There has been a big shakeup in the psychology world this week! And certain people might not be very happy about their very important diagnosis getting the boot.
The new edition of the DSM (Diagnostic and Statistical Manual of Mental Disorders) will eliminate five personality disorders, including Paranoid, Schizoid, Histrionic, and Dependent. But the real biggie, the one getting all the attention (naturally), is Narcissistic Personality Disorder. *gasp* NO! How will all those narcissists deal with being told that they don't rate their own personality disorder any longer? This could be very damaging to them.
This decision is causing a lot of disagreement among psychologists and psychiatrists. The rationale is that a patient can be diagnosed with a personality disorder with elements of the various disorders that have been eliminated. A smorgasbord, if you will, of personality disorder symptoms. Practicing psychologists and psychiatrists feel that there is a wide gap between what researchers see in their studies and what they see in their practices, and are none too happy about this decision. Although psychology is a bit of a hobby of mine, and I've read a few books about it, I am by no means an expert, so can't really comment on whether this is a good decision or not.
However, as someone who has been accused in the past of being a narcissist, I can certainly comment on that. I'm really not sure what prompted this person to decide that I am a narcissist, since I really don't fit the pattern of Narcissistic Personality Disorder symptoms (RIP, NPD). I think all of us exhibit certain of these behaviors at times; I am definitely easily hurt, and can appear unemotional at times. However, there is a big difference between exhibiting certain behaviors that many of us show at times, and being classified as having a personality disorder. I can only put on my psychologist hat and wonder if that accusation wasn't a classic case of psychological projection. Hmmm. There is also a big difference between exhibiting a healthy sense of self and self-worth, having self-confidence, and being a narcissist. While looking for a picture for this entry, I saw several that portrayed President Obama as being a narcissist. I think that is just silly.
He is obviously very self-confident. What politician isn't? I would think it's a prerequisite for the job. As for myself—and no, I am not comparing myself to our President—I worked hard to get past my feelings of inferiority, my self-doubts and insecurities. Although I still have those things, I have tried to replace them with a stronger self-confidence and a faith in my own abilities. My job did a lot to help me with that. I was good at what I did, but a lot of that came from my dedication towards learning as much as I could and keeping up with changes. My supervisor placed a lot of faith in me, giving me extra tasks and pushing me to learn more. I'm pretty sure that she was happy with my efforts. I have never pretended to know it all. Good grief...my Bachelor's degree doesn't qualify me as an expert! But I think it's okay to have confidence in your abilities, knowledge, and experience, as long as you have the equal and ever-present realization that there is always, always more to learn.
Does that make me a narcissist? I don't believe it does, and I would be interested to see if any psychologist would diagnose me as such. I saw one several years ago, and I wasn't diagnosed then, so I'm not sure what the person I mentioned previously based their diagnosis on. However, they might be happy to know that both borderline personality disorder and obsessive-compulsive personality disorder (not the same, but related to OCD) are still in the DSM!







