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DSM-5 to Ignore Narcissists? December 15, 2010

Posted by alwaysjan in Narcissistic Personality Disorder.
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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.