Wednesday, April 05, 2006
What to do when your therapist tell's you he has Narcissistic Personality Disorder? part I
Things you might want to do- but first a little on this personality disorder-
What is Narcissism?
A pattern of traits and behaviors which signify infatuation and obsession with one's self to the exclusion of all others and the egotistic and ruthless pursuit of one's gratification, dominance and ambition.
*Most narcissists (75%) are men.
*NPD is often diagnosed with other mental health disorders ("co-morbidity") - or with substance abuse, or impulsive and reckless behaviors ("dual diagnosis").
*The onset of narcissism is in infancy, childhood and early adolescence. It is commonly attributed to childhood abuse and trauma inflicted by parents, authority figures, or even peers.
*There is a whole range of narcissistic reactions - from the mild, reactive and transient to the permanent personality disorder.
Narcissists are either "Cerebral" (derive their narcissistic supply from their intelligence or academic achievements) - or "Somatic" (derive their narcissistic supply from their physique, exercise, physical or sexual prowess and "conquests").
*mine is cerebral.
Narcissists are either "Classic" - see definition below - or they are "Compensatory", or "Inverted" - see definitions here: "The Inverted Narcissist".
(yikes, this doesn't sound very good Dr. J)
The prognosis for an adult narcissist is poor, though his adaptation to life and to others can improve with treatment. Medication is applied to side-effects and behaviors (such as mood or affect disorders and obsession-compulsion) - usually with some success. (you never mentioned whether or not you took meds?)
*The text in italics is NOT based on the Diagnostics and Statistics Manual, Fourth Edition-Text Revision (2000).
*The text in italics IS based on "Malignant Self Love - Narcissism Revisited", fourth, revised, printing (2003)
Narcissitic Personality Disorder;
An all-pervasive pattern of grandiosity (in fantasy or behaviour), need for admiration or adulation and lack of empathy, usually beginning by early adulthood and present in various contexts. Five (or more) of the following criteria must be met:
(well, this is where it get's interesting~ Dr. J ... it's all starting to make perfect sense)
1)Feels grandiose and self-important (e.g., exaggerates achievements and talents to the point of lying, demands to be recognized as superior without commensurate achievements)
2)Is obsessed with fantasies of unlimited success, fame, fearsome power or omnipotence, unequalled brilliance (the cerebral narcissist), bodily beauty or sexual performance (the somatic narcissist), or ideal, everlasting, all-conquering love or passion (can you hear me laughing?)
3)Firmly convinced that he or she is unique & special, can only be understood by, should only be treated by, or associate with, other special or unique, or high-status people (or institutions)
4)Requires excessive admiration, adulation, attention and affirmation - or, failing that, wishes to be feared and to be notorious (narcissistic supply)
5)Feels entitled (don't even want to touch this.) Expects unreasonable or special and favorable priority treatment. Demands automatic and full compliance with his or her expectations
6)Is "interpersonally exploitative", i.e., uses others to achieve his or her own ends
7)Devoid of empathy. Is unable or unwilling to identify with or acknowledge the feelings and needs of others....hmmm very interesting indeed!
8)Constantly envious of others (can you hear me gagging?)or believes that they feel the same about him or her
9)Arrogant, haughty behaviours or attitudes coupled with rage when frustrated, contradicted, or confronted ( have you been 51/50'd before, Dr. J?)
Some of the language in the criteria above is based on or summarized from:
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, fourth edition, Text Revision (DSM IV-TR). Washington, DC: American Psychiatric Association.
The text in italics is based on:
Sam Vaknin. (2003). Malignant Self Love - Narcissism Revisited, fourth, revised, printing. Prague and Skopje: Narcissus Publication.
For the exact language of the DSM IV criteria - please refer to the manual itself !!!
C'est moi
hummingbird break
for flight
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