subtypes. We discuss a few interest…