Sexuality is frequently used to avoid the chronic feelings of emptiness experienced by those with the disorder.
An unstable sense of self is characteristic of the disorder, along with impulsiveness and demanding behavior.
Substance abuse and promiscuity are also common, and may be connected.
Studies of lesbian abusers found similar dichotomous thinking and feeling patterns.
In these relationships, violence was used when they felt their partners were becoming emotionally distant or when physical separation was threatened.
When something goes wrong in their relationships, they do not respond in a manner that would repair the damage.