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DSM-5 to Ignore Narcissists? December 15, 2010

Posted by alwaysjan in Narcissistic Personality Disorder.
Tags: , , , , , , , , ,

A while back I heard that Narcissistic Personality Disorder (NPD) was to be eliminated from the updated version of the DSM-V due out in 2013.  I winced but have been in wait-and-see mode.  As I’ve said before, narcissism is the ground fog that swells around all Cluster B (The Drama Club) personality disorders, but does it deserve its own “disorder?”

I once described NPD as Baby Bear with Anti-Social Disorder (the disorder formerly referred to as sociopathy) as Mama Bear and Psychopathy as Big Bad Daddy Bear.  But if you’ve read The Sociopath Next Door,  you know that the majority of those who have the disorders that comprise the parental unit do not become criminals.  They don’t kill people – at least not like Dexter does with his “kill kit.”  They kill people’s spirits silently and methodically. They lack empathy and exhibit strong narcissistic traits. They are unable to connect emotionally with others who exist on the outer reaches of their universe.

I think Dr. Tara at Shrink4Men has written a slam dunk post on the proposed changes entitled Narcissistic Personality Disorder and Histronic Personality Disorder to be Eliminated in the DSM-V: Starbucks Diagnostics 101. There’s a link to the  New York Times article A Fate that Narcissists will Hate; Being Ignored.

In keeping with Dr. Tara’s Starbucks analogy, it looks like those formerly diagnosed as NPD will become a Antisocial/Psychopathic non-empathy latte with 1-3 pumps of Narcissism. This is a must read. 


1. Tim Bradley - December 15, 2010

It’s because of me, I just know it.

Okay, you made me laugh. It IS all about you! So does that mean you identify more with being a sociopath? I don’t recall you as being too handy with knives, but with practice…>wink< Jan


2. Tracy - December 15, 2010

I barely escaped from a partner w/NPD- & believe, due to the disorder itself, that removing it is a mistake. The person afflicted never suffers or complains- & thus, unlike the other disorders- ought to be put into a different category. The NPD operate by subversion- made easier if they fall under this “umbrella” ruling…Generally speaking, NPD is only ever reported by the “others”- the affected. Please don’t pull this one.

I, too, have issues with some of the proposed changes to the DSM-V. It’s true that those with NPD do not suffer or complain and will deny they have any problem whatsoever. Most are diagnosed in absentia. The proposed change does not mean NPD doesn’t exist – oh wait a minute, it does. Actually, it looks like those who are now considered NPD will be low-level sociopaths. Low-level anything does not sit well with a N’s Magical Thinking and Grandiosity. I believe the post at Shrink4men, a site which has been on my blogroll since Dr. Tara’s first post, best explains the who, the why, and the WTF. Jan


3. bev - December 16, 2010

dunno what to think really…..narcissits would HATE to be ignored which is some kind of irony….. and whatever its called….a rose by any other name …with NPD stinks the same 😉


4. Catherine Sherman - December 18, 2010

I was indignant when I heard that the NPD diagnosis was going bye-bye. More people need to learn about it, and this will make it harder for people to protect themselves when they encounter an N. The N is always great about making it all about YOUR problem.
Thanks for keeping us up to date on how the APA is muddying the waters of personality disorders. (There is probably a disorder for mixed metaphors!)


5. sadomasochisticnarcissist - March 22, 2011

How ironic . . . ignoring the narcissist is the route to their weakness and ultimately, destruction.

When I ignored “Joe,” he responded by disappearing into the background or getting a wounded look. But he never verbally expressed how this made him feel. How does it feel when you’re ignored by someone who’s on your radar? Just curious. Jan


6. sadomasochisticnarcissist - March 24, 2011

“How does it feel” brilliant question as this really is key to the reaction isn’t it . . . for me, absolutely enreaged to the point it consumes my whole being. All thought processes are clouded by it and I just get a “fog” about everything.


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