Narcissist Vs Borderline

DSM-5 Developers Propose New System for Diagnosing Personality Disorders

Does a personality disorder "the way you are," or condition that you "have"?

A bit of both, say experts in personality pathology. Personality traits, good and bad, are likely to be more or less stable and consistent over time, an expression as "a person is."

But the degree of impairment that can cause pathological traits may fluctuate as symptoms wax and wane and may vary from patient to reflect on "one condition", which, like hypertension, can vary at different times development of life and in response to life circumstances variables and environmental stressors.

This understanding of the split personality as a stable construction and personality pathology as varying in the degree of impairment is reflected in the recently proposed criteria for personality disorders (PD), a hybrid model dimensions categorical assessment personality and PD diagnosis now being field-tested for inclusion in the DSM-5 (see Highlights of proposed changes to criteria personality disorder).

The proposed criteria describe six types of antisocial personality disorder specifically, avoidant, borderline, narcissistic, obsessive-compulsive, and schizotypal, as well as an additional diagnosis related to specific personality disorder (STDP). All these diagnoses require impairment in personality and appearance of pathological personality traits in one or more related fields.

The new criteria are being tested in field trials in large, academic medical institutions and a wide range of clinical settings, such as solo practices or small groups. In addition to testing the reliability, feasibility, and perceived clinical utility of these new criteria, the field trials will establish scoring algorithms for the individual criteria and disorders themselves.

The Narcissist versus the Borderline

(F)  Expressively Haughty (e.g., acts in an arrogant, supercilious, pompous, and disdainful manner, flouting conventional rules of shared social living, viewing them as naive or inapplicable to self; reveals a careless disregard for personal integrity and a self-important indifference to the rights of others). 

(F)  Interpersonally Exploitive (e.g., feels entitled, is unempathic and expects special favors without assuming reciprocal responsibilities; shamelessly takes others for granted and uses them to enhance self and indulge desires).

(F)  Expansive Cognitive Style (e.g., has an undisciplined imagination and exhibits a preoccupation with immature and self-glorifying fantasies of success, beauty or love; is minimally constrained by objective reality, takes liberties with facts and often lies to redeem self-illusions).

(S)  Admirable Self-Image (e.g., believes self to be meritorious, special, if not unique, deserving of great admiration, and acting in a grandiose or self-assured manner, often without commensurate achievements; has a sense of high self-worth, despite being seen by others as egotistic, inconsiderate, and arrogant).

(S)  Contrived Object-Relations (e.g., internalized representations are composed far more than usual of illusory and changing memories of past relationships; unacceptable drives and conflicts are readily refashioned as the need arises, as are others often simulated and pretentious).

(F)  Rationalization Regulatory Mechanism (e.g., is self-deceptive and facile in devising plausible reasons to justify self-centered and socially inconsiderate behaviors; offers alibis to place oneself in the best possible light, despite evident shortcomings or failures).

Borderline

Freeing Yourself from the Narcissist in Your Life

Disarming the narcissist, surviving & thriving with the self-absorbed

Borderline

Cognitive-behavioral treatment of borderline personality disorder