MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'borderline personality'. Sat, 03 Sep 2011 02:10:46 +0100 http://www.medworm.com/index.php?rid=5096829&cid=t_126868_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2FXaL4L-6si7E%2F NFL star Brandon Marshall has been making headlines this week after announcing that he has borderline personality disorder. The 27-year-old wide receiver for the Miami Dolphins, who received his diagnosis this past spring, told a press conference Sunday that he wants to be the ‘face’ of BPD. It’s about time somebody is. While depression, anxiety and bipolar disorder are well on their way to being better understood and even semi-accepted by the general public, BPD remains little-known and even less understood. For a long time, psychiatrists were even reluctant to take on BPD patients, and more reluctant to hand out the diagnosis (or at least uninformed enough about the disease not to recognize it). So…just what is BPD? It’s estimated that 2% of American adults ... Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=5096829 Tue, 02 Aug 2011 15:00:44 +0100 5096829 http://www.medworm.com/index.php?rid=4975941&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F06%2F28%2Fmarsha-linehan-what-is-dialectical-behavioral-therapy-dbt%2F Last week the New York Times ran a fascinating piece on Marsha Linehan, Professor of Psychology at the University of Washington and the original developer of Dialectical Behavioral Therapy (DBT), a modification of standard cognitive behavioral therapy (CBT), but including elements of acceptance and mindfulness. Her work has been designed specifically for people who harm themselves, for those diagnosed with borderline personality (BPT), and those who suffer from pervasive suicidal thoughts and/or attempts. For the first time in her life, the mental health expert disclosed her own story (that we also discussed on the blog yesterday), which involved hospitalization at the age of 17 that lasted longer than two years. Benedict Carey, author of the interview with Linehan, writes: No one knows h... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4975941 Tue, 28 Jun 2011 14:45:03 +0100 4975941 http://www.medworm.com/index.php?rid=4975944&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F06%2F27%2Fmarsha-linehan-acknowledges-her-own-struggle-with-borderline-personality-disorder%2F Dr. Marsha Linehan, long best known for her ground-breaking work with a new form of psychotherapy called dialectical behavior therapy (DBT), has let out her own personal secret — she has suffered from borderline personality disorder. In order to help reduce the prejudice surrounding this particular disorder — people labeled as borderline often are seen as attention-getting and always in crisis — Dr. Linehan told her story in public for the first time last week before an audience of friends, family and doctors at the Institute of Living, the Hartford clinic where she was first treated for extreme social withdrawal at age 17, according to The New York Times. At 17 in 1961, Linehan detailed how when she came to the clinic, she attacked herself habitually, cut her arms legs a... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4975944 Mon, 27 Jun 2011 12:12:20 +0100 4975944 http://www.medworm.com/index.php?rid=4968597&cid=t_126868_109_f&fid=38953&url=http%3A%2F%2Frileyjennifer.blogspot.com%2F2011%2F06%2Fwarm-temperatures-improve-feelings-of.html See also Heat Therapy.A 2008 study demonstrated that “Experiencing Physical Warmth Promotes Interpersonal Warmth.” The idea is based on the fact that both physical and psychological 'warmth' (friendliness, helpfulness, trustworthiness, empathy, ) can be visualised in the insula. In the first part of the study in which participants were asked to hold a hot or cold beverage and then rate personality traits as either warm or cold. While the findings of this experiment were significant they were not great and the experiment wasn't double-blind. The authors also reported significant findings for the second part of the study (which was double-blind). However, in this experiment participants, after holding a hot or cold pack, were asked to choose between a fruit drink or a gift certificate fo... Psych Scamp blogs http://www.medworm.com/rss/comments.php?id=4968597 Fri, 24 Jun 2011 22:09:00 +0100 4968597 http://www.medworm.com/index.php?rid=4653382&cid=t_126868_109_f&fid=34817&url=http%3A%2F%2Fshrinkwrapped.blogs.com%2Fblog%2F2011%2F03%2Fthe-borderline-personality-a-clinical-example.html [A slightly different version of this, with some additional material, was originally posted in April, 2007 as Retrospective Falsification.] In Borderline Personality Disorder: Early Development I described how the young child must integrate multiple images (self and object representations) into a coherent, unitary, relatively consistent and stable sense of himself and the important people (objects) in his life.  The person who suffers from Borderline Personality disorder has a greater than usual vulnerability to a regressive (re)splitting of his objects and himself when under stress.  