76. Why Therapy Protects the Pathological Female

Podcast: Psychobabble · Hannah Spier, MD

Opublikowano: 2026-06-25

Most treatments for Borderline Personality Disorder focus on emotional dysregulation. The goal is to reduce distress, self-harm, anxiety, and crises. But that misses the mark. In this episode, I argue that modern psychiatry has adopted a model of Borderline Personality Disorder that is incomplete. By focusing almost exclusively on suffering, it neglects the maladaptive strategies harm others. I also examine the striking contrast between how psychiatry approaches Borderline Personality Disorder—predominantly diagnosed in women—and Antisocial Personality Disorder, diagnosed predominantly in men. Why do we define one disorder primarily by the patient's suffering and the othe...