Differential diagnosis narcissism psychopathy

Akuma wrote:

We call psychopathy a “personality”, we lack a better definition... but in my perception the psychopath isn't still so structured. Sometimes, I perceive him as “something” (?) that stopped before the creation of a “personality” (or, maybe, of a person). I suspect that it's also the reason why he is so skilled to play everyone's role, because there isn't still a... human being? I hope it doesn't sound offensive, I don't intend it offensively.

This geos for all low-level PDs, probably especially for BPD... or for some psychotic disorders where the personality was unstable and then desintegrated.
I read a book half a year or so called "adult children of emotionally immature parents" (i think ?); since then I find the term emotionally immature is quite fitting for an array of behaviors and structural deficits; moreso than "narcissism" or other terms actually which might be too broad to be descriptive.

Ok, AMA to Akuma then.

Do you think this desintegrated personality is at any hopes of recovery?

Or you know, what does the literature suggest in building up someone like that. I know anyone with ASPD responds more favorably to rewards than to punishments. So the essential distrust of (and/or disgust for) kindness would not really work?

SelfSerf wrote:Ok, AMA to Akuma then.

Do you think this desintegrated personality is at any hopes of recovery?

Sure. I wouldnt be in therapy if I wouldnt think this possible.

Or you know, what does the literature suggest in building up someone like that. I know anyone with ASPD responds more favorably to rewards than to punishments. So the essential distrust of (and/or disgust for) kindness would not really work?

I think Nancy McWilliams was citing a therapist who was basically behaving like some italian mobster in interaction with his ASPD patients, insulting them, laughing at them etc. And he apparently was rather successful. But a therapy that builds up or tries to repair psychological structure - be that directly as psychoanalytic therapies, or indirectly like something like Schema Therapy - will not necessarily be concerned with questions of form. The therapist will have to take note of the interaction with and within the patient in every moment of therapy, changes in behavior, in voice, changes in their associations, communicated or withheld emotions etc. The improvement that is aimed at you could argue is lowlevel, and something like "bad person" or whatever is very highlevel. One isnt concerned with that level at all. Of course "bad person" can come up or "bad therapist" can come up - but its dealt with in the moment and in the context of the session and it might be dealt with rather invisibly - sometimes to both parties.

*To clarify my thought: I don't think that Aspd, psychopathy and narcissism are “desintegrated” personalities, unless they haven't a psychosis too. I thought that the expression “desintegrated” personalities was referred to psychosis, and during the psychotic crisis.

About the general topic: in your experience which is the more competitive personality: Aspd, Npd or psychopathic personality?

HSS wrote:About the general topic: in your experience which is the more competitive personality: Aspd, Npd or psychopathic personality?

?
I neither frequent jails nor mental health institutes, so no idea where I should have such experience from.

I'd say I'm semi institutionalized between the psychwards, rehabs and recovery houses of my younger years.
Quarantine is a breeze for the most part.

Akuma wrote:

HSS wrote:About the general topic: in your experience which is the more competitive personality: Aspd, Npd or psychopathic personality?

?
I neither frequent jails nor mental health institutes, so no idea where I should have such experience from.

My question wasn't directed to you personally, it's a public forum. We can't know everyone's experience and life.
I also consider that you don't meet Npd, Aspd or psychopaths in jail or institutes only.
However, for those who haven't a direct experience, what is your opinion: which is the most competitive personality among these?

HSS wrote:About the general topic: in your experience which is the more competitive personality: Aspd, Npd or psychopathic personality?

That's an interesting question and one I can't answer.

I am extremely competitive though. I see everything as a competition. I reckon that if I was alone in an empty room with no windows or lights I'd still find something to make a competition out of.

Manners73 wrote:

HSS wrote:About the general topic: in your experience which is the more competitive personality: Aspd, Npd or psychopathic personality?

That's an interesting question and one I can't answer.

I am extremely competitive though. I see everything as a competition. I reckon that if I was alone in an empty room with no windows or lights I'd still find something to make a competition out of.

Hi Manners

Do you consider yourself more Aspd or more narcissist, which is prevailing?

ASPD tend to be lazy and unproductive addicted to drugs and living the lifestyle that comes along with that from my experience. Narcissist can be either or, most underachieve and are also pretty unproductive, the pathological types atleast but some are overly competitive. Same with psychopaths I’d say some are lazy basically floating through life with no concern at all but I’ve met some who I would certainly think of as be highly psychopathic and were motivated, mostly to do things they shouldn’t be doing. I think it comes down to the individual more that the disorder personally