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Fear

Hell on earth is not a place but a state of mind!
Have you lived in fear, cowered when a hand is raised, felt empty and alone, or felt that your life has been stolen from you because anxiety and depression is nipping at your heals? Is your laughter gone? Has your spirit been broken, and the word hope is no longer in your vocabulary? I was once in that dark place of no return. My mind, body, heart and soul were broken into a million pieces, and the fear running through my veins were earth shattering. My brain was numb to all rational thinking and thoughts of suicide were like taking a common every day breath. The only thing that saved me was a moment of clarity to realize that I couldn't leave my young children behind with this person I was married to. My isolation and captivity was complete. I am still in counseling for PTSD (post-traumatic stress disorder) 3 years later, but I am finding out who I really am for the first time in my life. I am loving, smart, funny, and most of all I have learned that I am a good wife and a good mother after 21 years of hearing I wasn't good enough for anything. My life has been forever changed, and life is good. Challenges still arise, but with my new husband and my family always there for me with unconditional love and support I am
making it one day at a time.
My dream is that one day divorce courts will address mental, verbal and psychological (emotional) abuse as a prosecutable offense. The scars run deep and wide with all forms of abuse, just because you can't see them, doesn't mean they don't exist.Research is starting to show that mental abuse is longer lasting to its victims than physical abuse. I can now say I am a survivor!
Hope is something I never had, until my escape became a reality not a dream. Hope is now a wonderful word in my vocabulary, and fear is a thing of the past. My number one goal is to finish school with a PHD degree in Pyschology so that I can help women and men, who are still in that dark place of no return and to keep my children safe and showing them that they are loved. I want to show victims that there is light at the end of the tunnel, and a freedom of the soul they never thought possible. Abused women and men need to know that there is life after they go through hell on earth, a traumatic experience, that will forever change who they are and who they can be.

Tuesday, May 28, 2013

Survivng a borderline parent: Aritcle Walking the line

Borderline: Walking the Line

Your childhood was full of tantrums—impulsivity, mood swings, neediness, fear of abandonment, and extreme sensitivity to rejection. And this isn't you we're talking about; it's your mom.
If you grew up the constant target of finicky and derisive comments, or the emotional caretaker for one of your parents, you know all too well the pain of having a father or (usually) mother with Borderline Personality Disorder. BPD doesn't just affect the one who receives the diagnosis; it often leaves a wake of turmoil through entire families as the emotional and relational disturbances ripple outward.

         

When a role model treats you as an extension of herself—there to meet her needs—the trauma can be long lasting. It takes a very strong person to overcome the effects, let alone maintain a constructive relationship with the parent. But there's hope. Here are several guidelines for dealing with a borderline parent, and for moving on with your own life.
  • Know the TypeMothers with BPD outnumber fathers, and Christine Lawson, author of Understanding the Borderline Mother, has a taxonomy of the troubled parent: "The Queen is controlling, the Witch is sadistic, the Hermit is fearful, and the Waif is helpless," she says. And each requires a different approach. Don't let the Queen get the upper hand; be wary even of accepting gifts because it engenders expectations. Don't internalize the Hermit's fears or become limited by them. Don't allow yourself to be alone with the Witch; maintain distance for your own emotional and physical safety. And with the Waif, don't get pulled into her crises and sense of victimization; "pay attention to your own tendencies to want to rescue her, which just feeds the dynamic," Lawson says.
  • Build FencesBorderline parents often can't separate their own needs from the needs of others. And sometimes they can't meet their own emotional needs, so they look to their children to fill it. When the child doesn't do the job, the parent can get angry, making resistance difficult. "Adult children need to define for themselves their limits and boundaries," says Kimberlee Roth, author of Surviving a Borderline Parent. "Let's say a parent regularly calls late at night to vent. Whatever your needs, communicate them in a calm, non-accusatory way: 'Mom, I'd like to listen but I can't do it late at night. How about if we talk in the morning instead?'" As a last resort, use Caller ID or voicemail.
  • Be Firm But SensitivePersonal validation, which is important in any situation, is essential with a borderline parent. Express your awareness of her emotions even as you set boundaries. "You might feel like a broken record," Roth says, "but it's important to keep repeating your acknowledgment of the parent's needs without diminishing your own."
  • Trust YourselfIn writing her book, Roth encountered many children of borderline parents who said they felt crazy growing up. "They experienced a lot of inconsistencies—an action or statement that earned praise one day would touch off a three-day, stony silent treatment the next—as well as sudden outbursts and overreactions." So they never learn to trust their own judgment or feelings. The most important element to recovery, she says, is to accept that you're not crazy and that "it wasn't me."
  • Trust OthersPeople who've survived a borderline parent most frequently suffer from "feelings of worthlessness, fear of abandonment, and fear of people in general," according to Randi Kreger, co-author of the bestselling Stop Walking on Eggshells: Taking Your Life Back When Someone You Care About Has Borderline Personality Disorder. Because these adult children received "such mixed messages—you're a great person one day and you're horrible the next—there's a certain mistrust of people because you're always afraid they're going to hurt you." Kreger advises that they find friends and partners unlike the parent: consistent people who can provide unconditional love. And stop looking for sleights; hair-trigger defense systems that developed in the presence of abusive parents often lead people to see ill intentions where they don't exist and end up preemptively sabotaging relationships.
  • Defend Your BoundariesChildren of borderline parents are often forced to act as the parent themselves—"it's like a child raising a child," Kreger says—and this role can play itself out in other relationships. They grow up very quickly in many ways and act as caretaker for everyone, sometimes at the expense of taking care of themselves. "Having that undue sense of responsibility can leave them feeling very alone in the world," Lawson says. And they allow others to tread their boundaries just as the parent did. So once you learn to set limits for your parent, set them for other people and learn to put yourself first.
None of these steps will come easy. An abusive or inconsistent parent can leave a deep wound. "Trying to manage it can be a lifelong process," Kreger says. But she insists that with a good therapist, and support from a community of other people who have gone through the same thing, "there is real possibility to get better, and I know many people who have."

For more information visit:www.psychologytoday.com/.../borderline-personality-disorder-walking-the-line...

Symptoms of Borderline Personality disorder in males


It has been thought that women were mostly diagnosed with Borderline Personality Disorder, and it still may be with men being so misdiagnosed, and as you can see from this article that men have Borderline Personality disorder as well.



Borderline personality disorder in males

borderline disorder
borderline disorder
Photo credit:
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"If your foundational belief is that everyone abandons you, you'll orchestrate your relationships in such a way, that you keep getting to be right about it; this is called a payoff." Shari Schreiber


 

What was once thought of as a primarily female disorder, Borderline Personality Disorder is now recognized as something which affects males and females in equal numbers. Various factors, including gender bias, cultural stereotyping, and manifestation of symptoms have kept the male borderline hidden, or at the very least misdiagnosed. But research now suggests that this disorder is equally prevalent among men and is much more common among the population as a whole than previously believed. Whereas bpd was once thought to affect about 3% of the population with 75% of those being female, estimates are now as high as 6% with men and women affected in equal numbers.


Let’s look at some of the symptoms of Borderline Personality Disorder in males:




Unstable relationships.
Borderline men have a difficult time forming long-lasting romantic relationships. As a result the tend to have many short-term unstable intense relationships. As soon as one relationship ends the borderline male will begin pursuing a new one. For these men it's all about the rebound and the chase. They will often carry on multiple simultaneous relationships at once.