A clinical example follows: Ms. S was an attractive, very bright young woman who entered into an intensive Psychotherapy to deal with issues related to her chronic insecurity and... ShrinkWrapped blogs http://www.medworm.com/rss/comments.php?id=4653382 Tue, 29 Mar 2011 15:34:00 +0100 4653382 http://www.medworm.com/index.php?rid=4615196&cid=t_126868_109_f&fid=34817&url=http%3A%2F%2Fshrinkwrapped.blogs.com%2Fblog%2F2011%2F03%2Fborderline-personality-disorder-early-development.html Borderline Personality is much talked about, quite complicated to live with and deal with, and often misunderstood.  In a series of posts I plan on discussing the genesis of BPD, its relevance to our personal lives as well as its utility as a model for understanding different cultures, and how the treatment approaches to BPD may offer clues to managing one's relationship to those with the Disorder and to oneself. Although different aspects of BPD were already being described as early as 1938 ( Helen Deutsch and the As-If personality) Margaret Mahler, more than anyone else, developed the framework  upon which BPD became comprehensible.  Mahler was one of the early pioneers in Psychoanalysis.  She had a particular interest in normal childhood developme... ShrinkWrapped blogs http://www.medworm.com/rss/comments.php?id=4615196 Mon, 21 Mar 2011 15:45:00 +0100 4615196 http://www.medworm.com/index.php?rid=4460006&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F02%2F10%2Fintroducing-adventures-of-a-bipolar-mom%2F I’m pleased to welcome you to Adventures of a Bipolar Mom with Beth Vandagriff. Beth is a 30-year-old wife and mother of 4 beautiful children. She was recently diagnosed with Ultra-Rapid Cycling Bipolar, Borderline Personality Disorder, PTSD, Anxiety and Paranoia. She joins us here to share her experiences with bipolar disorder and parenting — how it is to juggle all the demands of motherhood along with the demands of living with a combination of mental health concerns. Bipolar disorder, also known by its older name “manic depression,” is a mental disorder that is characterized by constantly changing moods. A person with bipolar disorder experiences alternating highs (what clinicians call “mania“) and lows (also known as depression). Both the manic and depressive periods can be... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4460006 Thu, 10 Feb 2011 17:11:04 +0100 4460006 http://www.medworm.com/index.php?rid=4298799&cid=t_126868_151_f&fid=36896&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSuboxoneTalkZone%2F%7E3%2F34N6zWX1nqw%2F The universal nature of addictive experience What I enjoy the most about having a presence on the internet is receiving comments from people from around the world.  The writers describe the same progression of symptoms that characterize opioid dependence, a disease that affects people from all cultures and socioeconomic groups. I often think about how surprised most ‘normal’ people would be to learn the true extent of what can only be described as an epidemic of opioid use.  Writers, stockbrokers, artists, businessmen, doctors, lawyers, factory workers, photographers, teachers, students, IT professionals, waitresses, realtors, landlords, welders, professors, home-makers, mothers and dads… I have patients with opioid dependence from all of these occupations in my practice alone... Suboxone Talk Zone blogs http://www.medworm.com/rss/comments.php?id=4298799 Thu, 30 Dec 2010 04:07:23 +0100 4298799 http://www.medworm.com/index.php?rid=4272361&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F12%2F19%2Fhelping-someone-with-borderline-personality-disorder%2F The following post is the Afterword of the newly released “Overcoming Borderline Personality Disorder” by Valerie Porr. I have reprinted it here with permission of Oxford University Press. There are so many misconceptions about this disorder today. A friend of mine, recently diagnosed with BPD, has helped me to understand her illness. I hope this piece further educates people who attach stigma where there should be none. Research shows us that 70 percent of people with Borderline Personality Disorder drop out of treatment. According to John Gunderson, medical director of the Center for the Treatment of Borderline Personality Disorder (BPD) at McLean Hospital, in Boston, Massachusetts, failure to involve the family as support for treatment of BPD makes patients’ involvemen... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4272361 Sun, 19 Dec 2010 14:55:17 +0100 4272361 http://www.medworm.com/index.php?rid=3808843&cid=t_126868_151_f&fid=35818&url=http%3A%2F%2Frecoveryissexy.com%2Fborderline-personality-disorder%2F The Essential Family Guide to Borderline Personality Disorder For family members of people with borderline personality disorder (BPD), home life is routinely unpredictable and frequently unbearable. Extreme mood swings, impulsive behaviors, and suicidal tendencies—common conduct among those who suffer from the disorder—leave family members feeling confused, hurt, and helpless. In her pioneering first book Stop Walking on Eggshells, co-authored with Paul T. Mason, Randi Kreger outlined the fundamental differences in the way that people with borderline personality disorder (BPD) relate to the world. Now, with