Hi Mateo,
Do realize I am a bit uncommon as an NPD to actually discuss it, but I was also blessed with an intelligent, logical brain....one that recognizes when I am acting like a spoiled brat, and one the recognizes when my behaviour is inappropriate, but also one that can only occasionally over-ride or derail these behaviours. And being vigilant is very, very tiring.
Also blessed with a patient wife.
Fascinating book here, one that I think any NPD/BPD person could likely associate with:
The Emotional Incest Syndrome: What to do When a Parent's Love Rules Your Life: Dr. Patricia Love, Jo Robinson: 9780553352757: Amazon.com: Books
I don't like to downplay biology (especially as I see so much of my own biological material replicated in my kids), but I am a firm believer that a NPD personality is taught. Some may have a biological predilection that makes them more susceptible to developing NPD in a specific environment, but I firmly believe:
- A child who may be biologically predisposed to develop NPD will not develop one in the proper environment
- A child who is not biologically predisposed to develop NPD still can in an improper environment
Please note that I'm only referring to NPD here, though very few of the personality disorders have strong biological links, as borne out through their poor response to medication. I believe only schizotypal, borderline and antisocial personality disorders have actually been linked to physical brain dysfunction. In most cases, PDs are caused by damaged adults damaging their charges.
I've been waiting a few months to get in to see a professional, and I am curious to see if I will get the formal NPD/BPD diagnosis. I do also suffer from many of the co-morbid symptoms, most notably depression, plus likely have undiagnosed ADHD. I recognize that self-testing and diagnosis are dangerous hobbies, yet would have to be blind if I did not acknowledge how well I score when testing for
the possibility I have it. My mother was also a classic NPD case, usually a precursor for developing the behaviour in a child.
And seriously, who really wants to have NPD or BPD?
Dealing with it is a constant struggle, as I want to emotionally react to a variety of stimuli, be negative and jealous of others, and always be right. In fact, I get tired of struggling with a world that if it just shut up, sat down, and listened to me, everything would be better. Stupid world doesn't even know how stupid it is. But that's OK, because when I finally drag others into the light, and they finally see the wisdom of my thinking, I can feign modesty with the best of them, while secretly loving the attention underneath. Narcissists can be good at hiding.
However, my #1 interest is me, and I have seen in the past where my inability to deal with the short-sightedness and stupidity of others has impacted me negatively. I have seen where jealousy and anger towards others in my career has impacted me negatively. And instead of being recognized as the brilliant person I am, I am instead excoriated and receive negative narcissistic supply.
So, like a chameleon, I change my colors, become a "team-player", and perform my own CBT on myself. I don't agree with most of the stuff I pretend to agree with, but know (yes know) that acting how I truly feel is a quick path to pain. Deep down, I know that I'm smarter and better than 99% of people I meet, and provide my own narcissistic supply.
But wait? Uh oh.....we have issues.
#1 - Despite being raised in an extremely toxic environment, I have still retained empathy, even if it maybe originally developed from empathy for self; that I wonder why anyone thought it was a good idea to leave this little helpless boy in an environment that would ruin him for life. And even if the empathy originally developed for self, it is still alive and kicking.
I see that my behaviour has a negative effect on people, and I do not want my children to also have to be dealing with this type of crap in their 40's. And based on this empathy, I know (yes know) logically that my thoughts are not right, and the behaviours are not right, based on how they affect others. And I'm intelligent enough to know that the way the world works is not the way my mind works. So either I have it right, or the rest of the world does. Easy to do the math here.
#2 - A reason why BPD is so comorbid with NPD is because most people who have NPD are desperately insecure, and have developed their NPD as a coping mechanism to deal with this. Deep down, I'm a fraud, I'm not smarter than 99% of the world, and my wife and kids, and everybody else is perfectly justified in rejecting me. And knowing this feels horrible. And feeling horrible makes me want to engage in self-destructive behaviour. Then this leads to guilt, shame, and a desperate fear that people might actually see you as you are, bringing the whole sham down.
So how do I deal with it? CBT (even self-taught) can work. It doesn't deal with the root cause issues, but can at least have you function reasonably well within society's rules. However, you need to be able to recognise when you are becoming physically and mentally elevated, then take whatever action you need to do to derail the Narcissist train before it hits the station.
The NPD person also needs to have enough people genuinely care for them to help them face themselves, and do so in a way that doesn't trigger the NPD defence mechanisms. A very interesting statement I've read is:
"Most (NPDs), if not all, are unable to see the destructive damage they are causing to themselves and to others and usually only seek treatment at the insistence of relatives and friends"
There is the key. Not just for formal treatment, but even for simple critical self-analysis, the support of others is very important.
I don't think a well-treated NPD is ever really normal. But a well-treated NPD at least functions and plays by some of the rules that society does, regardless of how much they agree with it internally. And this is all that the people close to the NPD can really hope for.