Love Addict / Love Phobic. The borderline male is a walking contradiction; he is a true paradox. He is both addicted to love in terms of the chase, the romance, and the sex, and fearful of it because of his underlying fears of intimacy and commitment. He will be incredibly romantic and sensitive initially, seemingly too good to be true. However once the chase is over and he has secured a woman's heart his backpedaling will begin.


Narcissistic / Insecure. Once again the borderline male is a paradox. He can appear to be incredibly confident, dashing, cavalier and quite full of himself. However beneath this thin veil of narcissism lives a very insecure man who feels both unworthy and unlovable.


Substance Abuse. Like women, borderline men also tend to abuse alcohol and/or drugs. Because of their inability to self-soothe or deal with their emotional pain in healthy ways, drugs and alcohol are a quick and easy escape for them.


Suicidal thoughts. Borderline men often engage in suicidal thoughts or behavior. Half of all borderlines attempt suicide at least once, and 10% go on to commit suicide.


Hypersensitive. Borderline men are hypersensitive to real or perceived criticism. They are incredibly “thin skinned”. Any perceived criticism can send them into an angry rage.


Suspicious, untrusting , and jealous. Because their internal dialogue is that they are "unworthy" and "unlovable" borderline men are incredibly jealous when they are in relationships. No matter how much they are reassured they are simply incapable of trusting. They will often test women, sometimes over and over in an attempt to reassure themselves. "Stalking" behavior is not uncommon for borderline men.


Reckless behavior. Borderline men engage is risky, impulsive, or reckless behavior. This can include things such as reckless driving, drinking and driving, promiscuous sex, gambling, overspending, etc.


Low self esteem. Because of his low sense of self the borderline male is likely to get involved with women who he perceives as "needy" or more unstable that he is. He will always choose-down when it comes to relationships. This gives him an opportunity to play the role of hero or rescuer. Any woman who seems whole or has greater resources than he's recognized in himself, activates his abandonment fears.


Other disorders. Men with BPD often have other mental health issues. These include depression, social anxiety, elements of NPD and AvPD (Narcissistic Personality Disorder and Avoidant Personality Disorder), and OCD.





There is no cure for Borderline Personality Disorder. With the proper treatment and time patients can make improvements. Like most personality disorders, borderline personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.


For more information on Borderline Personality Disorder check out The Borderline Central website





Source material: BPDCentral.com, LATimes.com, Gettinbetter.com, Wikipedia

Borderline Personality Disorder

What is borderline personality disorder?

Borderline personality disorder is a mental illness that causes intense mood swings, impulsive behaviors, and severe problems with self-worth. It can lead to troubled relationships in every area of a person's life.
Most of the time, signs of the disorder first appear in childhood. But problems often don't start until early adulthood. Treatment can be hard, and getting better can take years. Problems with emotions and behaviors are hard to improve. But with treatment, most people with severe symptoms do get better over time.

 

What causes this disorder?
Experts don't know exactly what causes borderline personality disorder. Problems with chemicals in the brain that help control moods may play a role. It also seems to run in families.
Often people who get it faced some kind of childhood trauma such as abuse, neglect, or the death of a parent. The risk is higher when people who had childhood trauma also have problems coping with anxiety or stress.

What are the symptoms?

Everyone has problems with emotions or behaviors sometimes. But if you have borderline personality disorder, the problems are severe, repeat over a long time, and disrupt your life. The most common symptoms include:
  • Intense emotions and mood swings.
  • Harmful, impulsive behaviors. These may include things like substance abuse, binge eating, out-of-control spending, risky sexual behavior, and reckless driving.
  • Relationship problems. You may see others as either "good" or "bad" and may shift from one view to the other suddenly, for minor reasons. This can make relationships very difficult.
  • Low self-worth.
  • A frantic fear of being left alone (abandoned). This fear may lead to frantic attempts to hold on to those around you. Or it may cause you to reject others before they can reject you.
  • Aggressive behavior.
Other symptoms may include:
  • Feeling empty inside.
  • Problems with anger, such as violent temper tantrums.
  • Hurting yourself, such as cutting or burning yourself.
  • Suicide attempts and suicidal thoughts.
  • Times when you feel paranoid or lose a sense of reality (psychosis).
It's easy to confuse this disorder with other mental illnesses. And they may overlap. So if you think that you or someone you know may have borderline personality disorder, see a doctor. Don't try to diagnose yourself.

How is it treated?

Borderline personality disorder can be hard to treat. It's common for symptoms to return. And many people with the disorder have troubled relationships with their counselors and doctors.
But you can take steps to help control the disorder. Long-term treatment can reduce symptoms and harmful behaviors and help you better manage your emotions. Treatment may include:
  • Counseling and therapy. It's important to fnd a counselor you can build a stable relationship with. This can be hard, because your condition may cause you to see your counselor as caring one minute and cruel the next, especially when he or she asks you to try to change a behavior. Try to find a counselor who has special training in treating this disorder.
  • Medicines, such as antidepressants, mood stabilizers, and antipsychotics.
  • Healthy habits, such as getting enough sleep, eating healthy foods, getting regular exercise, and avoiding alcohol and drugs. These habits can help reduce stress and anxiety.
WebMD Medical Reference from Healthwise
Last Updated: March 14, 2011
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.

My 4th and Final Cluster B Personality disorder is Borderline Personality Disorder

Symptoms

By Mayo Clinic staff
Borderline personality disorder affects how you feel about yourself, how you relate to others and how you behave.
Signs and symptoms of borderline personality disorder may include:
  • Impulsive and risky behavior, such as risky driving, unsafe sex, gambling sprees or illegal drug use
  • Awareness of destructive behavior, including self-injury, but sometimes feeling unable to change it
  • Wide mood swings
  • Short but intense episodes of anxiety or depression
  • Inappropriate anger and antagonistic behavior, sometimes escalating into physical fights
  • Difficulty controlling emotions or impulses
  • Suicidal behavior
  • Feeling misunderstood, neglected, alone, empty or hopeless
  • Fear of being alone
  • Feelings of self-hate and self-loathing
When you have borderline personality disorder, you often have an insecure sense of who you are. Your self-image, self-identity or sense of self often rapidly changes. You may view yourself as evil or bad, and sometimes you may feel as if you don't exist at all. An unstable self-image often leads to frequent changes in jobs, friendships, goals and values.
Your relationships are usually in turmoil. You may idealize someone one moment and then abruptly and dramatically shift to fury and hate over perceived slights or even minor misunderstandings. This is because people with borderline personality disorder often have difficulty accepting gray areas — things seem to be either black or white.
When to see a doctorIf you're aware that you have any of the signs or symptoms above, talk to your doctor or a mental health provider. Proper treatment can help you feel better about yourself and help you live a more stable, rewarding life.
If you notice signs or symptoms in a family member or friend, talk to that person about seeing a doctor or mental health provider. But you can't force someone to seek help. If the relationship causes you significant stress, you may find it helpful to see a therapist yourself.