The Essential Family Guide to Borderline Personality Disorder, she takes readers to the next level, giving them straightforward tools to get off the emotional roller coaster and rep... Recovery Is Sexy.com blogs http://www.medworm.com/rss/comments.php?id=3808843 Sat, 31 Jul 2010 18:43:00 +0100 3808843 http://www.medworm.com/index.php?rid=3432930&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F04%2F02%2Fintroducing-dialectical-behavior-therapy-understood%2F I’m pleased to introduce you to Dialectical Behavior Therapy Understood, a blog about DBT by Christy Matta. What the heck is dialectical behavior therapy (DBT), and why does it have such a weird name? DBT is a specific type of therapy invented in the early 1990s by Marsha Linehan, a psychologist at the University of Washington in Seattle, to treat borderline personality disorder. Its primary focus is providing a validating environment for someone with this disorder, and helping them view the therapist as an ally in growth and change. Linehan also recognized that people with borderline personality disorder often lacked certain skills that most of us learn intrinsically, which made their lives even more difficult. The skills are taught in four parts and include Mindfulness, Interpersonal e... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3432930 Fri, 02 Apr 2010 14:10:36 +0100 3432930 http://www.medworm.com/index.php?rid=3342703&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F03%2F08%2F5-tips-if-you-love-someone-with-mental-illness%2F The National Institutes of Mental Health reports that one in every four adults – approximately 57.7 million Americans – experience a mental health disorder in a given year. One in four, and that’s just the U.S.! And for every person in the world diagnosed with a mental disorder there is at least one, probably more, trying to help, cope and support that person any way they know how. Mental illness is often a family issue. Parents, siblings, spouses and extended family provide housing, care and support, emotional and financial, sometimes to the point of becoming proverbial case managers. It’s hard enough when the chronic illness is something everyone recognizes, like diabetes. It’s a whole other thing when the disease is a mental illness which is ripe for misunderstandi... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3342703 Mon, 08 Mar 2010 13:46:43 +0100 3342703 http://www.medworm.com/index.php?rid=2934794&cid=t_126868_109_f&fid=38953&url=http%3A%2F%2Frileyjennifer.blogspot.com%2F2009%2F10%2Fexternal-validation.html "Self-esteem is the greatest sickness known to man or woman because it's conditional."--Albert Ellis, Ph.D.If you google external validation, you come up with a lot of hits asserting it’s a bad thing. Or at the very least, it’s not as good as ‘self-esteem’. Nathaniel Branden, a psychotherapist who received his Ph.D in the 70’s, called external validation "pseudo self-esteem." He made the common argument of "true self-esteem" being derived from internal sources, such as self-responsibility and self-sufficiency. He defined true self-esteem as "...the experience of being competent to cope with the basic challenges of life and being worthy of happiness". (1)Yet external validation is something children need. Adults with mental health problems (most famously, borderline personality di... Psych Scamp blogs http://www.medworm.com/rss/comments.php?id=2934794 Wed, 28 Oct 2009 15:51:00 +0100 2934794 http://www.medworm.com/index.php?rid=2803985&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F09%2F17%2Fanother-treatment-for-borderline-personality-disorder%2F Borderline personality disorder is a mental disorder characterized by a longstanding pattern of instability in one’s relationships with others, with a person’s own image of themselves, and their own emotions. It’s marked by impulsivity and, like most personality disorders, usually begins in early adulthood (early 20s) and pervades every aspect of a person’s life. People with borderline personality disorder live tumultuous lives. Their romantic relationships rarely last more than a year, and their relationships with their own family tends to be unstable — some weeks they love them and want to spend all of their time with them, some weeks they hate them and won’t even talk to them (to extremes not usually experienced by the rest of us). Traditionally, the ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2803985 Thu, 17 Sep 2009 14:12:20 +0100 2803985 http://www.medworm.com/index.php?rid=2770135&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F09%2F06%2Fspotlight-on-borderline-personality-disorder%2F Borderline personality disorder, like dissociative identity disorder (which used to be called multiple personality disorder), is a disorder that has gained much attention since the advent of the Internet. Whether people with this disorder never sought each other out, or whether because of its characteristics, it seems the Internet has enabled people with borderline personality disorder (BPD) to find one another, share information, and gain support for the condition. The Los Angeles Times has a nice piece about what BPD is, what it’s not, some possible explanations for it, and the current treatment regimen used to help treat it (psychotherapy). People with borderline personality disorder are characterized by intense emotions, impulsive behaviors, and a fear of abandonment combined wit... