>>116594405 I had a psychiatrist tell me once that BPD is a "garbage can diagnosis".
>>116594454The two aren't incompatible. If you have poor self esteem you're going to want someone to prove they care for you, because that provides validation you can't or don't get elsewhere. That can turn into "I don't think this person cares about me, therefore I will not extend myself, because if they do care they will take that step" real fucking easy.
Of course, even if they do, you're right back to square one "I'm worthless, so why is this person telling me otherwise, what do they have to gain?"
It can also get more fucked up if the person has convinced themselves that one particular thing is what they're good for (given the comics above, probably sex in her case). Because they're respond intensely to anything that plays upon that self-perception, and negatively to anything else.
Like if she's internalized the idea from sexual abuse that that's what she's for, being sexualized will genuinely make her feel good. She'll pretty quickly hate herself for that reaction. But she will hang on to that one thread of positive feelings like grim death.