Thursday, May 23, 2013

Symptoms of Narciscisstic personality disorder by Mayo Clinic

Narcissistic personality disorder

Symptoms
By Mayo Clinic staff Narcissistic personality disorder is characterized by dramatic, emotional behavior, which is in the same category as antisocial and borderline personality disorders.
Narcissistic personality disorder symptoms may include:
  • Believing that you're better than others
  • Fantasizing about power, success and attractiveness
  • Exaggerating your achievements or talents
  • Expecting constant praise and admiration
  • Believing that you're special and acting accordingly
  • Failing to recognize other people's emotions and feelings
  • Expecting others to go along with your ideas and plans
  • Taking advantage of others
  • Expressing disdain for those you feel are inferior
  • Being jealous of others
  • Believing that others are jealous of you
  • Trouble keeping healthy relationships
  • Setting unrealistic goals
  • Being easily hurt and rejected
  • Having a fragile self-esteem
  • Appearing as tough-minded or unemotional
Although some features of narcissistic personality disorder may seem like having confidence or strong self-esteem, it's not the same. Narcissistic personality disorder crosses the border of healthy confidence and self-esteem into thinking so highly of yourself that you put yourself on a pedestal. In contrast, people who have healthy confidence and self-esteem don't value themselves more than they value others.
When you have narcissistic personality disorder, you may come across as conceited, boastful or pretentious. You often monopolize conversations. You may belittle or look down on people you perceive as inferior. You may have a sense of entitlement. And when you don't receive the special treatment to which you feel entitled, you may become very impatient or angry. You may insist on having "the best" of everything — the best car, athletic club, medical care or social circles, for instance.
But underneath all this behavior often lies a fragile self-esteem. You have trouble handling anything that may be perceived as criticism. You may have a sense of secret shame and humiliation. And in order to make yourself feel better, you may react with rage or contempt and efforts to belittle the other person to make yourself appear better.
When to see a doctorWhen you have narcissistic personality disorder, you may not want to think that anything could be wrong — doing so wouldn't fit with your self-image of power and perfection. But by definition, a narcissistic personality disorder causes problems in many areas of your life, such as relationships, work, school or your financial affairs. You may be generally unhappy and confused by a mix of seemingly contradictory emotions. Others may not enjoy being around you, and you may find your relationships unfulfilling.
If you notice any of these problems in your life, consider reaching out to a trusted doctor or mental health provider. Getting the right treatment can help make your life more rewarding and enjoyable.

3rd Personality Disorder discussed in our Cluster B set is NARCISSISM

The third personality disorder in the Cluster B set is Narcissism.  I know this is long, but well worth taking the time to read.



Almost everyone has some narcissistic traits, but being conceited, argumentative, or selfish sometimes (or even all the time) doesn't amount to a personality disorder. Narcissistic Personality Disorder is a long-term pattern of abnormal thinking, feeling, and behavior in many different situations. The traits on this page will seem peculiar or disturbing when someone acts this way -- i.e., you will know that something is not right, and contact with narcissists may make you feel bad about yourself. It's not unusual for narcissists to be outstanding in their field of work. But these are the successful people who have a history of alienating colleagues, co-workers, employees, students, clients, and customers -- people go away mad or sad after close contact with narcissists.



 
 

This is a compilation of observations I've made from various people I've known well for many years. Most of these traits apply to all of the narcissists I've known, but that doesn't mean that they'll all apply to the narcissists you know. My narcissists are all high-functioning -- that is, they've maintained gainful employment, marriages and family life -- and there may certainly be narcissistic traits that I haven't observed among the narcissists I've known. You can go directly to my full commentary on narcissists' traits or you can select what you're most interested in from the pink box below. Narcissicism is a personality disorder and that means that narcissists' personalities aren't organized in a way that makes sense to most people, so the notes below do not necessarily go in the order I've listed them or in any order at all. Interaction with narcissists is confusing, even bewildering -- their reasons for what they do are not the same as normal reasons. In fact, treating them like normal people (e.g., appealing to their better nature, as in "Please have a heart," or giving them the chance to apologize and make amends) will make matters worse with a narcissist.
[For general discussion of cognition, affectivity, interpersonal functioning, and impulse control in personality disorders and NPD. It's also interesting to compare these traits below with characteristics of normal six-year-olds.]



The most telling thing that narcissists do is contradict themselves. They will do this virtually in the same sentence, without even stopping to take a breath. It can be trivial (e.g., about what they want for lunch) or it can be serious (e.g., about whether or not they love you). When you ask them which one they mean, they'll deny ever saying the first one, though it may literally have been only seconds since they said it -- really, how could you think they'd ever have said that? You need to have your head examined! They will contradict FACTS. They will lie to you about things that you did together. They will misquote you to yourself. If you disagree with them, they'll say you're lying, making stuff up, or are crazy. [At this point, if you're like me, you sort of panic and want to talk to anyone who will listen about what is going on: this is a healthy reaction; it's a reality check ("who's the crazy one here?"); that you're confused by the narcissist's contrariness, that you turn to another person to help you keep your bearings, that you know something is seriously wrong and worry that it might be you are all signs that you are not a narcissist]. NOTE: Normal people can behave irrationally under emotional stress -- be confused, deny things they know, get sort of paranoid, want to be babied when they're in pain. But normal people recover pretty much within an hour or two or a day or two, and, with normal people, your expressions of love and concern for their welfare will be taken to heart. They will be stabilized by your emotional and moral support. Not so with narcissists -- the surest way I know of to get a crushing blow to your heart is to tell a narcissist you love her or him. They will respond with a nasty power move, such as telling you to do things entirely their way or else be banished from them for ever. ^


If you're like me, you get into disputes with narcissists over their casual dishonesty and cruelty to other people. Trying to reform narcissists by reasoning with them or by appealing to their better nature is about as effective as spitting in the ocean. What you see is what you get: they have no better nature. The fundamental problem here is that narcissists lack empathy.
Lacking empathy is a profound disturbance to the narcissist's thinking (cognition) and feeling (affectivity). Even when very intelligent, narcissists can't reason well. One I've worked with closely does something I characterize as "analysis by eggbeater." They don't understand the meaning of what people say and they don't grasp the meaning of the written word either -- because so much of the meaning of anything we say depends on context and affect, narcissists (lacking empathy and thus lacking both context and affect) hear only the words. (Discussions with narcissists can be really weird and disconcerting; they seem to think that using some of the same words means that they are following a line of conversation or reasoning. Thus, they will go off on tangents and irrelevancies, apparently in the blithe delusion that they understand what others are talking about.) And, frankly, they don't hear all the words, either. They can pay attention only to stuff that has them in it. This is not merely a bad habit -- it's a cognitive deficiency. Narcissists pay attention only to themselves and stuff that affects them personally. However, since they don't know what other people are doing, narcissists can't judge what will affect them personally and seem never to learn that when they cause trouble they will get trouble back. They won't take other people's feelings into consideration and so they overlook the fact that other people will react with feeling when abused or exploited and that most people get really pissed off by being lied to or lied about. ^


Narcissists lack a mature conscience and seem to be restrained only by fear of being punished or of damaging their reputations -- though, again, this can be obscure to casual observation if you don't know what they think their reputations are, and what they believe others think of them may be way out of touch with reality [see remarks on John Cheever elsewhere on this page]. Their moral intelligence is about at the level of a bright five- or six-year-old; the only rules they recognize are things that have been specifically required, permitted, prohibited, or disapproved of by authority figures they know personally. Anyhow, narcissists can't be counted on not to do something just because it's wrong, illegal, or will hurt someone, as long as they think that they can get away with it or that you can't stop them or punish them (i.e., they don't care what you think unless they're afraid of you). ^


Narcissists are envious and competitive in ways that are hard to understand. For instance, one I knew once became incensed over an article published in a national magazine -- not for its content exactly, but because she could have written something just as good. Maybe she could have -- she hadn't, but that little lapse on her part was beside the point to her. They are constantly comparing themselves (and whatever they feel belongs to them, such as their children and furniture) to other people. Narcissists feel that, unless they are better than anyone else, they are worse than everybody in the whole world. ^


Narcissists are generally contemptuous of others. This seems to spring, at base, from their general lack of empathy, and it comes out as (at best) a dismissive attitude towards other people's feelings, wishes, needs, concerns, standards, property, work, etc. It is also connected to their overall negative outlook on life. ^


