by twistednerve » Mon Jul 07, 2014 5:52 pm
NPD isn't created by their parents. Although commonly you will find "encouraging" behaviors.
Remember mental illness is genetic. My family, for example, is a Cluster B fest.
But even the not "biologically" pre-disposed ones, might develop characteristic and behaviors that go in accordance with their environment. I have a cousin who suffered ABSURD abuse from his parents. He had normal affect for a long time, nothing was wrong with him.
But as he got older, his behavior changed because of the abuse. You could easily diagnose him today as ASPD. But why you can't? Because he still shows affection and responds normally to a variety of things.
Cluster B parents have a special way of f*cking up their kids, but that can't be confused with the disease in the first place.
True NPD, BPD, HPD or ASPD is exclusively-biological. As in, their brains and endocrine system are different. And they're born that way.
To diagnose one as NPD, it must follow a thorough criteria of behaviors aside from what you might think it is narcisissm. And it's more than just "looking for extremes that go for a long period", too. You have to make sure the psychopath/sociopath construct is there. You must evaluate response to medication. You must evaluate things such as capacity to feel fear, daring behavior, involuntary affect and emotional reactions, perception of self, the list goes on and on.
But most of this people are aware of all of this, so spotting all this is hard. More are unwilling to accept psychiatric diagnosis. They try to get away from the notion they're "broken" constantly.
Actually A LOT of the symptoms that fill criteria for diagnosis are more like instinctive or common reactions to cope with/hide the diseased behavior/brain. Most Cluster Bs live their lives trying to forge a new self for themselves. Like GettingAdvice said, it's a chicken and the egg thing. They dislike themselves because they are disordered, and they are disordered because they dislike themselves.
But worrying about the gamut of causs, symptoms and their domino effects is pointless. Best to invest on finding treatments that work.
Soon, at least, scanning of the brain will be more affordable and efficient and psychiatrists will be able to tell if something can be amiss. Psychopaths usually show more brain abnormalities than any other mental illness, if even so the more serious cases.
NPD, HPD, BPD and ASPD aren't merely learned behaviors. Don't be mislead by the term "personality" on the disorder. It's physicall and it affects areas more vast and complex than what AxisI disorders do.
PDs are huge syndromes, physiologically speaking, that really messes up a person's life and the society they're in. Not all sufferers will exhibit extremely bad behaviors, but it does cause unnecessary unpleasantness to the least.
Using cancer as an analogy:
A human society is like an organism. An organism is made from cells. To the society organism, each person is a cell.
A person with a Cluster B disorder, is much like a cell with cancer: it was some random mutation that makes it unable to properly do it's functions, communicate and replicate properly with the cells around it. However, it can be mistakenly seen as efficient, because it does everything so fast.
As long as this cell lives, the more damage it can do. The more it reproduces, the more mutations and aberrations it will produce. It is a very damaging thing. It must be encapsulated and removed.
Regardless of that, this cell keeps going even more ferociously to keep itself going/alive. It refuses to let go of itself, just another cell would. It insists on it's dysfunctions. It's uniqueness as an aberration gets masked as individualism and boastfulness. It will mask itself and try to reproduce to keep itself going, trying to make all cells just like her. In the end, cancer will corrupt the organism so much society just dies.
Of course, for organism cells this is more mechanical. For us, depending for perspective, it's just as mechanical I guess, but obviously we will have many feelings involved for each individual and moment in this process.