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2 yr. ago

  • That's not true. NPD diagnostic criteria in the DSM-5-TR (latest version) still contains manipulation efforts and similar behavior. Quote:

    A pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:

    1. Has a grandiose sense of self-importance (e.g., exaggerates achievements and talents, expects to be recognized as superior without commensurate achievements).
    2. Is preoccupied with fantasies of unlimited success, power, brilliance, beauty, or ideal love.
    3. Believes that he or she is “special” and unique and can only be understood by, or should associate with, other special or high-status people (or institutions).
    4. Requires excessive admiration.
    5. Has a sense of entitlement (i.e., unreasonable expectations of especially favorable treatment or automatic compliance with his or her expectations).
    6. Is interpersonally exploitative (i.e., takes advantage of others to achieve his or her own ends).
    7. Lacks empathy: is unwilling to recognize or identify with the feelings and needs of others.
    8. Is often envious of others or believes that others are envious of him or her.
    9. Shows arrogant, haughty behaviors or attitudes.

    So... Donald Trump probably meets criteria for a narcissistic personality disorder diagnosis (if he ever agrees to start a "mental health journey").

    And it's true that many disorders need to cause "clinically significant distress", but personality disorders can be diagnosed even if they don't cause distress to the person but causes it to others (e.g. ASPD). The DSM had to consider egosyntonic disorders, after all.

  • Or "...yet".

    The possibility is there, yes. But I think the best way to prevent it is to talk about NPD in a more medical way and focus on effective treatments. Honestly, I haven't found anything like "DBT for BPD" or "lithium for BD" for this disorder. It's very much needed.

  • I believe ignorance is a common reason even among professionals. They only think of the grandiose traits; they confuse the vulnerable traits with BPD or MDD; and they think it has to be close to ASPD to be diagnosable.

    My loved one developed NPD by having a terrible childhood and early teenage years with undiagnosed AuDHD. Bullying, rejection, isolation, school failures, etc. The solution was to start lying, manipulating, trying to get something (anything) going their way, seeking validation... They received a depression diagnosis only at first 🫥.

    Did you know people with ASD score higher in vulnerable narcissism traits? That means this story could be common. Traumatized neurodivergent children are already at higher risk of developing mental disorders.

    But no, nobody talks about NPD this way. It's always about grandiose traits being dangerous for others (which can be part of the experience, but there's so much more). I hope it changes someday.

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  • Even by itself, the first statement might not be the case. I don't remember the book that well, but I remember thinking it was a good introduction to this topic. Philosophy of Science: A Very Brief Introduction by Samir Okasha.

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  • Yet, it's not as simple as "scientists are under capitalists' interests", but "the ideologies within capitalism permeate the way we do science". A common example is how we measure functionality (and therefore pathology itself) in medicine.

  • So... This is stalkerish, but I was curious about your dark/gothic interests and I read some of your comments and you seem like an interesting person. I'd be grateful if you could share your poetry (a link to your accounts or whatever medium). 😳 Sorry; thank you.

  • I hate this joke and I'm going to address it seriously.

    The majority of us sleep and wake at similar hours. If someone feels like sleeping only at 2:00 or 3:00 a.m., they are probably not a night person, there might be something wrong (e.g., too much caffeine, major depression). People who naturally feel the need to sleep extremely early or extremely late are rare.

    Now, same bell curve logic, most people have a not-too-early and not-to-late natural clock. 'Early birds' and 'night owls' are also not the norm. The so-called morning people who naturally wake up at 7:00 a.m. or earlier and sleep early too are not only in the minority but also impacted by all the night lights, night life, "important ceremonies are at night", etc. As students, many cannot go to sleep early because of homework, practices or activities in the dormitories. We are all affected by unrealistic schedules, especially people in demanding fields (e.g. medical field). This is why we have normalized taking stimulants.

    Lastly, I need to say it, a lot of gamers think they are night people because they like to stay awake playing videogames. That's not how circadian clocks work. I understand the quiet and freedom of nighttime, but that's not necessarily our biological preference. When we are adults, we ought to find what our bodies need and provide it because our health (and future quality of life) depends on it. I'm giving this advice because it's advice I would've liked to hear when I was younger.

    Back to the meme, blaming the morning people is, again (we do it in many debates), shifting the blame from capitalism and a culture of "we need to do all the things, at all hours, cities that don't sleep" to a group of people that's not the 1%.

  • I disagree. Violence is not the answer, and especially not against people that are living in a way that doesn't hurt others. If a couple (or polycule) wants to be sexually exclusive, they have the right to do so, and they do not hurt others because it's not a social imposition for everyone.

    Edit: I mean, I understand questioning why we choose it, "deconstructing", as we now call it, but after that, I think it's an intimate matter.

  • It depends. Some relationships are open to pornography, others aren't. Some are open to sexual intercourse outside their people, but others aren't. It's about consent and agreeing to live in a way that all needs are met.

    That's why I said it's hard to know who is betraying their partner and who isn't, because maybe a man or woman or whoever following an erotic/pornographic content creator is not outside what their partner(s) expect, or maybe they are.

    Anyway, I do not like people breaking their "contracts" instead of talking them out.

  • If I were to do that, I'd probably do it for the money. I would get unfaithful followers (hard to pinpoint who because open relationships and other types of relationships exist, but statistically, there would be), and that wouldn't make it any less uncomfortable. I personally hate unfaithful/dishonest partners.