Narcissists are (a) extremely sensitive to personal criticism and (b) extremely critical of other people. They think that they must be seen as perfect or superior or infallible, next to god-like (if not actually divine, then sitting on the right hand of God) -- or else they are worthless. There's no middle ground of ordinary normal humanity for narcissists. They can't tolerate the least disagreement. In fact, if you say, "Please don't do that again -- it hurts," narcissists will turn around and do it again harder to prove that they were right the first time; their reasoning seems to be something like "I am a good person and can do no wrong; therefore, I didn't hurt you and you are lying about it now..." -- sorry, folks, I get lost after that. Anyhow, narcissists are habitually cruel in little ways, as well as big ones, because they're paying attention to their fantasy and not to you, but the bruises on you are REAL, not in your imagination. Thus, no matter how gently you suggest that they might do better to change their ways or get some help, they will react in one of two equally horrible ways: they will attack or they will withdraw. Be wary of wandering into this dragon's cave -- narcissists will say ANYTHING, they will trash anyone in their own self-justification, and then they will expect the immediate restoration of the status quo. They will attack you (sometimes physically) and spew a load of bile, insult, abuse, contempt, threats, etc., and then -- well, it's kind of like they had indigestion and the vicious tirade worked like a burp: "There. Now I feel better. Where were we?" They feel better, so they expect you to feel better, too. They will say you are nothing, worthless, and turn around immediately and say that they love you. When you object to this kind of treatment, they will say, "You just have to accept me the way I am. (God made me this way, so God loves me even if you are too stupid to understand how special I am.)" Accepting them as they are (and staying away from them entirely) is excellent advice. The other "punishment" narcissists mete out is banishing you from their glorious presence -- this can turn into a farce, since by this point you are probably praying to be rescued, "Dear God! How do I get out of this?" The narcissist expects that you will be devastated by the withdrawal of her/his divine attention, so that after a while -- a few weeks or months (i.e., the next time the narcissist needs to use you for something) -- the narcissist will expect you to have learned your lesson and be eager to return to the fold. If you have learned your lesson, you won't answer that call. They can't see that they have a problem; it's always somebody else who has the problem and needs to change. Therapies work at all only when the individual wants to change and, though narcissists hate their real selves, they don't want to change -- they want the world to change. And they criticize, gripe, and complain about almost everything and almost everyone almost all the time. There are usually a favored few whom narcissists regard as absolutely above reproach, even for egregious misconduct or actual crime, and about whom they won't brook the slightest criticism. These are people the narcissists are terrified of, though they'll tell you that what they feel is love and respect; apparently they don't know the difference between fear and love. Narcissists just get worse and worse as they grow older; their parents and other authority figures that they've feared die off, and there's less and less outside influence to keep them in check. ^


Narcissists are hostile and ferocious in reaction, but they are generally passive and lacking in initiative. They don't start stuff -- they don't reach out. Remember this when they turn and rend you! They will complain about the same things for years on end, but only rarely do anything to change what dissatisfies them so badly. ^


Narcissists are naive and vulnerable, pathetic really, no matter how arrogant and forceful their words or demeanor. They have pretty good reasons for their paranoia and cynicism, their sneakiness, evasiveness, prevarications. This is the one I get suckered on. They are so out of touch with other people and what goes on around them that they are very susceptible to exploitation. On the other hand, they're so inattentive, and so disconnected from what other people are up to, that they don't recognize when someone is taking advantage of them. ^


Narcissists are grandiose. They live in an artificial self invented from fantasies of absolute or perfect power, genius, beauty, etc. Normal people's fantasies of themselves, their wishful thinking, take the form of stories -- these stories often come from movies or TV, or from things they've read or that were read to them as children. They involve a plot, heroic activity or great accomplishments or adventure: normal people see themselves in action, however preposterous or even impossible that action may be -- they see themselves doing things that earn them honor, glory, love, riches, fame, and they see these fantasy selves as personal potentials, however tenuous, something they'd do if they didn't have to go to school or go to work, if they had the time and the money.
As Freud said of narcissists, these people act like they're in love with themselves. And they are in love with an ideal image of themselves -- or they want you to be in love with their pretend self, it's hard to tell just what's going on. Like anyone in love, their attention and energy are drawn to the beloved and away from everyday practicalities. Narcissists' fantasies are static -- they've fallen in love with an image in a mirror or, more accurately, in a pool of water, so that movement causes the image to dissolve into ripples; to see the adored reflection they must remain perfectly still. Narcissists' fantasies are tableaux or scenes, stage sets; narcissists are hung up on a particular picture that they think reflects their true selves (as opposed to the real self -- warts and all). Narcissists don't see themselves doing anything except being adored, and they don't see anyone else doing anything except adoring them. Moreover, they don't see these images as potentials that they may some day be able to live out, if they get lucky or everything goes right: they see these pictures as the real way they want to be seen right now (which is not the same as saying they think these pictures are the way they really are right now, but that is another story to be discussed elsewhere). Sometimes narcissistic fantasies are spectacularly grandiose -- imagining themselves as Jesus or a saint or hero or deity depicted in art -- but just as often the fantasies of narcissists are mediocre and vulgar, concocted from illustrations in popular magazines, sensational novels, comic books even. These artificial self fantasies are also static in time, going back unchanged to early adolescence or even to childhood; the narcissists' self-images don't change with time, so that you will find, for instance, female narcissists clinging to retro styles, still living the picture of the perfect woman of 1945 or 1965 as depicted in The Ladies' Home Journal or Seventeen or Vogue of that era, and male narcissists still hung up on images of comic-book or ripping adventure heroes from their youth. Though narcissists like pictures rather than stories, they like still pictures, not moving ones, so they don't base their fantasies on movies or TV.
Grandiosity can take various forms -- a narcissistic woman may believe herself to be the very model of perfect womanhood, the standard by which all others are measured, and she will try to force her daughters to be just like her, she will not be able to cope with daughters who are taller or shorter than she is, fatter or thinner, who have bigger or smaller feet, breasts, teeth, who have different favorite colors than hers, etc. Narcissistic men can be infatuated with their own looks, too, (witness John Cheever, for instance; Almost Perfect) but are more likely than women to get hung up on their intelligence or the importance of their work -- doesn't matter what the work is, if he's doing it, by definition it's more important than anything you could possibly do. Narcissists I've known also have odd religious ideas, in particular believing that they are God's special favorites somehow; God loves them, so they are exempted from ordinary rules and obligations: God loves them and wants them to be the way they are, so they can do anything they feel like -- though, note, the narcissist's God has much harsher rules for everyone else, including you. [Many readers have questions about narcissism and religion. Here is an interesting article on the Web: "Narcissism Goes to Church: Encountering Evangelical Worship" by Monte Wilson. "Modern American Christianity is filled with the spirit of narcissism. We are in love with ourselves and evaluate churches, ministers and truth-claims based upon how they make us feel about ourselves. If the church makes me feel wanted, it is a good church. If the minister makes me feel good about myself, he is a terrific guy. If the proffered truth supports my self-esteem, it is, thereby, verified."] [More on grandiosity.] ^


