The following should be taken as "educated layman's opinion & interpretation".
Dysfunctional or disordered:No NPD is not about being self-focussed. that's not even NPD, its "self-focussed behaviour" which can be caused by 101 different things. NPD can involve a certain type of self-obsession, but its not even exactly that either on an underneath level.
Being self-focussed is not NPD any more than being loud, different and attracting attention (e.g. because you happen to be different to others around you or not care what they think,) gives a person HPD.
those things are not PDs they are observed behaviour.
This is how I'll describe PD from an analytical perspective in my own words:
PDs are complex psychological defense mechanisms resulting from inability for certain developmental stages to be resolved in childhood with some features also resulting from secondary coping mechanisms put in place to deal with these problems.
They are not about how a person acts superficially but are about how a person is "put together" psychologically. PD essentially means in some way a person cannot relate to the world, self, and others as other people do, in an integrated way, which then causes problems to them self and or other people, often resulting in mental health problems.
PD will result in a degree of dysfunction cause both directly as a result of the person's inability to relate to others and the surrounding world in an integrated way and also by resulting mental health problems.
A person who shows a degree of dysfunction e.g. in relationships and friendships due to an insecure attachment style without underlying pathology of a PD, but tends to end up in relationships with the wrong people and get hurt, may seem to display erratic behaviours at times,(may get labelled BPD) as will a person who has low self-esteem and tries to compensate by acting loud or big(might get labelled HPD if draws attention to self, or NPD/AsPD if tries to pick on others or "act out".)
These things are particularly common in teenagers, and part of human development. They are part of learning to integrate with other human beings, and those whose childhoods set them up slightly less well take longer to get through these behaviours and act out worse. The more to resolve to become an adult, the worse the teenager!
[i](Teenager because its during people's teens they begin to learn how to integrate with their peers in the way adults eventually relate to each other.)Adults can retain some of these problems and hide them if they don't find they have the skills to resolve them. Those things are not PD in themselves, and can be often resolved in the 6-12 counselling sessions given by the NHS in primary care in the UK.
This is the assumption generally taken by the NHS when taking on patients with what appear to be PDish traits. Lack of understanding of PD means the attitude is often taken that unless a person presents particularly outlandishly or puts strain on services, PD isn't considered properly.
Unfortunately, PD isn't always picked up properly, because it isn't dependant simply on external behaviour.[/i]
Attempting to dx others.trying to dx other people who are not you with PD, or without PD, because of things that have gone on between you and them is projecting your emotions onto the other person to create a solution/explanation.
(using NPD as an example.)
when you need to feel one way or another about the person; i.e. "
they are a narcissist and i am under threat/its all their fault/i think they are being detached because they have devalued me" or "
they're not really a narcissist and I am harming them/i've been horrid/have misjudged them".
the person will feel they've misjudged the situation because they were trying to diagnose the other person based on their own feelings and reactions not based on objective information and underlying psychology.This happens when a person either resorts to unhealthy ways of dealing with emotion because the other person's behaviour is confusing or sets off personal issues for them, or if the person has e.g. NPD or BPD them self and struggles to relate to their emotions in any other way.
Its a way of making sense of your own feelings through other people, for example where there are problems with insecure attachment. this can lead to people vilifying the other person to feel better about themselves or to rationalise feelings of insecurity "something is making me feel insecure, if the other person is a narcissist this explains my insecurity, so i can find a way of protecting myself."
The reason i'd say this is a specific problem for people with NPD and BPD is because:People with NPD and with BPD blur self-other boundaries -
Disclaimer - I might be explaining this slightly wrong in some places, but i'm trying to get the gist - I haven't had conversations with 100s and 100s of people with BPD or NPD, and though I have had problems with what could be seen as secondary traits [i][b]related to the two [see DSM V] as far as i know I don't have the [exact] underlying psychology for either, so i apologise if there are errors in my explanation.[/b][/i]
If people with NPD see people as extensions of themselves, i.e. how other people act is something the person with NPD takes personally not differentiating properly between self or other, so they seek "supply" from others to create self-esteem
- at the same time they may seek to control others around them because negative interaction could have the opposite affect. I can imagine to a person with NPD, they might end up feeling people around them "should act in certain ways".
(People with BPD could also try to demand people around them act in certain ways because they are trying to avoid being triggered, and see the other person's behaviour as the cause of that trigger.)
I think people see NPD and BPD as going together in relationships(apart from it happening a lot) because people with BPD in a way see themselves as extensions of other people (becoming like the other person and mirroring them in a relationship.)
so their blurring when it comes to self and other is mirrored, the person with NPD sees others as part of them self and the person with BPD sees them self as part of others, because of this their blurred boundaries fit together.
The important part is:
If you care what PD they have on a personal, emotional level, you cannot diagnose them.Even if you are just personally involved in the situation in any way, things can become blurred.
for example, my mum shows some unhealthy behaviour.
At times i would wonder "what label fits mum" because she would piss me the hell off so i would rage at her, and she'd wind me up until i'd throw things/break them etc (because of lack of self control, to stop me becoming violent towards her).
I was looking for a way to say my behaviour was her fault, so at that point, recognising "how disordered she was" suited me.
but in reality, what actually matters is what the other person is thinking and feeling. does it matter if she gets a label? or does it matter how she behaves and why, and how i react and why?
