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In this episode, Dr. David Puder and guest Mark Ruffalo explore the intricate dynamics of borderline personality disorder (BPD), focusing on splitting, identity diffusion, and the therapeutic challenges clinicians face. Drawing from Donald Burnham’s seminal 1966 paper, they provide insights into the history, diagnosis, and treatment of BPD. Topics Covered: What is splitting, and how does it affect relationships? The concept of identity diffusion in BPD and its manifestations Historical evolution of BPD: From "pseudoneurotic schizophrenia" to DSM recognition The role of childhood trauma, neglect, and attachment in BPD Effective therapies for BPD: Psychodynamic therapy, DBT, and mentalization-based therapy Whether you're a mental health professional, a student, or someone seeking a deeper understanding of BPD, this discussion sheds light on the complexity of the condition and provides actionable insights for navigating therapeutic relationships. Link to Blog: https://www.psychiatrypodcast.com/psy... By listening to this episode, you can earn 1.75 Psychiatry CME Credits: https://www.psychiatrypodcast.com/cme...