Narcissists have little sense of humor. They don't get jokes, not even the funny papers or simple riddles, and they don't make jokes, except for sarcastic cracks and the lamest puns. This is because, lacking empathy, they don't get the context and affect of words or actions, and jokes, humor, comedy depend entirely on context and affect. They specialize in sarcasm about others and mistake it for wit, but, in my experience, narcissists are entirely incapable of irony -- thus, I've been chagrinned more than once to discover that something I'd taken as an intentional pose or humorous put-on was, in fact, something the narcissist was totally serious about. Which is to say that they come mighty close to parody in their pretensions and pretending, so that they can be very funny without knowing it, but you'd better not let on that you think so. [Interestingly, this is the only trait on this list about which there seems to be any controversy. Maybe I've just been unlucky! I've known narcissists who'll make fun of others, repeat jokes they've heard others laugh at, and laugh at jokes when others laugh, but knowing how to make people laugh is not necessarily the same as having a sense of humor.] ^


Narcissists have a weird sense of time. It's more or less like they are not aware that the passage of time changes things, or maybe they just aren't aware of time's passing at all. Years can pass without touching narcissists. Narcissists often look, or think they look, significantly younger than they are; this youthful appearance is a point of pride to them, and some will emphasize it by either preserving the styles of their golden youth or following the styles of people the age they feel they "really" are. That their faces don't show their chronological age is a good sign that they haven't been living real lives with real life's wear and tear on the looks of normal people. The narcissists' years have passed without touching them. Bear in mind that narcissistic adults have had decades of not being in synch with the times or with other people, so that by now they are really out of it. Sometimes it just seems like they have a highly selective memory -- which, of course, they do, sort of; they pay attention only to what has their name in it in the first place, so after 30 or 40 years, you shouldn't be surprised to hear a narcissist say something like, "Didn't the Beatles have a couple of hit songs while we were in high school?" or to suddenly discover that the narcissist doesn't know that M&M's have little m's on them or that smallpox was eradicated over 20 years ago. They are not being ironic: they really don't know. They were off in their own little world of fantastic perfection. On the other hand, as far as I've seen, all that stuff really is in there, but is accessible only intermittently or unpredictably. Narcissists ordinarily have spotty memories, with huge and odd gaps in their recollections; they may say that they don't remember their childhoods, etc., and apparently most of the time they don't. But they will have sudden accesses of memory, triggered by God knows what, when they remember details, everybody's names, what people were wearing, why the people in that picture from 1950 are standing the way they are, what the weather was like, etc. -- in other words, every once in a while, their memories will be normal. But don't count on it. ^


Narcissists are totally and inflexibly authoritarian. In other words, they are suck-ups. They want to be authority figures and, short of that, they want to be associated with authority figures. In their hearts, they know they can't think well, have no judgment about what matters, are not connected with the world they inhabit, so they cling fanatically to the opinions of people they regard as authority figures -- such as their parents, teachers, doctors, ministers. Where relevant, this may include scientists or professors or artists, but narcissists stick to people they know personally, since they aren't engaged enough with the world to get their authoritative opinions from TV, movies, books or dead geniuses/saints/heroes. If they get in trouble over some or another opinion they've put forth, they'll blame the source -- "It was okay with Dr. Somebody," "My father taught me that," etc. If you're still thinking of the narcissist as odd-but-normal, this shirking of responsibility will seem dishonest and craven -- well, it is but it's really an admission of weakness: they really mean it: they said what they said because someone they admire or fear said it and they're trying to borrow that person's strength. ^


Narcissists have strange work habits. Normal people work for a goal or a product, even if the goal is only a paycheck. Normal people measure things by how much they have to spend (in time, work, energy) to get the desired results. Normal people desire idleness from time to time, usually wanting as much free time as they can get to pursue their own thoughts and pleasures and interests. Narcissists work for a goal, too, but it's a different goal: they want power, authority, adulation. Lacking empathy, and lacking also context and affect, narcissists don't understand how people achieve glory and high standing; they think it's all arbitrary, it's all appearances, it's all who you know. So they try to attach themselves to people who already have what they want, meanwhile making a great show of working hard. Narcissists can put in a shocking amount of time to very little effect. This is partly because they have so little empathy that they don't know why some work is valued more highly than other work, why some people's opinions carry more weight than others'. They do know that you're supposed to work and not be lazy, so they keep themselves occupied. But they are not invested in the work they do -- whatever they may produce is just something they have to do to get the admiration and power they crave. Since this is so, they really don't pay attention to what they're doing, preferring the easiest thing at every turn, even though they may be constantly occupied, so that narcissists manage to be workaholics and extremely lazy at the same time. Narcissists measure the worth of their work only by how much time they spend on it, not by what they produce. They want to get an A for Effort. Narcissists lack empathy, so they don't know what others value or why. Narcissists tend to value things in quantitative ways and in odd quantities at that -- they'll tell you how many inches of letters they received, but not how many letters or from how many correspondents; they know the price of everything and the value of nothing.
A narcissist may, in fact, hold himself to a grinding work schedule that gives him something like an addictive high so that, when wrought up, he can be sort of dazed, giddy, and groggy, making you wonder if he's drunk or otherwise intoxicated -- now, that's a real workaholic. Usually, this excessive busyness appears to be -- and some will even tell you this -- an attempt to distract themselves from unpleasant or inconvenient feelings (i.e., it's a manic defense against depression -- and, note, with narcissists it's inaccurate to use "happy" or "unhappy" because their feelings are just not that differentiated; "euphoria" or "dysphoria" are as close as they get to ordinary pleasure or distress) or to make themselves unavailable to others' emotional needs. ^


Narcissists feel entitled to whatever they can take. They expect privileges and indulgences, and they also feel entitled to exploit other people without any trace of reciprocation. ^


Some narcissists spend extravagantly in order to impress people, keep up grandiose pretentions, or buy favorable treatment, and some narcissists overspend, bankrupt themselves, and lose everything. My personal experience is that narcissists are stingy, mean, frugal, niggardly to the point of eccentricity. This is a person who won't spend $1.50 on a greeting card but will instead send you an advertising flyer that came with the newspaper. This is a person who will be very conscious of her appearance but will dress herself and her children in used clothes and other people's cast-offs. [Note: Thrift is not in itself a narcissistic trait; neither is a fondness for old clothes. The important element here is that the narcissist buys clothes that other people she admires and wishes to emulate have already picked out, since she has no individual tastes or preferences.] These are people who need labels or trademarks (or other signs of authority) to distinguish between the real thing and a cheap knock-off or imitation, and so will substitute something easy and cheap for something precious and dear and expect nobody else to know the difference, since they can't. These are people who can tell you how many miles but not how many smiles.
Narcissists are not only selfish and ungiving -- they seem to have to make a point of not giving what they know someone else wants. Thus, for instance, in a "romantic" relationship, they will want you to do what they want because they want it and not because you want it -- and, in fact, if you actually want to do what they want, then that's too much like sharing and you wreck their fun and they don't want it anymore. They want to get what they want from you without giving you what you want from them. Period. If you should happen to want to give what they want to get, then they'll lose interest in you. ^





Narcissists are very disappointing as gift-givers. This is not a trivial consideration in personal relationships. I've seen narcissistic people sweetly solicit someone's preferences ("Go ahead -- tell me what you really want"), make a show of paying attention to the answer ("Don't you think I'm nice?"), and then deliver something other than what was asked for -- and feel abused and unappreciated when someone else gets gratitude for fulfilling the very request that the narcissist evoked in the first place. I've seen this happen often, where narcissists will go out of their way to stir up other people's expectations and then go out of their way to disappoint those expectations. It seems like a lot of pointless work to me.
First, narcissists lack empathy, so they don't know what you want or like and, evidently, they don't care either; second, they think their opinions are better and more important than anyone else's, so they'll give you what they think you ought to want, regardless of what you may have said when asked what you wanted for your birthday; third, they're stingy and will give as gifts stuff that's just lying around their house, such as possessions that they no longer have any use for, or -- in really choice instances -- return to you something that was yours in the first place. In fact, as a practical matter, the surest way NOT to get what you want from a narcissist is to ask for it; your chances are better if you just keep quiet, because every now and then the narcissist will hit on the right thing by random accident. ^


