Whenever there is a mental health awareness initiative, it is all about informing people that many people have struggles with depression and anxiety.
This awareness is a good thing. It is working to end the stigma around mental illness.
However, this should extend to helping people become more educated on the workings of the mind. Too many people are quick to self-diagnose, or suggest diagnoses to others.
Similarly, the way people use diagnosable conditions as adjectives doesn’t help.
Think….. ‘That’s so OCD/ASD/you’re narcissistic/you’re delusional/you’re so bipolar!’
At times, I’ve been guilty of it. I’ve thrown the word ‘sociopath’ around a few times, but now that I know better, I can do better.
The truth is, we can all be self-centred. Many people like their living space to be ordered. We all have social struggles. These traits can exist in healthy individuals as quirks, or they can exist in a collection with other traits that form a diagnosis.
However, these traits in isolation do not make a mental health condition.
Narcissism in particular is one that gets thrown around an awful lot. I’ve noticed it on Pinterest and in a number of Facebook communities, where people describe their ex, their mother, their siblings, their dog, as a narcissist. There is coaching on how to deal with such people.
All without any formal diagnosis, mind you.
Narcissistic personality disorder affects only a very, very small sample of the population. It is very resistant to treatment and can be devastating for the person who has the disorder.
Throwing the term around to describe every person who has taken a selfie, behaved selfishly, or been unfaithful in a relationship does not help the people who struggle with a very real, very misunderstood mental condition.
From what I understand, the diagnostic criteria is actually quite stringent, as such that your average self-interested type generally falls short.
We are talking about less than 5% of the general population.
Conversely, certain traits are common across disorders. So, just because someone has cognitive empathy, lacks affective empathy, and falls somewhere on the Autism spectrum, does not mean they are also a psychopath and a narcissist.
I guess it’s all about understanding nuance, which humans struggle with.
You can be socially awkward, but not ASD. You can be detached and limited to cognitive empathy, but not have a personality disorder. You can be nervous, without having clinical anxiety.
That is not to minimise people’s experiences, but not everything needs to be pathologised. Self-diagnosing and the diagnosing of others using speculation and Doctor Google only begets fear, ignorance, and the prevention of recovery.
The person you are struggling to deal with (including yourself), probably isn’t as disordered as you think they are – and if they are, it’s best to get some formal clarity from a psychiatrist or someone equipped to make a judgment.
That is the only way to work towards a better understanding.
An interesting read thanks RJ.
I’ve had a reasonable amount of experience with narcissists and just wanted to make a point in response to this statement you made:
Narcissistic personality disorder affects only a very, very small sample of the population. It is very resistant to treatment and can be devastating for the person who has the disorder.
My understanding and experience is that most true narcissists will never actually believe or be able to acknowledge that there is anything in their personality type that is inherently flawed. They do not have the ability to be constructively self reflective as they live in a fantasy world that supports their own delusions of grandeur.
I agree that the terminology should not be thrown around lightly, however do not want the dangers inherent in people with this particular personality type to be underemphasised either.
Traits of narcissism may exist in many individuals, however I agree that these are very different to true narcissistic personality disorder.
Your last paragraph nails it! I think it rings true of almost any mental condition. Traits of many conditions can exist without the disorder itself. I am seeing a rise of pop psychology which fails to capture the a genuine understanding.
NPD can be devastating in that a lack of ability to self-reflect can destroy any chance at healthy relationships.