In relationships, these internal feelings are dramatically translated into intense, shifting, manipulative couplings. The borderline often makes unrealistic demands of others, appearing to observers as spoiled. Manipulativeness is manifested through physical complaints and hypochondriasis, expressions of weakness and helplessness, provocative actions, and masochistic behaviors. Suicidal threats or gestures are often used to obtain attention and rescue. The borderline may use seduction as a manipulative strategy, even with someone known to be inappropriate and inaccessible, such as a therapist
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