It's very hard to have a simple, uncomplicated good time with a narcissist. Except for odd spells of heady euphoria unrelated to anything you can see, their affective range is mediocre-fake-normal to hell-on-Earth. They will sometimes lie low and be quiet, actually passive and dependent -- this is as good as it gets with narcissists. They are incapable of loving conduct towards anyone or anything, so they do not have the capacity for simple pleasure, beyond the satisfaction of bodily needs. There is only one way to please a narcissist (and it won't please you): that is to indulge their every whim, cater to their tiniest impulses, bend to their views on every little thing. There's only one way to get decent treatment from narcissists: keep your distance. They can be pretty nice, even charming, flirtatious, and seductive, to strangers, and will flatter you shamelessly if they want something from you. When you attempt to get close to them in a normal way, they feel you are putting emotional pressure on them and they withdraw because you're too demanding. They can be positively fawning and solicitous as long as they're afraid of you, which is not most people's idea of a real fun relationship.
I always have the problem that I get fed up and stay away from THEM long enough to forget exactly what the trouble was, then they come around again, and every narcissist I've known actually was quite lovable about half the time so I try it again. A clue: Run for cover when they start acting normal, maybe expressing a becoming self-doubt or even acknowledging some little fault of their own, such as saying they now realize that they haven't treated you right or that they took advantage of you before. They're just softening you up for something really nasty. These people are geniuses of "Come closer so I can slap you." Except that's not the way they think about it, if they think about it -- no, they're thinking, "Well, maybe you do really care about me, and, if you really care about me, then maybe you'll help me with this," only by "help" they mean do the whole thing, take total responsibility for it, including protecting and defending them and cleaning up the mess they've already made of it (which they will neglect to fill you in on because they haven't really been paying attention, have they, so how would they know??). They will not have considered for one second how much of your time it will take, how much trouble it may get you into in their behalf, that they will owe you BIG for this -- no, you're just going to do it all out of the goodness of your heart, which they are delighted to exploit yet again, and your virtue will be its own reward: it's supposed to just tickle you pink to be offered this generous opportunity of showing how much you love them and/or how lucky you are to be the servant of such a luminous personage. No lie -- they think other people do stuff for the same reason they do: to show off, to perform for an audience. That's one of the reasons they make outrageous demands, put you on the spot and create scenes in public: they're being generous -- they're trying to share the spotlight with you by giving you the chance to show off how absolutely stunningly devoted-to-them you are. It means that they love you; that's why they're hurt and bewildered when you angrily reject this invitation. ^


Appearances are all there is with narcissists -- and their self-hatred knows no bounds. The most dramatic example I can think of is from John Cheever's journals. Throughout his life he had pursued surreptitious homosexual activities, being transiently infatuated with young men who reminded him of himself in his youth, while also living in a superficially settled way as a married family man, a respected writer with an enviable suburban life, breeding pedigreed dogs and serving on the vestry of the Episcopal church. When his secret life (going to New York City for a few days every now and then to pick up sailors and other beautiful boys for brief flings) came to scandalous light, his family sought to reassure him by telling him that they'd known about his homosexual activities for years. Now, a normal person would be ashamed and embarrassed but also relieved and grateful that scandal, not to mention chronic emotional and marital infidelity, had not caused his wife and children to reject and abandon him -- but not the narcissist! Oh, no, Cheever was enraged that they would ever have thought such a thing of him -- if they really loved him, they'd have bought his artificial "country squire" persona: they would have seen him as he wished to be seen: they would have believed his lies without question or doubt. ^


Narcissists don't volunteer the usual personal information about themselves, so they may seem secretive or perhaps unusually reserved or very jealous of their privacy. All these things are true, but with the special narcissistic twist that, first, their real life isn't interesting to them so it doesn't occur to them that it would be interesting to anyone else and, second, since they have not yet been transfigured into the Star of the Universe, they're ashamed of their real life. They feel that their jobs, their friends and families, their homes and possessions aren't good enough for them, they deserve better. ^


Narcissists not only don't recognize the feelings and autonomy of others, they don't recognize their own feelings as their own. Their feelings are sort of like the weather, atmospheric, acts of God. The narcissistic think that everyone's having the same feeling as they are. This means that usually their own pain means nothing to them beyond the physical discomfort -- it has no affective component. When they do get some painful affect, they think that God is punishing them -- they think that their trivial errors are worth God's specific attention to their punishment. If you try to straighten them out, by telling them that your feelings are different, beware: their idea of sharing their feelings is to do or say something that makes you feel the way they're feeling and, as they make a point of not sharing anything desirable, you can expect something really nasty. The sad fact seems to be that narcissists feel just as bad about themselves as they make others feel about them. ^


Narcissists are noted for their negative, pessimistic, cynical, or gloomy outlook on life. Sarcasm seems to be a narcissistic specialty, not to mention spite. Lacking love and pleasure, they don't have a good reason for anything they do and they think everyone else is just like them, except they're honest and the rest of us are hypocrites. Nothing real is ever perfect enough to satisfy them, so are they are constantly complaining and criticizing -- to the point of verbal abuse and insult. ^


Narcissists are impulsive. They undo themselves by behavior that seems oddly stupid for people as intelligent as they are. Somehow, they don't consider the probable consequences of their actions. It's not clear to me whether they just expect to get away with doing anything they feel like at the moment or whether this impulsiveness is essentially a cognitive shortcoming deriving from the static psychic state with its distorted perception of time. ^


Narcissists hate to live alone. Their inner resources are skimpy, static, and sterile, nothing interesting or attractive going on in their hearts and minds, so they don't want to be stuck with themselves. All they have inside is the image of perfection that, being mere mortals like the rest of us, they will inevitably fall short of attaining. ^


Introduction | What is a personality disorder? | Narcissistic Personality Disorder
How to recognize a narcissist | Traits discussed | "Now We Are Six" | "It's a Good Life"
What's normal? | Further reading | Attachment | Narcissus in art | Aftermath | Beyond | Music

Feel free to drop me a note with questions or comments.
©1998-2008 by Joanna M. Ashmun.
For more informattion visit:www.halcyon.com/jmashmun/npd/traits.html

Thursday, May 16, 2013

Early signs of aggression and antisocial behavior is children

Early Signs of Aggression and Antisocial Behavior in Children

 
Jul 31, 2011 | By Becky Swain
Becky Swain's first publication appeared in the "Journal of Personality Assessment" in 1984. Her articles have also appeared on various websites. She is an adjunct college instructor, licensed school psychologist and educational consultant. She holds a Master of Science in clinical psychology and a Doctor of Philosophy in educational psychology, both from Mississippi State University.
Most children learn to respond to frustration and anger without aggression.
Photo Credit Digital Vision/Valueline/Getty Images
Bullying, hitting, biting and issuing demands are aggressive behaviors that elicit attention and concern from parents and caregivers. Although toddlers and preschool children may demonstrate aggressive or antisocial behavior in response to frustration, anger and threats, most school-age children replace aggression with socially appropriate behavior. After you have learned to recognize the early signs of aggression and antisocial behavior, you can involve your pediatrician in assisting in identifying problems and treating your child.

