Quoting Virgo
HPD has an ability and can be empathetic. There is no room for empathy in the mind of an NPD. Its like a foriegn concept. Thats a big difference. I say its a dealbreaker.
Agreed with Mavet and Virgo. IMO HPD's and somatic NPD's are look-alikes. But underneath (in their minds, that is)...different.
Biological differences, if any, unknown. Seems like there is a higher incidence of BPD, HPD, other mental disorders (like depression, etc.) among the relatives of HPD's. Besides a same sex NPD parent, unknown what pathological patterns the relatives of NPD fit into.
Using pure stereotypical extremes to clarify the differences between HPD and NPD:
The HPD usually has a distant or weak relationship with the same sex parent, and the opposite sex parent is (1) authoritarian and dominating, or (2) inappropriately intimate, or (3) missing.
The NPD usually has a close relationship with the same sex parent, who is NPD also. The opposite sex parent (when present) is often in a co-dependent servile relationship with the NPD parent, and he/she also extends this servile sentiment to the developing NPD child.
HPD's are invalidated as children; most NPD's are outwardly spoiled,
worshipped, as children (also a form of invalidation and abuse, but much more subtle, and abstract). A second smaller group of NPD's are injured as children but later compensate by later adopting a NPD persona.
HPD's idealize situations and people, especially their sig. others. The idealization can be extreme. Then they de-value the situation or person when the HPD finds ordinary flaws in the situation or person. People are beautiful, fantastic, then ugly and cruel, but all the same to be returned to, at a later time.
NPD's rationalize situations (especially ethical ones), and objectify people. People are things, to be used up, then discarded for good.
HPD's want to be the center of attention. Positive attention (i.e., admiration, adoration) is preferred, but negative attention (i.e., being a focus of frustration and anger) is an acceptable second.
NPD's want only to be admired...worshipped. Any criticism of them is intolerable to them.
HPD's are like BPD's
-in that they have periodic empathy (especially when idealizing others)
-they dissociate
-they are periodically unstable, lashing out in 'blame storms'
-they split others into good or bad
-they collect psychic injuries and wounds, using them later for leverage and 'blame storms'
(although most HPD's don't do these behaviors as severely as most BPD's do). The HPD's supply:
I want to be the center of attention, is like a refinement of the BPD's supply:
don't leave me. NPD's are more like AsPD's
-in that they don't have much, if any empathy. Others are subhuman things.
-they don't understand, and so frequently despise, abstract concepts like ethics and love, have no few fantasies and no delusions, don't dissociate, and are hardly ever psychotic (unless co-morbid with a psychotic disorder, or on drugs)
-are fairly stable, except for outbursts of anger and rage
-don't split others, everyone else basically being constantly undesirable
-when high functioning, are often highly intelligent, and more interested in common worldly concrete values like wealth, political power, etc.
NPD's are less intense in these behaviors than AsPD's. The NPD's supply:
admire and worship me, is a less refined version of one common type of AsPD supply:
give me total power over you.
Most HPD's (when not upset), are more warm, romantic, bubbly, even comical. Most NPD's are more serious, cold, objective, and shrewd, in comparison.
Millon's Disingenuous HPD seems to connect HPD to NPD (and AsPD?). If you visit the NPD forum, a poster named Margharris presents an interesting bridge coming from the other direction:from NPD to HPD: "The Good Girl Narcissist," a kinda covert, superficially gregarious NPD female who seems to mobilize a somewhat smaller version of the classic HPD fan club, in order to achieve admiration and defend herself against detractors.
Crystal said
maybe that's why the DSM 5 removed hpd from the DSM......
it was subsumed under NPD...
Interesting, havn't heard that. But I don't know if it works for the less notorious subtypes of HPD, i.e., Appeasing, Infantile. They don't seem obviously narcissistic.