Personality-Disordered Patients: Treatable and Untreatable

Here's a figure from the aforementioned book by Michael H. Stone. I post it here because schizoid is the prototypical personality disorder according to Kernberg.

Interestingly, histrionic PD is harder to treat than NPD. "Malignant narcissism" and highly arrogant narcissistic personality disorder are harder to treat than ASPD. Finally, "fanatical paranoids" are considered beyond treatable. I wonder if he's talking about the same fanatical paranoids as Millon (ie: paranoids with narcissistic traits and formerly narcissists with paranoid traits) or literal fanatics like skin-heads.

The psychologist I saw said my NPD with schizoid and paranoid traits was more severe than BPD. I wonder if I am one of those "fanatical paranoids".

What is fanatical paranoid?

Manners73 wrote:What is fanatical paranoid?

I looked it up on Google and found nothing. But I did discover that Justin Timberlake was spotted holding hands with Alisha Wainwright, whoever the ###$ that is, and now I'm completely devastated. I'm sending jessica Biel an e-card so if anyone else wants to sign it, PM me.

Please tell me when you send an e-card to Justin Bieber. I have a thing or two I'd like to say to him.

Manners73 wrote:What is fanatical paranoid?

https://digitalcommons.csbsju.edu/psychology_pubs/106/ wrote:The amalgam of Distrusting (paranoid) and Ambitious (narcissistic) patterns in Ahmadinejad’s profile suggests the presence of a syndrome that Theodore Millon has labeled the fanatical paranoid — a personality composite that overlaps substantially with the construct of “malignant narcissism” described in modern reformulations of psychoanalytic theory.

Now I don't know if Dr. Stone is talking about the same people or not. I'll have to read his book to hopefully find out. I could have waited but I wanted to say something.

Surely some disorders are easy to treat, others are difficult, others are impossible at 97 percent.
But I think that it depends on the individual too, if he has some resources or hasn't.
PDs don't define the whole person, just the "kind of obstacle" to mental health.

HSS wrote:Surely some disorders are easy to treat, others are difficult, others are impossible at 97 percent.
But I think that it depends on the individual too, if he has some resources or hasn't.
PDs don't define the whole person, just the "kind of obstacle" to mental health.

Right. Every situation is unique, and so much depends on an individual's energy level, the quality of their support system, and their willingness to "go for the jugular", to fight for sanity.

Sanity is but a distant dream for those who are unable to realize that they're messed-up in the first place:

https://i.imgur.com/FLWHWlR.jpg

yes Cholls thanks

@OP

PD's aren't static objects; they're classifications that people fit into that don't fit perfectly to anyone and vary in severity.

Whether it can be treated will depend on the mechanism of how it occurred and other factors around the person. I don't think you can draw broad conclusions on any of them.

The single most important factor is not whether the condition can be changed, it's whether the person wants to change, and that's more environmental than anything else. There needs to be a reason strong enough.