Behavior Disorders

A pattern of aggressive, antisocial or disruptive behaviors exhibited for more than six months distinguishes behavior disorders from other behavior management challenges. These disorders, which include oppositional defiant disorder, or ODD, and conduct disorder, may exert a negative influence upon your child's school achievement, family dynamics and peer relationships. The American Academy of Pediatrics reports that the problems associated with the disorders typically increase in severity and frequency without specific treatment interventions. Consistent defiance of authority, threatening or hurting people or pets, tantrums, lying, stealing and destroying property comprise some of the warning signs of child behavior disorders.

Symptoms of ODD

Although ODD is a separate disorder, approximately one-third of all children with attention- deficit hyperactivity disorder also have the additional diagnosis of ODD. Symptoms of ODD include instigating conflict, blaming others for problems, arguing with adults or authority figures, anger management problems and ignoring rules. A child with ODD may appear belligerent, resentful and vindictive. Early diagnosis provides the child with learning opportunities to manage and replace the inappropriate behaviors. Without early diagnosis and intervention, the behaviors typical of ODD may increase in severity and lead to conduct disorder.

Symptoms of Conduct Disorder

Children infrequently exhibit the serious antisocial behaviors associated with conduct disorder. Approximately one-fourth of children with conduct disorder have a separate diagnosis of attention-deficit hyperactivity disorder. Symptoms of conduct disorder include setting fires, abusing or torturing animals, running away from home, skipping school and making deliberate attempts to physically or emotionally harm people. Early diagnosis and treatment decreases the child's risk for developing a negative self-image and aligning with peers who demonstrate similar problems.

Implications for Parents

Most children learn to replace aggressive, antisocial behavior with socially appropriate behavior before age 5. The American Academy of Pediatrics indicates that learning to manage feelings of anger and coping with frustration are crucial tasks of early childhood. However, if your child exhibits a pattern of aggressive, antisocial or disruptive behaviors that present a threat to herself, you or others, consult her pediatrician or a mental health professional who specializes in children's behavior problems.


Read more: http://www.livestrong.com/article/506618-early-signs-of-aggression-and-antisocial-behavior-in-children/#ixzz2TUOeuVxR

Today in the Personality disorder series I am discussing Antisocial Personality Disorder, which used to be known as Sociopath or Pscychopath Personality disorder but the DSM-IV renamed it as we know it today.

Below is the symtoms of a Antisocial Personality disorder.  An Antisocial Personality disorder does not need to have all symptoms listed to be considered for the personality disorder.




Antisocial Personality, Sociopathy, and Psychopathy




Hare's PCL-R 20-item checklist is based on Cleckley's 16-item checklist, and the following is a discussion of the concepts in the PCL-R.

But first of all, here is Cleckley's original list of symptoms of a psychopath:
1. Considerable superficial charm and average or above average intelligence.
2. Absence of delusions and other signs of irrational thinking
3. Absence of anxiety or other "neurotic" symptoms considerable poise, calmness, and verbal facility.
4. Unreliability, disregard for obligations no sense of responsibility, in matters of little and great import.
5.Untruthfulness and insincerity
7. Antisocial behavior which is inadequately motivated and poorly planned, seeming to stem from an inexplicable impulsiveness.
7.Inadequately motivated antisocial behavior
8.Poor judgment and failure to learn from experience
9. Pathological egocentricity. Total self-centeredness incapacity for real love and attachment.
10. General poverty ot deep and lasting emotions.
11. Lack of any true insight, inability to see oneself as others do.
12. Ingratitude for any special considerations, kindness, and trust.
13. Fantastic and objectionable behavior, after drinking and sometimes even when not drinking--vulgarity, rudeness, quick mood shifts, pranks.
14. No history of genuine suicide attempts.
15. An impersonal, trivial, and poorly integrated seX life.
16. Failure to have a life plan and to live in any ordered way, unless it be one promoting self-defeat.
"...More often than not, the typical psychopath will seem particularly agreeable and make a distinctly positive impression when he is first encountered. Alert and friendly in his attitude, he is easy to talk with and seems to have a good many genuine interests. There is nothing at all odd or queer about him, and in every respect he tends to embody the concept of a well-adjusted, happy person. Nor does he, on the other hand, seem to be artificially exerting himself like one who is covering up or who wants to sell you a bill of goods. He would seldom be confused with the professional backslapper or someone who is trying to ingratiate himself for a concealed purpose. Signs of affectation or excessive affability are not characteristic. He looks like the real thing.
"Very often indications of good sense and sound reasoning will emerge, and one is likely to feel soon after meeting him that this normal and pleasant person is also one with -high abilities. Psychometric tests also very frequently show him of superior intelligence. More than the average person, he is likely to seem free from social or emotional impediments, from the minor distortions, peculiarities, and awkwardnesses so common even among the successful. Such superficial characteristics are not universal in this group but they are very common..."
"...It must be granted of course that the psychopath has some affect. Affect is, perhaps, a component in the sum of life reactions even in the unicellular protoplasmic entity. Certainly in all mammals it is obvious. The relatively petty states of pleasure, vexation, and animosity experienced by the psychopath have been mentioned. The opinion here maintained is that he fails to know all those more serious and deeply moving affective states which make up the tragedy and triumph of ordinary life, of life at the level of important human experience..."
Hare's Checklist
1. GLIB and SUPERFICIAL CHARM -- the tendency to be smooth, engaging, charming, slick, and verbally facile. Psychopathic charm is not in the least shy, self-conscious, or afraid to say anything. A psychopath never gets tongue-tied. They have freed themselves from the social conventions about taking turns in talking, for example. >

2. GRANDIOSE SELF-WORTH -- a grossly inflated view of one's abilities and self-worth, self-assured, opinionated, cocky, a braggart. Psychopaths are arrogant people who believe they are superior human beings.

3. NEED FOR STIMULATION or PRONENESS TO BOREDOM -- an excessive need for novel, thrilling, and exciting stimulation; taking chances and doing things that are risky. Psychopaths often have a low self-discipline in carrying tasks through to completion because they get bored easily. They fail to work at the same job for any length of time, for example, or to finish tasks that they consider dull or routine.

4. PATHOLOGICAL LYING -- can be moderate or high; in moderate form, they will be shrewd, crafty, cunning, sly, and clever; in extreme form, they will be deceptive, deceitful, underhanded, unscrupulous, manipulative, and dishonest.

5. CONNING AND MANIPULATIVENESS- the use of deceit and deception to cheat, con, or defraud others for personal gain; distinguished from Item #4 in the degree to which exploitation and callous ruthlessness is present, as reflected in a lack of concern for the feelings and suffering of one's victims.

6. LACK OF REMORSE OR GUILT -- a lack of feelings or concern for the losses, pain, and suffering of victims; a tendency to be unconcerned, dispassionate, coldhearted, and unempathic. This item is usually demonstrated by a disdain for one's victims.

7. SHALLOW AFFECT -- emotional poverty or a limited range or depth of feelings; interpersonal coldness in spite of signs of open gregariousness.

8. CALLOUSNESS and LACK OF EMPATHY -- a lack of feelings toward people in general; cold, contemptuous, inconsiderate, and tactless.

9. PARASITIC LIFESTYLE -- an intentional, manipulative, selfish, and exploitative financial dependence on others as reflected in a lack of motivation, low self-discipline, and inability to begin or complete responsibilities.

10. POOR BEHAVIORAL CONTROLS -- expressions of irritability, annoyance, impatience, threats, aggression, and verbal abuse; inadequate control of anger and temper; acting hastily.

