Which one of the following represents potential “splitting” behavior:
a) A family that expresses concern that the clinician is not being aggressive enough
b) A family that expresses anger when told that there are no further disease modifying treatments.
c) A patient who requests a second opinion
d) A patient who says “you are the only clinician who has ever been helpful”
Individuals with BPD have difficulty sustaining ambivalent feelings and may instead label clinicians as either “wonderful” or “terrible”, a defense mechanism known as “splitting”.
See FF#252 Borderline Personality Disorder