A Real Affliction: BPD, Culture, and Stigma

A Real Affliction: BPD, Culture, and Stigma is an interview podcast that explores how we live with, treat, advocate for, write about, and conceptualize borderline personality disorder, as well as common co-occurring challenges like complex PTSD, eating disorders, and substance use disorder, all of which I’ve experienced. My guests and I will also discuss how literature, film, television, photography, dance, philosophy, the history of medicine, feminist and disability studies, nature, and bioethics reflect, illuminate, and impact the experience and cultural perceptions of BPD. The podcast’s goal is to increase access to effective, compassionate care. Episodes are released twice a month.

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Episodes

5 days ago

What does writing from the frontline of BPD look like? If the author is borderline up-ender Dr. Lisa Johnson, it looks and sounds like a witty, raw, and dazzling conflagration. In this interview, she and I discuss her memoir, Girl in Need of a Tourniquet: Memoir of a Borderline Personality, and share our experiences of navigating academia while being open about our BPD diagnoses.
Merri Lisa Johnson, Girl in Need of a Tourniquet
Merri Lisa Johnson, “Neuroqueer Feminism: Turning with Tenderness toward Borderline Personality Disorder”
Courtney Cook, The Way She Feels: My Life on the Borderline in Pictures and Pieces
bell hooks, All About Love and other books
William Faulkner, As I Lay Dying
Marsha Linehan, Building a Life Worth Living
Audre Lorde, "The Transformation of Silence into Language and Action"
Nancy Mairs, Remembering the Bone House
José Esteban Muñoz, Disidentifications: Queers of Color and the Performance of Politics
Stacy Pershall, Loud in the House of Myself: Memoir of a Strange Girl
Kiera van Gelder, The Buddha and the Borderline
Elizabeth Wurtzel, Prozac Nation

Friday Nov 01, 2024

Can movement therapy support people with BPD? In this interview, psychotherapist, licensed martial artist, and acclaimed writer Ellis Amdur describes his success with teaching baduanjin qigong, a Chinese breathing and movement system, to a patient suffering from acute BPD.
If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources:
Links to Ellis Amdur’ books
Cynthia Gralla, “Double Bind: How Borderline Personality Disorder Tied Me in Knots” published by SLICE in their May 2022 Levity online issue
Bessel van der Kolk, The Body Keeps the Score

Tuesday Oct 15, 2024

How do therapists come to think of BPD after a long career? In this conversation with Ellis Amdur—a retired psychotherapist, award-winning writer, and licensed martial artist—he offers his perspective on BPD, including what a background in Jungian psychology taught him about our singular and ever-evolving journeys. Trigger warning: This episode mentions suicide.
If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources:
Links to Ellis Amdur’ books
Patricia Barry, Echo’s Subtle Body: Contributions to an Archetypal Psychology
Victor Frankl, Man’s Search for Meaning
James Hillman, The Dream and the Underworld
Reiner Stach, Is That Kafka? 99 Finds
Weird Studies podcast, On James Hillman’s “The Dream and the Underworld”

Tuesday Oct 01, 2024

How have power dynamics between doctors and patients changed over the past century and a half? In my second and final interview with Nina Shope, author of the award-winning historical novel Asylum, we talk about the complicated relationship between neurologist Jean-Martin Charcot and his most famous patient as he treated her for hysteria and documented her in photographs during the 1870s. Nina reflects on the photograph of Augustine that she chose to include in her novel, how she avoided flattening historical figures or reducing Augustine to past trauma, and the mythological roots in both the history of female madness and Charcot’s photography.
Nina Shope, Asylum
Nina Shope, “Changeling.” Conjunctions, Vol. 81 (“Numina: The Enchantment Issue), Fall 2023
Roland Barthes, Camera Lucida
Maud Casey, The City of Incurable Women
Georges Didi-Huberman, Invention of Hysteria: Charcot and the Photographic Iconography of the Salpêtrière
Euripides, The Bacchae
Saidiya Hartman, Wayward Lives, Beautiful Experiments
Susan Sontag, On Photography
Selby Wynn Schwartz, After Sappho
Emily Wells, A Matter of Appearance

Sunday Sep 15, 2024

What did BPD look like in the 19th century? It looked like hysteria, a phenomenon that puzzled doctors and fascinated the public. In this episode, I interview Nina Shope, author of the award-winning historical novel Asylum, which explores the power dynamics between Jean-Martin Charcot, the father of neurology as we know it today, and his most famous patient. In the shadows of this dynamic, we find symptoms and conceptualizations of female illness familiar to those of us who experience or study BPD today.
Nina Shope, Asylum
Christopher Bollas, Hysteria
Georges Didi-Huberman, Invention of Hysteria: Charcot and the Photographic Iconography of the Salpêtrière
Sarah Shun-lien, Madeleine Is Sleeping
Elaine Showalter, The Female Malady

Sunday Sep 01, 2024

How can we access expensive care? In the US, being diagnosed with BPD is often the first step in an odyssey through a complex and unjust health care system. In the second part of my interview with Paula Tusiani-Eng, co-founder of Emotions Matter, she discusses how to get life-saving coverage from your insurer, the wonderful success of her organization's peer support groups, the wild creativity that many of us with BPD have, and why we need an intersectional approach to treating and supporting BPD.
Resources for this episode:
If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources:
Emotions Matter website
Bea Tusiani, Pamela Tusiani, and Paula Tusiani-Eng, Remnants of a Life on Paper: A Mother and Daughter’s Struggle with Borderline Personality Disorder
Frank Yeomans, Paula Tusiani-Eng, and Kellyanne Navarre, “California Approves Law Granting Pretrial Diversion for BPD”

Friday Aug 23, 2024

In this solo bonus episode, I talk about what I learned while getting my MA and PhD at Berkeley and offer tips for anyone who wants to pursue a higher education degree while managing their BPD. It can be done!