11. PROMISCUOUS SEXUAL BEHAVIOR -- a variety of brief, superficial relations, numerous affairs, and an indiscriminate selection of sexual partners; the maintenance of several relationships at the same time; a history of attempts to sexually coerce others into sexual activity or taking great pride at discussing sexual exploits or conquests.

12. EARLY BEHAVIOR PROBLEMS -- a variety of behaviors prior to age 13, including lying, theft, cheating, vandalism, bullying, sexual activity, fire-setting, glue-sniffing, alcohol use, and running away from home.

13. LACK OF REALISTIC, LONG-TERM GOALS -- an inability or persistent failure to develop and execute long-term plans and goals; a nomadic existence, aimless, lacking direction in life.

14. IMPULSIVITY -- the occurrence of behaviors that are unpremeditated and lack reflection or planning; inability to resist temptation, frustrations, and urges; a lack of deliberation without considering the consequences; foolhardy, rash, unpredictable, erratic, and reckless.

15. IRRESPONSIBILITY -- repeated failure to fulfill or honor obligations and commitments; such as not paying bills, defaulting on loans, performing sloppy work, being absent or late to work, failing to honor contractual agreements.

16. FAILURE TO ACCEPT RESPONSIBILITY FOR OWN ACTIONS -- a failure to accept responsibility for one's actions reflected in low conscientiousness, an absence of dutifulness, antagonistic manipulation, denial of responsibility, and an effort to manipulate others through this denial.

17. MANY SHORT-TERM MARITAL RELATIONSHIPS -- a lack of commitment to a long-term relationship reflected in inconsistent, undependable, and unreliable commitments in life, including marital.

18. JUVENILE DELINQUENCY -- behavior problems between the ages of 13-18; mostly behaviors that are crimes or clearly involve aspects of antagonism, exploitation, aggression, manipulation, or a callous, ruthless tough-mindedness.

19. REVOCATION OF CONDITION RELEASE -- a revocation of probation or other conditional release due to technical violations, such as carelessness, low deliberation, or failing to appear.

20. CRIMINAL VERSATILITY -- a diversity of types of criminal offenses, regardless if the person has been arrested or convicted for them; taking great pride at getting away with crimes.

INTERNET RESOURCES
The Antisocial Personality Disorder Homepage
Dr. Hare's Psychopathy/Antisocial Personality Confusion article

The Internet Danger Zone: Psychopaths or Sociopaths


PRINTED RESOURCES

Cleckley, Hervey (1903-1984) The Mask of Sanity, Fifth Edition, 1988. Previous editions copyrighted 1941, 1950, 1955, 1964, 1976 by St. Louis: Mosby Co.
Fishbein, D. (2000) (ed) The Science, Treatment, and Prevention of Antisocial Behaviors. Kingston, NJ: Civic Research Institute.
Giannangelo, S. (1996) The Psychopathology of Serial Murder. Westport: Praeger.
Hare, R. (1991) The Hare Psychopathy Checklist-Revised. Toronto: Multi-Health Systems.
Hare, R. (1993) Without Conscience: The Disturbing World of the Psychopaths among us. NY: Pocket Books.
Hare, R. (1996) Psychopathy: A clinical construct whose time has come. Criminal Justice and Behavior 23:25-54.
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For more information visit: www.angelfire.com/zine2/narcissism/psychopathy_checklist.html

Friday, May 10, 2013

Cluster B first personality order looked at is the "Histrionic Personality Disorder"




To start the cluster B personality disorders, I am looking at the Histrionoic Personality disorder.

DSM-IV looks at these symptoms: overely dramatic: atttention seekers: easily angered:seductive: dependent on others, vain, shallow, and manipulative: displays intense, but often false emotions.

Symptoms of
Histrionic Personality Disorder

By Psych Central Staff
Histrionic personality disorder is characterized by a long-standing pattern of attention seeking behavior and extreme emotionality. Someone with histrionic personality disorder wants to be the center of attention in any group of people, and feel uncomfortable when they are not. While often lively, interesting and sometimes dramatic, they have difficulty when people aren't focused exclusively on them. People with this disorder may be perceived as being shallow, and may engage in sexually seductive or provocating behavior to draw attention to themselves.
Individuals with Histrionic Personality Disorder may have difficulty achieving emotional intimacy in romantic or sexual relationships. Without being aware of it, they often act out a role (e.g., "victim" or "princess") in their relationships to others. They may seek to control their partner through emotional manipulation or seductiveness on one level, whereas displaying a marked dependency on them at another level.
Individuals with this disorder often have impaired relationships with same-sex friends because their sexually provocative interpersonal style may seem a threat to their friends' relationships. These individuals may also alienate friends with demands for constant attention. They often become depressed and upset when they are not the center of attention.
People with histrionic personality disorder may crave novelty, stimulation, and excitement and have a tendency to become bored with their usual routine. These individuals are often intolerant of, or frustrated by, situations that involve delayed gratification, and their actions are often directed at obtaining immediate satisfaction. Although they often initiate a job or project with great enthusiasm, their interest may lag quickly.
Longer-term relationships may be neglected to make way for the excitement of new relationships.

Symptoms of Histrionic Personality Disorder

A pervasive pattern of excessive emotionality and attention seeking, beginning by early adulthood and present in a variety of contexts, as indicated by five (or more) of the following:
  • Is uncomfortable in situations in which he or she is not the center of attention
  • Interaction with others is often characterized by inappropriate sexually seductive or provocative behavior
  • Displays rapidly shifting and shallow expression of emotions
  • Consistently uses physical appearance to draw attention to themself
  • Has a style of speech that is excessively impressionistic and lacking in detail
  • Shows self-dramatization, theatricality, and exaggerated expression of emotion
  • Is highly suggestible, i.e., easily influenced by others or circumstances
  • Considers relationships to be more intimate than they actually are
As with all personality disorders, the person must be at least 18 years old before they can be diagnosed with it.
Histrionic personality disorder is more prevalent in females than males. It occurs about 2 to 3 percent in the general population.
Like most personality disorders, histrionic personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in the 40s or 50s.

How is Histrionic Personality Disorder Diagnosed?

Personality disorders such as histrionic personality disorder are typically diagnosed by a trained mental health professional, such as a psychologist or psychiatrist. Family physicians and general practitioners are generally not trained or well-equipped to make this type of psychological diagnosis. So while you can initially consult a family physician about this problem, they should refer you to a mental health professional for diagnosis and treatment. There are no laboratory, blood or genetic tests that are used to diagnose histrionic personality disorder.
Many people with histrionic personality disorder don't seek out treatment. People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person's life. This most often happens when a person's coping resources are stretched too thin to deal with stress or other life events.
A diagnosis for histrionic personality disorder is made by a mental health professional comparing your symptoms and life history with those listed here. They will make a determination whether your symptoms meet the criteria necessary for a personality disorder diagnosis.

Causes of Histrionic Personality Disorder

Researchers today don't know what causes histrionic personality disorder. There are many theories, however, about the possible causes of histrionic personality disorder. Most professionals subscribe to a biopsychosocial model of causation -- that is, the causes of are likely due to biological and genetic factors, social factors (such as how a person interacts in their early development with their family and friends and other children), and psychological factors (the individual's personality and temperament, shaped by their environment and learned coping skills to deal with stress). This suggests that no single factor is responsible -- rather, it is the complex and likely intertwined nature of all three factors that are important. If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be "passed down" to their children.

Treatment of Histrionic Personality Disorder

Treatment of histrionic personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder. Medications may also be prescribed to help with specific troubling and debilitating symptoms. For more information about treatment, please seehistrionic personality disorder treatment.

For more information see psychcentral.com/disorders/sx17.htm website