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2770135 Sun, 06 Sep 2009 12:42:11 +0100 2770135 http://www.medworm.com/index.php?rid=2785997&cid=t_126868_109_f&fid=38950&url=http%3A%2F%2Fwww.shockmd.com%2F2009%2F09%2F05%2Fartwork-tales-of-a-borderline%2F Tales of a Borderline is an exhibition of artwork by artists with Borderline Personality Disorder (BPD). This disorder affects a persons emotions, causing emotional instability. For further information on BPD, see the ‘What is BPD?’ page. A few examples of their artwork. The four artists now have an exhibition in the beautiful Renaissance Castle of Hartheim situated close to Upper Austria’s capital city Linz. This castle has a long and troubled history. It was there that Hitler carried out large parts of his National Socialist Euthanasia project on people suffering from mental diseases. A new artistic programm called “KunstFormenHartheim” started in 2003. The main aim was to present outsider art produced at Hartheim in two newly refurbished gallery rooms in the neighbouring castl... Dr Shock MD PhD blogs http://www.medworm.com/rss/comments.php?id=2785997 Sat, 05 Sep 2009 07:03:50 +0100 2785997 http://www.medworm.com/index.php?rid=2786067&cid=t_126868_109_f&fid=38953&url=http%3A%2F%2Frileyjennifer.blogspot.com%2F2009%2F05%2Fborderline-personality-disorder.html In honour of May being Borderline Personality Disorder Awareness Month,The American Journal of Psychiatry has a few well written articles on the subject.In an editorial by Oldham, attention is brought to the amygdala (my favourite brain part) and brain structure and function affecting borderline patients.It is interesting that, although we now recognize the importance of heritable risk factorspredisposing a patient to develop borderline personality disorder, the evidence-basedcore treatment recommended for this disorder is psychotherapy, an interventionlong thought to change the mind but not necessarily the brain. Ironically, we also nowunderstand that intensive psychotherapy is a form of long-term learning and memory,which indeed changes the brain. Psychotherapy is thus, at least in part,... Psych Scamp blogs http://www.medworm.com/rss/comments.php?id=2786067 Thu, 07 May 2009 22:57:00 +0100 2786067 http://www.medworm.com/index.php?rid=2348539&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F04%2F18%2Fwhen-is-it-okay-to-hug-your-therapist%2F To hug or not to hug a client — that is the question that can haunt therapists. When a client is so distraught and you have no more words to offer, is physical contact a good idea? Glen O. Gabbard, M.D., Brown Foundation Chair of Psychoanalysis and professor of psychiatry at the Baylor College of Medicine in Houston, doesn’t seem to think so. In an April 2008 Psychiatric Times article, he talked about the trouble therapists can find themselves in if they do not follow American Psychological Association (APA) ethical and legal guidelines. Transference, in which therapy clients transfer feelings—positive or negative—for someone in their past to someone, such as a therapist, in their present—can help small transgressions, such as physical contact (including hugs) or... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2348539 Sat, 18 Apr 2009 12:00:13 +0100 2348539 http://www.medworm.com/index.php?rid=1980935&cid=t_126868_140_f&fid=35448&url=http%3A%2F%2Fseemedlikeagoodideathetime.com%2F2008%2F11%2F22%2Fbut-there-really-was-a-wolf-this-time%2F *Trigger warning* Suicide post. If you are feeling suicidal: Don’t read this post (it is not suicide friendly) Call 911 Don’t try to suck us or our readers into your drama On with the post: Second verse….same as the first. Person threatens suicide (on-line, over the phone, on web-cam etc…) It’s happened before, people wonder if this time….”rut-roh” person loses consciousness People scramble to [...] (Source: bipolar chicks blogging) bipolar chicks blogging blogs http://www.medworm.com/rss/comments.php?id=1980935 Sat, 22 Nov 2008 20:59:02 +0100 1980935 http://www.medworm.com/index.php?rid=2512977&cid=t_126868_140_f&fid=38154&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fpatienttimes%2F%7E3%2FEI0PFH2Xm2E%2F I used to write a column for Psychiatric Times, describing my experiences as a psychiatry resident.  I have decided to post a few of those articles on my blog.  Some are on the long side, and others are shorter;  some took more effort to write than others.  I tried to focus on my feelings as I learned to work with patients as a psychiatrist. The writing opportunity fell together in a nice way;  I was on my way to a meeting in Boston and Dr. Laura Roberts happened to be presenting at the meeting;  I tend to be intimidated easily and I was making nervous conversation with her, telling her about the unusual experiences I have had over the years (I used to be an anesthesiologist, for example).  