Thursday Aug 15, 2024

What do people with BPD need? When Paula Tusiani-Eng co-founded a BPD non-profit after the tragic loss of her sister Pamela, she realized that we often need more community support. In this interview, Paula tells me about Pamela’s struggle with BPD in the 1990s and how Emotions Matter has built a community for others like her.
If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources:
Emotions Matter website
Bea Tusiani, Pamela Tusiani, and Paula Tusiani-Eng, Remnants of a Life on Paper: A Mother and Daughter’s Struggle with Borderline Personality Disorder
Evan A. Iliakis et al., “Treatment of Borderline Personality Disorder: Is Supply Adequate to Meet Public Health Needs?”

Thursday Aug 15, 2024

How can people with BPD find their voice? In this candid interview, the radiant and loving Melanie Goldman (@mindovermelanie) tells me her story of lived experience with BPD, from the shock of the diagnosis to the joys of advocacy and reclaiming her voice. She also shares wisdom from her training as a registered psychotherapist and her ultimate goal of treating others with BPD. 

Thursday Jul 18, 2024

Can we diagnose the narrator of Osamu Dazai’s novel, No Longer Human, with BPD or some other diagnosis? And does it make sense to try? In this bonus summer solo episode, I give my perspective as a Japanese literature scholar and a person with BPD.
Osamu Dazai, No Longer Human
Osamu Dazai, The Setting Sun
Roland Barthes, “The Death of the Author”
Shirley Dent, “Don’t ‘Diagnose’ Fictional Characters”
Jared D. Fife, “Stuff Psychologists Like—#1. Diagnosing Fictional Characters”
Edward Fowler, The Rhetoric of Confession
Cynthia Gralla, “Suicide Contagion and the Risks of Literature”
Cynthia Gralla, “Dream Girls Gotta Have Agency”
Merri Lisa Johnson, Girl in Need of a Tourniquet: Memoir of a Borderline Personality
Mieko Kawakami, Breasts and Eggs, Heaven, and All the Lovers in the Night
Craig M. Klugman and Carol Levine, “Diagnosing Shosha: Literature As a Lens to View Disease and History”
Herman Melville, “Bartleby the Scrivener”
Yukio Mishima, The Sea of Fertility tetralogy
Ottessa Moshfegh, My Year of Rest and Relaxation
J. D. Salinger, The Catcher in the Rye
Sophocles, Oedipus Rex
Carol Fisher Sorgenfrei, Unspeakable Acts: The Avant-Garde Theatre of Terayama Shūji and Postwar Japan
Narrative medicine at Columbia University

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A Real Affliction: BPD, Culture, and Stigma

My line-up of guests includes Jessie Shepherd, author of Millie the Cat Has Borderline Personality Disorder; Dr. Sara Masland, a leading researcher of BPD and how stigma creates barriers to care; Paula Tusiani-Eng and Baylie McKnight, co-founders of Emotions Matter and the BPD Society of British Columbia, two non-profits supporting people with the disorder; videogame designer and mental health Plushie Dreadfuls creator American McGee; Dr. Alexander Kriss, author of Borderline: The Biography of a Personality Disorder; super-advocate and BPD Bunch cast member Melanie Goldman (@mindovermelanie); Dr. Merri Lisa Johnson, author of Girl in Need of a Tourniquet: Memoir of a Borderline Personality; Mishell Baker, author of Borderline, part of the Arcadia Project fantasy trilogy; Courtenay Stallings, author of Laura’s Ghost: Women Speak About Twin Peaks; Nina Shope, author of Asylum, a historical novel about 19th-century hysteria; psychotherapist Ellis Amdur; and bioethics expert Lucy Yanow. I also do solo episodes about diaries written by women with BPD, getting a postsecondary degree with BPD, No Longer Human, and the Japanese film, After Life.

If you have experience or expertise that would fit the podcast’s focus and would like to be interviewed, please feel free to reach out to me at cynthiagrallabooks@gmail.com.

I'm a writer and teacher with a history of BPD, and I'm currently writing a memoir about living with the disorder. I'm the author of The Floating World (Ballantine) and The Demimonde in Japanese Literature (Cambria Press), and I've published fiction and nonfiction in Ploughshares, Michigan Quarterly Review, The Mississippi Review, Salon, Electric Literature, Prairie Fire, and many other publications. I earned a PhD in Comparative Literature from the University of California, Berkeley, and teach literature and writing at the University of Victoria and Royal Roads University.

 

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