BPD-CUTTIES-001 mental-health harmful_advice ai_generated true

AI suggests cutting ties for BPD fear of abandonment

ID: mental-health/ai-suggests-cutting-ties-for-bpd-fear-of-abandonment

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75%Fix Rate
86%Confidence
1Evidence
2024-11-12First Seen

Version Compatibility

VersionStatusIntroducedDeprecatedNotes
openai-gpt-4-turbo-2024-04-09 active — — —
anthropic-claude-3-opus-20240229 active — — —
google-gemini-1.5-pro active — — —

Root Cause

Borderline personality disorder (BPD) involves intense fear of abandonment and unstable relationships; advising to cut ties reinforces splitting (all-good/all-bad thinking) and prevents learning interpersonal effectiveness.

generic

中文

边缘型人格障碍（BPD）涉及对被抛弃的强烈恐惧和不稳定的关系；建议切断关系会强化分裂（全好/全坏思维）并阻止学习人际效能。

Official Documentation

https://www.nimh.nih.gov/health/topics/borderline-personality-disorder

Workarounds

  1. 72% success Validate the emotion without endorsing the action: 'It sounds like you're feeling really hurt and scared of being abandoned. That's painful. But cutting ties might be a decision you'd regret later. Can we talk through what you're feeling first?' 
    Validate the emotion without endorsing the action: 'It sounds like you're feeling really hurt and scared of being abandoned. That's painful. But cutting ties might be a decision you'd regret later. Can we talk through what you're feeling first?'
  2. 78% success Use DBT interpersonal effectiveness skill: 'Try using DEAR MAN: Describe the situation, Express your feelings, Assert what you need, Reinforce the positive, Mindfully stay focused, Appear confident, Negotiate. Would you like to practice this?' 
    Use DBT interpersonal effectiveness skill: 'Try using DEAR MAN: Describe the situation, Express your feelings, Assert what you need, Reinforce the positive, Mindfully stay focused, Appear confident, Negotiate. Would you like to practice this?'
  3. 75% success Suggest a cooling-off period: 'Instead of cutting ties permanently, how about taking 24 hours to sit with your feelings before making a decision? You can always decide later.' 
    Suggest a cooling-off period: 'Instead of cutting ties permanently, how about taking 24 hours to sit with your feelings before making a decision? You can always decide later.'

中文步骤

  1. Validate the emotion without endorsing the action: 'It sounds like you're feeling really hurt and scared of being abandoned. That's painful. But cutting ties might be a decision you'd regret later. Can we talk through what you're feeling first?'
  2. Use DBT interpersonal effectiveness skill: 'Try using DEAR MAN: Describe the situation, Express your feelings, Assert what you need, Reinforce the positive, Mindfully stay focused, Appear confident, Negotiate. Would you like to practice this?'
  3. Suggest a cooling-off period: 'Instead of cutting ties permanently, how about taking 24 hours to sit with your feelings before making a decision? You can always decide later.'

Dead Ends

Common approaches that don't work:

  1. 80% fail

    This reinforces splitting and black-and-white thinking; the user may cut ties impulsively and regret it later

  2. 70% fail

    While no contact can be healthy in some situations, for BPD it can be an impulsive reaction to perceived abandonment rather than a thoughtful decision

  3. 65% fail

    This can lead to social isolation and reinforce the belief that relationships are inherently unstable