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BPD vs NPD

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Hey guys,

Just read a blog article by Randi Kreger on the subtle, but very real

and important distinctions between Borderlines and Narcissists. Good

article, I recommend it.

Here is a link to this blog in Psychology Today

http://www.psychologytoday.com/blog/stop-walking-eggshells/201110/what-h\

ave-you-done-me-lately-entitlement-key-narcissistic-trait

<http://www.psychologytoday.com/blog/stop-walking-eggshells/201110/what-\

have-you-done-me-lately-entitlement-key-narcissistic-trait>

Doug

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True: the DSM-IV TR (the current version of it) breaks down the Cluster B

disorders into discrete sub-categories. Those with narcissistic pd and

antisocial pd are considered to lack the capacity for empathy, to possess a

sense of entitlement, and to feel that rules do not apply to them because they

are better than other people and deserve to have special treatment, while those

with borderline pd are considered to have the capacity for empathy, to lack a

sense of entitlement, and to not have issues with grandiosity (the deserving

special treatment due to being superior.)

Or, instead of a feeling of superiority, some with npd (apparently) construct a

belief system based on the " victim mentality " , that they have been short-changed

by life, their basic needs have been wrongfully denied them, so that entitles

them to take what they want when they want it NOW, no matter if that stomps on

other people's rights, or hurts other people, or not.

I personally wish that the new version of the DSM would completely reconstruct

the way that mental illnesses are diagnosed.

I wish that there was simply a " checklist " that would list all the possible

traits and behaviors or symptoms of all mental illnesses. ALL of them. All

abnormal symptoms, from chronic insomnia to anxiety to lack of remorse, from

feeling empty inside to hallucinating, from a sense of entitlement to rapid mood

swings to obsessive/compulsive behaviors to acting out sexually. ALL abnormal,

dysfunctional symptoms, traits, and behaviors.

Then the psychologist would run down the checklist and mark all the traits and

behaviors that apply to this or that particular individual client, rating each

symptom the patient has by frequency and intensity.

That way a very individual, very targeted diagnosis would be arrived at for each

patient.

That might take longer, and it would probably require both a physical/medical

evaluation as well as a psychological evaluation, but I think it would be

worthwhile and a benefit to have an extremely thorough and individual diagnosis

for each patient, particularly when the patient has many, complex symptoms,

traits or behaviors of different types.

So in my own nada's case, her checklist would have 7 traits that are currently

categorized as " borderline pd " , 5 traits from " narcissistic pd " , 2 traits from

" antisocial pd " , 2 traits from " histrionic pd " , 3 traits from

" obsessive-compulsive pd " and several traits from " Alzheimer's dementia. "

I'm also very interested in (even excited over) the latest generation of

neurobiological brain research and genetics research studies that are showing

that specific areas of the brain are impacted/not working properly when certain

symptoms or behaviors are being evidenced, and that some of these discrete

traits and behaviors are genetically linked, specifically, impulsive aggression

(aka bpd inappropriate and extreme rage, high impulsivity = a hair-trigger

temper) and affective instability (aka emotional dysregulation or rapid, wild

mood swings.)

Here's a link to one of these studies:

http://www.mssm.edu/static_files/MSSM/Files/Research/Programs/Mood%20and%20Perso\

nality%20Disorders%20Research%20Program/imaging_genetics.pdf

I think that in the near future, neurobiological testing will be a part of

psychological evaluations as well. And I think that the more we understand

about the actual organic, physical, neurobiological structure and functioning of

the brain, the better chance we have of finding more effective treatments (even,

dare I hope for it, cures) for mental illnesses.

PS:

I personally am not taking anything that Sam Vaknin writes at face value. He is

a self-proclaimed narcissistic pd person and makes his living from being a kind

of " jungle guide " to non-pd people about narcissism, but he himself was

surprised to find that he rated extremely high on the Hare psychopathy

checklist. He is a former convicted criminal, having committed financial fraud,

and he presents himself as a doctor but also admits that he bought his diploma

at a " diploma mill " institute. In some of his writings he sounds very

plausible and trustworthy, while in other writings and interviews he admits that

he basically enjoys manipulating people and enjoys messing with their minds.

I think he is interesting because he has created a novel way to utilize his

genius-level but dysfunctional intelligence: he openly admits to being a

predator! And while I find this unique approach fascinating, I also think he

is one scary, scary individual because he is a for-real psychopath who presents

himself as " benevolent. "

A real mind-f**k, imho.

Beware of the smiling, charming psychopath, folks.

The reason I have these opinions about Mr Vaknin is from watching the

documentary about him called " I, Psychopath " .

You can watch this documentary for free at:

http://topdocumentaryfilms.com/i-psychopath/

Its a real eye-opener!

-Annie

>

>

> Hey guys,

>

> Just read a blog article by Randi Kreger on the subtle, but very real

> and important distinctions between Borderlines and Narcissists. Good

> article, I recommend it.

>

> Here is a link to this blog in Psychology Today

>

>

>

> http://www.psychologytoday.com/blog/stop-walking-eggshells/201110/what-h\

> ave-you-done-me-lately-entitlement-key-narcissistic-trait

> <http://www.psychologytoday.com/blog/stop-walking-eggshells/201110/what-\

> have-you-done-me-lately-entitlement-key-narcissistic-trait>

>

>

>

> Doug

>

>

>

>

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Great stuff...I too wonder about my nada and NPD vs. BPD. She has bits of both

it seems. I also feel very wary Vaknin and I wonder if he's still married to

his wife. I felt so bad for that poor woman - it's like she didn't even have

sense enough to protect herself in any way. Not in terms of not marrying the

crazy man but also in having the whole sorry mess put in a documentary for the

world to see.

Eliza

> >

> >

> > Hey guys,

> >

> > Just read a blog article by Randi Kreger on the subtle, but very real

> > and important distinctions between Borderlines and Narcissists. Good

> > article, I recommend it.

> >

> > Here is a link to this blog in Psychology Today

> >

> >

> >

> > http://www.psychologytoday.com/blog/stop-walking-eggshells/201110/what-h\

> > ave-you-done-me-lately-entitlement-key-narcissistic-trait

> > <http://www.psychologytoday.com/blog/stop-walking-eggshells/201110/what-\

> > have-you-done-me-lately-entitlement-key-narcissistic-trait>

> >

> >

> >

> > Doug

> >

> >

> >

> >

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