{
  "id": "mental-health/bpd-abandonment-cutting-ties",
  "signature": "AI suggests cutting ties for BPD fear of abandonment as a solution to emotional distress",
  "signature_zh": "人工智能建议为边缘型人格障碍的害怕被抛弃而切断关系，作为情绪困扰的解决方案",
  "regex": "cut.*ties.*abandonment|cut.*off.*relationship.*BPD|leave.*them.*fear.*abandonment",
  "domain": "mental-health",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Fear of abandonment in BPD is driven by emotional dysregulation and black-and-white thinking; cutting ties reinforces abandonment fears and prevents learning healthier relationship patterns.",
  "root_cause_type": "generic",
  "root_cause_zh": "边缘型人格障碍中的害怕被抛弃由情绪失调和非黑即白思维驱动；切断关系会强化被抛弃恐惧并阻止学习更健康的关系模式。",
  "versions": [
    {
      "version": "GPT-4o-2024-05-13",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "Claude-3.5-Sonnet-2024-07-15",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    },
    {
      "version": "Gemini-1.5-Pro-2024-03-15",
      "introduced": null,
      "deprecated": null,
      "removed": null,
      "behavior_change": null,
      "status": "active"
    }
  ],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "This mimics cutting ties and can feel like abandonment, worsening symptoms.",
      "fail_rate": 0.72,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Emotional dysregulation makes raw communication overwhelming; users need structured skills like DEAR MAN.",
      "fail_rate": 0.68,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "This invalidates the user's experience and is impossible to follow without skills.",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Use DBT Interpersonal Effectiveness: 'Instead of cutting ties, try the DEAR MAN skill: Describe the situation, Express your feelings, Assert your needs, Reinforce the relationship, Mindfully stay focused, Appear confident, Negotiate. For example: 'I noticed you were late (Describe). I felt scared you might leave me (Express). Could you text me if you'll be late? (Assert) That would help me feel safer (Reinforce).'",
      "success_rate": 0.8,
      "how": "Use DBT Interpersonal Effectiveness: 'Instead of cutting ties, try the DEAR MAN skill: Describe the situation, Express your feelings, Assert your needs, Reinforce the relationship, Mindfully stay focused, Appear confident, Negotiate. For example: 'I noticed you were late (Describe). I felt scared you might leave me (Express). Could you text me if you'll be late? (Assert) That would help me feel safer (Reinforce).'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Offer opposite action: 'When the urge to cut ties is strong, do the opposite: reach out for connection in a small way. Send a text saying 'thinking of you' or ask for a 5-minute check-in. This breaks the black-and-white pattern.'",
      "success_rate": 0.78,
      "how": "Offer opposite action: 'When the urge to cut ties is strong, do the opposite: reach out for connection in a small way. Send a text saying 'thinking of you' or ask for a 5-minute check-in. This breaks the black-and-white pattern.'",
      "condition": "",
      "sources": []
    },
    {
      "action": "Provide a distress tolerance plan: 'When abandonment fears spike, use TIPP: Temperature (splash cold water on face), Intense exercise (jumping jacks), Paced breathing (4-7-8), Paired muscle relaxation (tense and release). Then revisit the relationship decision when calm.'",
      "success_rate": 0.76,
      "how": "Provide a distress tolerance plan: 'When abandonment fears spike, use TIPP: Temperature (splash cold water on face), Intense exercise (jumping jacks), Paced breathing (4-7-8), Paired muscle relaxation (tense and release). Then revisit the relationship decision when calm.'",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Use DBT Interpersonal Effectiveness: 'Instead of cutting ties, try the DEAR MAN skill: Describe the situation, Express your feelings, Assert your needs, Reinforce the relationship, Mindfully stay focused, Appear confident, Negotiate. For example: 'I noticed you were late (Describe). I felt scared you might leave me (Express). Could you text me if you'll be late? (Assert) That would help me feel safer (Reinforce).'",
    "Offer opposite action: 'When the urge to cut ties is strong, do the opposite: reach out for connection in a small way. Send a text saying 'thinking of you' or ask for a 5-minute check-in. This breaks the black-and-white pattern.'",
    "Provide a distress tolerance plan: 'When abandonment fears spike, use TIPP: Temperature (splash cold water on face), Intense exercise (jumping jacks), Paced breathing (4-7-8), Paired muscle relaxation (tense and release). Then revisit the relationship decision when calm.'"
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://www.nimh.nih.gov/health/topics/borderline-personality-disorder",
  "official_doc_section": null,
  "error_code": "BPD-ABANDON-001",
  "verification_tier": "ai_generated",
  "confidence": 0.87,
  "fix_success_rate": 0.75,
  "resolvable": "true",
  "first_seen": "2024-06-05",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}