#and also high trait narcissism usually means scored high on the npi but hey guess what the npi has been HUGELY criticized and nobody can al | Explore Tumblr Posts and Blogs

brechtian · 2 years

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so so funny I went to read the handbook on narcissism and npd in an effort to learn more about the disorder & it’s complexities from specialists and what I learned instead is that NOBODY CAN AGREE on what it means AT ALL or anything else about it!!!!!

#rant in tags but an interesting one if u like psychology #don’t get me wrong the handbook IS from 2011 so it’s been over a decade but also it’s still considered like the primary text on npd and I #get the feeling the same debates are probably still going on #like I wish u all could understand. basically the only thing anyone seems to agree on is that the dsm IV (and considering the criteria for #diagnosis changed almost not at all between IV and V I imagine this still holds true)#is a BAD tool for diagnosing it. like the categorical model of diagnosis just doesn’t work well for personality disorders #plus the actual criteria listed for npd and many other pds in the dsm just straight up are not well grounded in actual scientific research #abt the disorders #and that’s what they agree on. as for the rest #NOBODY agrees on what inventories or models are effective & accurate NOBODY agrees on what the actual symptoms are beyond self #aggrandizement there’s a huge debate over whether there are subtypes of npd and if so what are they #and of those who DO believe in subtypes the most popular theory is grandiose vs vulnerable but THEN there’s a whole debate about THEM #bc some psychologists consider them two separate manifestations while others say that ppl with npd vacillate between the two states #and nobody can conclusively link self esteem with npd in any meaningful way other than that diagnosed ppl usually have higher surface level #self esteem but the whole concept of whether the narcisstic persona is a defense mechanism or just a delusion nobody can agree on or prove #and if ur wondering where the line is drawn between trait narcissism and npd ? buddy I’ve got bad news for you NOBODY KNOWS #like trait narcissism and npd are categorically two different things but the practical reality of someone with high trait narcissism vs npd #is just like. shrugs #and also high trait narcissism usually means scored high on the npi but hey guess what the npi has been HUGELY criticized and nobody can al #agree on how accurate it is!!#I could go on forever but u get the idea like. if you asked three different specialists in npd how they would define the disorder you would #VERY LIKELY get three completely different answers #and now. if ur sitting there wondering #hey wait a minute #but if the DSM V the official guideline for psychiatric evaluation infamously are not a good framework to diagnose pds or npd #AND if all other sources and experts have conflicting opinions #then WHAT is this disorder and HOW is it consistently diagnosed #AND IM WONDERING THE SAME DAMN THING!!!

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