Guest guest Posted June 12, 2007 Report Share Posted June 12, 2007 Is Tony Soprano's Mother Borderline? (And Why It Matters) Well, the last episode of the Sopranos aired last Sunday. While everyone was scratching their head at the abrupt ending, I was scratching my head wondering why Tony's psychiatrist, Dr. Melfi, diagnosed Tony's monster mother Livia with Borderline Personality Disorder (he mentioned it in this last episode). Maybe Livia has it, maybe she doesn't. But I don't see most of the critical characteristics. For one thing, I don't see any inner fear of abandonment there, hidden or unhidden. I'm not sure she fears anything. I don't see any real splitting: in fact, her vision of most people is quite consistent (she doesn't like anyone). I don't see her emotions varying much: she's always cranky and critical. Livia didn't try to get her desperate emotional needs met, not unless you count self-satisfaction at getting even. She didn't do anything impulsively. She was cold and calculating. You could see her waiting, biding her time and pulling the strings in the background while mewing, " What did I say now? " Certainly she had some BPD characteristics. But we all do. To look at why she acted the way she did, let's look at her from a sociological point of view instead of the psychological. Like most women in that culture (and ours, too), the only way she had control was behind the scenes. An " accidental " off-hand comment ( " Your father is seeing a psychiatrist " ) or her veiled suggestion to Uncle Junior to kill her own son shows that she exerted her way through powerful men whom she could influence to do her bidding. Tony's sister Janice did the same thing. So did our first ladies-except for , who was vilified. My theory is that Producer Chase named Livia after the conniving wife of early Roman Emperor Caesar Augustus. Among other things, she poisoned rivals for the throne to put her own son into power. You know how he like to do things subtly. And I bet that If Livia had been one of Tony's male " associates, " her way of doing business would have fit right in. Heck, Tony would probably have patted her on the back and asked her to step up her game. If we're going to put Livia on the couch, let's take a look at another set of criteria from the DSM-IV-TR-significantly one that is supposed to affect mostly men: Narcissistic Personality Disorder. Some of them look like they fit Livia pretty well: 1. Has a grandiose sense of self-importance 2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love 3. Believes that he or she is " special " and unique and can only be understood by other special people 4. Requires excessive admiration 5. Strong sense of entitlement 6. Takes advantage of others to achieve his or her own ends 7. Lacks empathy 8. Is often envious or believes others are envious of him or her 9. Arrogant affect (expressed emotion) I find it quite telling that NPD affects more men than women, while BPD is thought to be an overwhelmingly female disorder. We tend to see what we expect to see. As personality disorders become better known and more widely discussed in the media, we need to be alert and speak up when women like Livia are tagged as " borderline. " It would be a tragic if our wish to spread the word about BPD results in further stigmatization. We also must train mental health professionals to make a diagnosis according to the criteria, not the person's gender. Livia is dead and gone, but not these issues. Let's keep them in mind, and be sure others do, too. Randi Kreger www.BPDCentral.com <http://www.bpdcentral.com/> Coauthor Stop Walking On Eggshells Author, Stop Walking On Eggshells Workbook Randi Kreger Randi@... www.BPDCentral.com Eggshells Press 3120 S. Pennsylvania Ave. Milwaukee, WI 53207 Quote Link to comment Share on other sites More sharing options...
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