I wonder how cognitive rigidity play out in BPD and whether there are differences in how we define and assess different cognitive patterns? Especially “The idea that the answer is neither right nor wrong is difficult for the BPD patient to grasp”. What is the difference between the difficulty of “switching between thinking about two concepts” vs. "difficulty of thinking about two concepts simultaneously” in BPD patients? I wonder if there are any differences in these two cognitive patterns in BPD patients as well as across different psychopathology?
“Switching between thinking about two concepts" this sounds to me more like a OCD thing and the other variant more like a cognitive disturbance.
Unless stabilized, they are too emotionally intense and labile to process cognitively especially about and in relationships. They display the splitting defense and intense abandonment distress. Pertinent ? tho.
Rich
A very interesting question! Individuals suffering from BPD are "[unstable] in interpersonal relationships, self-image, and affects, and [are with] marked impulsivity..." (American Psychiatric Association, 2013). The rigid, black-and-white/all-or-none thinking and the extreme idealization and devaluation appear to be fueled by emotional dysregulation, impulsivity, and issues in self-image.
These resources may interest you:
http://breakawaymhe.com/thought-patterns-need-adjustment-bpd-step-3-slide-set-1/
https://www.mentalhelp.net/personality-disorders/defining-features-distorted-thinking-patterns/
https://mentalhealthgateway.org/topics-resources/borderline-personality-disorder/
https://www.verywellmind.com/borderline-personality-and-problems-in-thinking-425473
https://www.health.harvard.edu/a_to_z/borderline-personality-disorder-a-to-z
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