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Narcissism with Other Mental Health Disorders (Co-Morbidity and Dual Diagnosis) - Narcissism and Other Mental Health Disorders)

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In DID, the emotions are segregated into personality-like internal constructs ("entities"). The notion of "unique separate multiple whole personalities" is primitive and untrue. DID is a continuum. The inner language breaks down into polyglottal chaos. In DID, emotions cannot communicate with each other for fear of provoking overwhelming pain (and its fatal consequences). So, they are being kept apart by various mechanisms (a host or birth personality, a facilitator, a moderator and so on).

All personality disorders involve a modicum of dissociation. But the narcissistic solution is to emotionally disappear altogether. Hence, the tremendous, insatiable need of the narcissist for external approval. He exists only as a reflection. Since he is forbidden to love his true self he chooses to have no self at all. It is not dissociation it is a vanishing act.

NPD is a total, "pure" solution: self-extinguishing, self-abolishing, entirely fake. Other personality disorders are diluted variations on the themes of self-hate and perpetuated self-abuse. HPD is NPD with sex and body as the source of the Narcissistic Supply. The Borderline Personality Disorder involves lability, the movement between poles of life wish and death wish and so on.

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Read more about Pathological Narcissism as the Root of all Personality Disorders:

The Use and Abuse of Differential Diagnoses

Other Personality Disorders

NPD and Attention Deficit Hyperactivity Disorder

NPD has been associated with Attention Deficit / Hyperactivity Disorder (ADHD, or ADD) and with RAD (Reactive Attachment Disorder). The rationale is that children suffering from ADHD are unlikely to develop the attachment necessary to prevent a narcissistic regression (Freud) or adaptation (Jung).

Bonding and object relations ought to be affected by ADHD. Research to supports this has yet to come to light, though. Still, many psychotherapists and psychiatrists use this linkage as a working hypothesis. Another proposed dynamic is between autistic disorders (such as Asperger's Syndrome) and narcissism.

Misdiagnosing Narcissism - Asperger's Disorder

Narcissism and Bipolar Disorder

Bipolar patients in the manic phase exhibit most of the signs and symptoms of pathological narcissism - hyperactivity, self-centeredness, and control freakery.

More about this connection here:

Misdiagnosing Narcissism - The Bipolar I Disorder

Stormberg, D., Roningstam, E., Gunderson, J., & Tohen, M. (1998) Pathological Narcissism in Bipolar Disorder Patients. Journal of Personality Disorders, 12, 179-185

Roningstam, E. (1996), Pathological Narcissism and Narcissistic Personality Disorder in Axis I Disorders. Harvard Review of Psychiatry, 3, 326-340

Narcissism and Asperger's Disorder

Asperger's Disorder is often misdiagnosed as Narcissistic Personality Disorder (NPD), though evident as early as age 3 (while pathological narcissism cannot be safely diagnosed prior to early adolescence).

More about Autism Spectrum Disorders here:

McDowell, Maxson J. (2002) The Image of the Mother's Eye: Autism and Early Narcissistic Injury , Behavioral and Brain Sciences (Submitted)

Benis, Anthony - "Toward Self & Sanity: On the Genetic Origins of the Human Character" - Narcissistic-Perfectionist Personality Type (NP) with special reference to infantile autism

Stringer, Kathi (2003) An Object Relations Approach to Understanding Unusual Behaviors and Disturbances

James Robert Brasic, MD, MPH (2003) Pervasive Developmental Disorder: Asperger Syndrome

Misdiagnosing Narcissism - Asperger's Disorder