Its not necessary or healthy to react by diagnosing because when i realised some of the ways she was behaving i was just
. it didn't bother me what label she had, it was more "WTF, how can she be doing that so subtly that I haven't noticed all these years?"
Sometimes [external] diagnosis can help people in dealing with those issues, understanding them and using that knowledge to try to relate and communicate more effectively.
---
Some things i noticed about it all, sometimes actions have consequences... (skip this if you want to stay on topic for the mo.)
I've "diagnosed" other people with PDs in the past, people who just pissed me off. I was actually reasonably adjective about it because I wasn't personally involved except finding their behaviour irritating, so while I'd give reasonably accurate interpretations I'd also get nasty and start putting down the PD they appeared to fit cause i had no reason to care and it was a good outlet for my irritation.
Unfortunately other people on this site who I didn't intend to insult or even try to diagnose in that way then thought I was insulting them because they identified with the diagnosis - which showed me how actions can have repercussions where you don't intend them to, and its possible i might rather they didn't in some cases.
While assuming everything was about them wasn't healthy, it also occurred to me if i say certain things, those things can come back to me eventually because if i tell the world "PD is:" and then people listen, they will judge me the same way. same as the time i stole something from somewhere and then came back the next time and realised i couldn't use it there cause i'd stolen it. lol
So I've decided there is no excuse for using PD as a putdown and there are plenty of other ways of putting people down that don't include damaging things for yourself or others in the process [ooh look i've developed a moral stance on something - wonder if i can get it to stick/if it goes deep enough that it will?] (i don't suppose i mind if it does.)But when it comes to people you're involved with, attached to in any way, or have any sort of personal feeling for, diagnosis isn't really appropriate because personal feelings can impair a clear picture. I don't try to diagnose the person i'm involved with in a personal way.
apart from the fact they try to give me as muddled a picture as possible, lol and while sometimes i do wonder, it doesn't matter to me what their diagnosis is, the only thing it changes as far as i'm concerned is what label is stuck on them and maybe that might help a therapist in some ways. whatever label they got i'd still accept and support them, along with whatever diagnosis they got.
The reason i say this is because diagnosis is done by people who are impartial for a reason. its not helpful for loved ones to attempt to dx beyond "let's get some help i think there might be a problem/PD". Dx is there so a therapist can categorise a person's problem according to what issues are involved and work out how to help them best, and that's for a reason.
There are plenty of ways for a non to come to terms with their partners behaviour, rant about it, deal with their own feelings and/or move on from a relationship without needing to apply a label to that behaviour.
The only advantage of understanding they have a PD is to understand that behaviour and what their perspective might be, which let's face it, if you're leaving or ranting is useless.
Don't get me wrong, i think PD should be understood by everyone, general public etc not just drs but I also think if any of it is going to make any sense there's a need to see the difference between how that knowledge is used.I think if people are going to relate to each other healthily, the most important part is to understand simple concepts "i feel hurt, your action hurt me" "i feel insecure because" i.e. self-other boundaries,
and when it comes to PD, "i think you need some help/therapy",
also if a person thinks they have a PD, their partner shouldn't be trying to question whether they have one or which one they have unless they're sitting down together trying to figure out how to get the person treatment and make a dr listen,
and if they intend to be with them support them, using knowledge of their disorder to try to help improve their relationship,
and if not leave for practical reasons, i.e. "your action hurt me/are harming me and i am leaving to protect myself or because it changed how i feel about you," not "because you have x PD."
"You don't have a PD because people with PD always feel ____"Then there's the bit about "if you ever think/feel this way you can't have a PD".
At times I've invited other people to try to dx me because I wanted to be accepted as i am, so people would turn round and say "i know x thing is wrong with you, but i accept you as you are.", which is trying to get a personal need fulfilled instead of just coming out and saying "i have just about as much empathy or a pinecone, these are the implications, do you still like me?"
like it or not people are born with the desire to try to connect to a parent on some level at least, [instinctual because that connection is required for survival] and if they can't do that for some reason, that initial need remains unresolved on some level however deeply it gets buried.
In a way its hard to say whether a person with PD experiences the world so entirely differently from others because they haven't experienced it normally.
But sticking to statements like that is detrimental in a lot of ways because it means there is no room for the person to try to recover, and improvements, breakthroughs or attempts to think/feel/act differently are again met with invalidation which can block that attempt to change something or experience it differently, however small.
@ MsMeow, creativity doesn't stop you having a PD but as people[plural] i know [IRL] with [diagnosed]PD will agree, the periods of our bouts of mental illness brought on by PD mean most often suffer from creative block of some sort and struggle to actually make use of their creativity except when they're slightly better. Most people[pl] with [dxed]PD i've met [IRL] are creative in some way or other.
about me:
"I can write an emotionally healthy and objective response to almost everything, i'm not disordered. you better undx me now."Uh huh.
If i am disordered it does not mean I am out to get you. Its also not my fault, so I don't deserve to be attacked for it.
As a person with PD-like problems, the more comfortable i feel talking openly and honestly, the more likely I am to talk.
(and for the PD-villifying nons, that would mean more likely to recover fully and less likely to cause any problems for people like them.)