May 7, 2007

David Anthony Yeagley: Are D.A.Y. and N.P.D. related?

from the Bad Eagle Journal

Who exactly is NPD? Why “narcissistic personality disorder,” that’s who.

Why not read through these interesting facts about Mr. N.P.D. and simply consider the striking potential for a relationship here. Is there any truth to be found in this connection? Don’t you find the DAY-NPD kinship question rather compelling? Is there a “pervasive pattern” present? How many of the 9 indicators are present? What about DAY’s upbringing and parents? If you find this interesting, put on your thinking cap and consider the NPD behind the image DAY tries to project. Do we have a "Dr. DAY & Mr. NPD" thing (Jekyll/Hyde
) going on here?

Travel Note: You are invited to leave comments, and I will administer them while I am away for this coming week (May 8-14); rest assured all comments will be posted. I'll find an internet cafe or something if I can! And, of course, I will be back May 15, the Ides of May! Have a peaceful week.

Read on ...

Diagnostic criteria

At least five of the following are necessary for a diagnosis (as with many DSM diagnoses, they must form a pervasive pattern; for example, a person who shows these criteria only in one or two relationships or situations would not properly be diagnosed with NPD):

1. has a grandiose sense of self-importance

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 other special people

4. requires excessive admiration

5. strong sense of entitlement

6. takes advantage of others to achieve his or her own ends

7. lacks empathy

8. is often envious or believes others are envious of him or her

9. arrogant affect

Clinical experience

Pathological narcissism occurs in a spectrum of severity. In its more extreme forms, it is narcissistic personality disorder. NPD is considered to result from a person’s belief that he or she is flawed in a way that makes the person fundamentally unacceptable to others. This belief is held below the person’s conscious awareness; such a person would typically deny thinking such a thing if questioned. In order to protect themselves against the intolerably painful rejection and isolation they imagine would follow if others recognized their supposedly defective nature, such people make strong attempts to control others’ view of them and behavior towards them.

The common use of the term “narcissism” refers to some of the ways people defend themselves against this narcissistic dynamic: a concern with one’s own physical and social image, a preoccupation with one’s own thoughts and feelings, and a sense of grandiosity. There are, however, many other behaviors that can stem from narcissistic concerns, such as immersion in one’s own affairs to the exclusion of others, an inability to empathize with others’ experience, interpersonal rigidity, an insistence that one’s opinions and values are “right,” and a tendency to be easily offended and take things personally.

Psychologists commonly believe that pathological narcissism results from an impairment in the quality of the person’s relationship with their primary caregivers, usually their parents, in that the parents were unable to form a healthy, empathic attachment to them. This results in the child conceiving of themselves as unimportant and unconnected to others. The child typically comes to believe that he or she has some defect of personality which makes them unvalued and unwanted.

To the extent that people are pathologically narcissistic, they can be controlling, blaming, self-absorbed, intolerant of others’ views, unaware of other’s needs and of the effects of their behavior on others, and insistent that others see them as they wish to be seen...

People who are overly narcissistic commonly feel rejected, humiliated and threatened when criticised. To protect themselves from these dangers, they often react with disdain, rage, and/or defiance to any slight, real or imagined. To avoid such situations, some narcissistic people withdraw socially and may feign modesty or humility.

There is a broad spectrum of pathologically narcissistic personalities, styles, and reactions — from the very mild, reactive and transient, to the severe and inflexible narcissistic personality disorder.

Though individuals with NPD are often ambitious and capable, the inability to tolerate setbacks, disagreements or criticism, along with lack of empathy, make it difficult for such individuals to work cooperatively with others or to maintain long-term professional achievements.

With narcissistic personality disorder, the person's perceived fantastic grandiosity, often coupled with a hypomanic mood, is typically not commensurate with his or her real accomplishments.
The interpersonal relationships of patients with NPD are typically impaired due to the individual's lack of empathy, disregard for others, exploitativeness, sense of entitlement, and constant need for attention...

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