Which client statement most accurately reflects the cognitive dysfunction associated with borderline personality disorder (BPD)?
A) "I was a total failure at my new job."
B) "Sometimes things are not always clear cut."
C) "At least some good came out of my trying."
D) "You need to look at things in perspective."
Ans: A
People with BPD have dichotomous thinking. Cognitively, they evaluate experiences, people, and objects in terms of mutually exclusive categories (e.g., good or bad, success or failure, trustworthy or deceitful), which results in extreme interpretations of events that would normally be viewed as including both positive and negative aspects. The statement about being a total failure is an example.
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