I told her I would like to write about them, and she told me about a column at Psych Times th... Patient Times blogs http://www.medworm.com/rss/comments.php?id=2512977 Sun, 26 Oct 2008 23:05:06 +0100 2512977 http://www.medworm.com/index.php?rid=1894928&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F10%2F21%2Fblame-the-patient%2F When a patient or client isn’t doing better in psychotherapy, sometimes a therapist may fall back onto that old familiar refrain, “Well, the patient just isn’t doing the work. He’s to blame for his lack of progress in getting better.” Dr. Richard Friedman describes this strategy in a thoughtful article in yesterday’s New York Times. It’s not uncommon for a psychotherapist, when faced with a client who doesn’t seem to be improving after months (or even years) of therapy, to blame the patient. They aren’t trying. They’re not doing their homework. They don’t really want to get better. There’s a dozen different reasons a therapist will come up with depending upon the specific client. More often than not, though... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1894928 Tue, 21 Oct 2008 19:34:21 +0100 1894928 http://www.medworm.com/index.php?rid=1657465&cid=t_126868_151_f&fid=36896&url=http%3A%2F%2Fsuboxonetalkzone.com%2F2008%2F07%2F26%2Fthe-hole%2F A question from a suboxone user: I feel this big empty hole that I tried to fill with Opiates. Since on the Suboxone I’m not pulled towards the Opiates but I still have this hole that there is still a need to fill with something. It’s not there because I’m off the Opiates. It was there before the Opiates. They just happened to fill that hole to some degree. Does anyone know what I’m talking about or have the same experience? Thanks R. My Response: I understand what you are saying– at least I think I do. It is always hard to compare subjective experiences– for example, is my experience of ‘green’ the same as yours? But I do know that feeling of emptiness, darkness, loneliness, sadness, abandonment, despair… and like you, in my case it was present long b... Suboxone Talk Zone blogs http://www.medworm.com/rss/comments.php?id=1657465 Sat, 26 Jul 2008 21:20:09 +0100 1657465 http://www.medworm.com/index.php?rid=1344209&cid=t_126868_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2008%2F04%2F02%2Fwhy-do-therapists-stigmatize-people-with-borderline%2F It’s a cruel irony that people who have borderline personality disorder (BPD) will often have the most difficulty finding and getting proper treatment from mental health professionals. Because, unlike virtually every other mental disorder in the book, borderline personality disorder is seen as one of the worst of all disorders to try and treat. People with BPD are the most stigmatized amongst a population already burdened with heavy stigma, people with mental health concerns. Borderline personality disorder is characterized by a long-standing pattern of instability in interpersonal relationships, the person’s own self-image and their emotions. People with borderline personality disorder can also tend to be impulsive. Borderline personality disorder is a fairly rare concern in ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=1344209 Wed, 02 Apr 2008 13:23:20 +0100 1344209 http://www.medworm.com/index.php?rid=470605&cid=t_126868_109_f&fid=34745&url=http%3A%2F%2Fgandalwaven.typepad.com%2Fintheroom%2F2007%2F02%2Fmore_on_working.html A plug for this book, just out from one of my clinical colleagues in Sydney. Guidelines for the Management and Treatment of Borderline Personality Disorder.This is a very practical hands on book focussing on what to do and how to respond to this complex client group.  It promotes a strong  Linehan model (dialectical behaviour therapy).  The newer Transference Focussed and Schema Focussed don’t get much of a mention. It has good chapters on working with other health profession and managing risk.  I definitely recommend it. If you are in Australia or even if you are not in Australia and want to know about this book contact Julia Shearsby at Bankstown Mental Health. (Source: In the Room) In the Room blogs http://www.medworm.com/rss/comments.php?id=470605 Thu, 22 Feb 2007 00:57:38 +0100 470605 http://www.medworm.com/index.php?rid=470612&cid=t_126868_109_f&fid=34745&url=http%3A%2F%2Fgandalwaven.typepad.com%2Fintheroom%2F2007%2F01%2Fhow_many_of_you.html The latest Journal of Clinical Psychology (sadly no free access) has the whole journal devoted to exploring ideas around the internal multiplicity of the self. Basically this is the idea that the self has or consits of multiple parts, aspects, object or persons rather than that the self is some type of unitary concept.  Dimaggio and Stiles offer a very lucid and easy to udnerstand overview of this concept in the opening paper. Internal multiplicity is present, if not always acknowledged, in most systems of psychotherapy. It is expressed in such cognitive-behavioral concepts as automatic or intrusive thoughts and self-talk or self-statements. Self-criticism and self-blaming, for example, are forms of self-to-self relationships in which a harsh part of the self criticizes or blames a... In the Room blogs http://www.medworm.com/rss/comments.php?id=470612 Tue, 09 Jan 2007 00:29:09 +0100 470612